PubStyle Trivia

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Pub-Style Trivia
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Round One
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1 -100 points

• This type of cardiomyopathy is the most common
  cause of heart transplantation in the US

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2 - 200 points

• This EKG is classic for what syndrome?

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3 - Pneumocystitis PNA in HIV patient

• What is first line agent? (50 points)
• What is duration, in days, of treatment? (50
  points)

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4 - More AIDS

• Name 3 distinct malignancies associated with AIDS
  (50 points each)

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5 - 200 points

• First lady Eleanor Roosevelt died of this cause,
  name it.

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6 - Name the drug trade names with these
ingredients

• Aspirin 650mg, Caffeine 33.3mg, Salicylamide
  195mg (100pts)
• Acetaminophen 260mg, Aspirin 520mg, Caffeine 32.5
  (100pts)

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7 - 100 points

• Human serum agglutinate the erythrocytes of
  non-human species (heterophile antibodies) in
  which infectious process?

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8 - This thyroid function panel is seen in which
of the following (150 pts)

• A. Graves Disease
• B. de Quervains thyroiditis
• C. Hashimotos thyroiditis

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9 - Shock, what type (50 pts each)

• CVP 9 mmHg, PCWP 12 mmHg, CO 7 L/min,
  SVR 400 dynes x sec/cm5
• CVP 16, PCWP 16, CO 3, SVR 1600
• CVP 6, PCWP 8, CO 5, SVR 1600

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10 Drugs

• Cytotoxic immunosuppressive therapies
  (cyclosporine, tacrolimus) have been associated
  with all of the following EXCEPT (150 points)
• Post-transplant lymphoproliferative disorder
• PRES
• Cardiomyopathy

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Round 2
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11 Calcium

• Majority of cases of outpatient hypercalcemia is
  mediated by what (50pts)?
• What is the most common cause, pathologically, of
  this state (50pts)?

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12 - Fun with murmurs

• Systolic decrescendo at apex (50pts)
• Harsh midsystolic murmur louder with valsalva
  (50pts)
• Systolic murmur at LSB louder with inspiration
  (50pts)
• Holosystolic murmur at LLSB (50pts)

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13 200pts

• What is the most common cause of fibrosing
  mediastinitis?

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14 200 points

• All of the following are diagnostic criteria for
  acute phosphate nephropathy EXCEPT
• Absence of hypercalcemia
• Recent exposure to oral sodium phosphate bowel
  purgative
• Reversible entity
• Pathologic findings of tubular injury with
  calcium deposition

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15 - Metabolic disturbances
80
130
pH 7.20 pCO2 25
10

• Which of the following correctly identifies the
  disorder (200 pts)
• Mixed anion gap metabolic and respiratory
  acidosis
• Mixed anion gap metabolic acidosis and metabolic
  alkalosis
• Mixed anion gap and non-anion gap metabolic
  acidosis

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16 - Treatment

• All of the following regarding Cryptococcal
  Pneumonia are true EXCEPT (150pts)
• First line treatment is fluconazole
• It is an AIDS-defining illness
• CSF sampling to rule out extrapulmonary spread is
  not recommended

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17 - Incidentalomas

• What is the NIH recommendation for a 3 cm adrenal
  mass (150pts)
• Refer for surgical removal
• Perform dexamethasone suppression test and obtain
  plasma metanephrines
• Repeat imaging in 12 months

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18 100 points

• Locked-In syndrome results from an insult in what
  part of the CNS (for full credit must be
  specific)?

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19 150 points

• The following Hepatitis serologies
• (HBsAg, -HBsAb, HBcAb, -HBcAb IgM) reflect the
  patients status as which of the below
• A. Immune due to vaccination
• B. Immune due to prior infection
• C. Chronic infection
• D. Acute infection

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20 Fun with autoantibodies

• This autoantibody is present in 40 of cases of
  diffuse cutaneous scleroderma (150pts)

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Final Round(3 Questions)
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Did someone say Coags?

• Name three reasons an abnormal PTT would not
  correct with a mixing study. (100pts each)

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Election Year

• How many electoral college votes are needed to
  win a Presidential election? (200pts)?
• How many total electoral college votes exist?
  (300pts)

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Card player, are you?

• Each king in a deck of playing cards represents a
  great king/leader from history, name them (150pts
  each, another 50pts if you can match the suit
  with the king).

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Answers

• 1 Dilated CM (Tichy)
• 2 A Brugada syndrome, (coved ST segment in
  V1-V3, gt2mm elevation, inverted T wave, Stewart)
• 3 1) TMP-Sulfa 2) 21 days (Burkhart)
• 4 Invasive cervical CA, Kaposi sarcoma,
  Lymphoma (Edwards)
• 5 TB (Brill)
• 6 1) BC 2) Goodys (Chelminski, Buckner)
• 7 EBV (Stern)
• 8 De Quervains thyroiditis or painful subacute
  thyroiditis (Galpin)
• 9 1) Distributive/Vasodilatory 2) Cardiogenic
  3) Hypovolemic (Cheng)
• 10 Cardiomyopathy (Altman)
• 11 PTH, Functioning Adenoma (Rometo)
• 12 MR, HCM, TR, VSD (Fitzhugh)
• 13 Histoplasma capsulatum (Thomas)
• 14 Reversible Entity (Jenkins)
• 15 Mixed AG metabolic acidosis and metabolic
  alkalosis (Peery)
• 16 AIDS-defining illness (Proctor)
• 17 Perform dex suppression test, obtain plasma
  metanephrines (Faber)
• 18 Pons (Kwan)
• 19 Chronic infection (Duncan)