Duplicate of Mock Quiz Bowl March 29, 2025

Hallmarks of acute Wernicke’s disease except:

The following are considered high risk adenomas except:

First line treatment for Giardia lamblia

20/F sexually active entertainer consults you about cervical cancer screening.  Which screening test will you recommend?

Acute allergic interstitial nephritis is most frequently associated with which category of medications?

A 65 y/o male with memory lapses, apathy, disinhibition, compulsivity, empathy loss, overeating for 48 months.

Shock is a manifestation of inadequate oxygen delivery (DO₂) compared with cellular needs. The 2 major components are:

Monoclonal antibody safest for pregnancy

PPI is given in eosinophilic esophagitis. this is effective at improving eosinophilic inflammation by how much?

typical incubation period for Trichomonas vaginalis infection in women

What is the mechanism of action of venetoclax, a drug used in the treatment of CLL?

The primary cause of hypocalcemia in Vitamin D deficiency is

Inflamed sacroiliac joints in SpA/AS have high levels of this cytokine

TRUE regarding post-polio syndrome

True regarding monkeypox

Suspicion of infections with certain organisms depends on cancer type. Which is the correct association?

Which of the following toxins can cause flaccid paralysis?

A multisystem, necrotizing vasculitis affecting small- and medium-sized arteries, sparing the lungs.

Hyponatremia in lung cancer is usually caused by:

ideal for “pill-in-the-pocket” approach for paroxysmal atrial fibrillation

How many percent of patients who present with gallstone pancreatitis harbor a choledocholithiasis?

primary treatment for cyanide poisoning

an absolute contraindication to exercise stress testing

Mutation in the human RYR2 gene and in CASQ2

characterized by painful swelling of one or more costochondral articulations

increased [Ca2+]i related to spontaneous release of Ca2+ from the SR in cardiomyocytes with dispersion of repolarization

What is the necessary size of liver biopsy sample for assessment of liver fibrosis?

the leading cause of death in systemic sclerosis

A 54-year-old male with seizures due to a left temporal lobe mass. Lab: thrombocytopenia, leukopenia. Best AED?

 The Eaton-Lambert syndrome, a paraneoplastic syndrome due to lung cancer, presents with: 

 The toxic compound in Amanita phalloides (death cap mushroom) is

These hormones are known as hormones of satiety or those anorexigenic effects except

40M with severe MS, atrial fibrillation, no other comorbidities, which following is appropriate for stroke prevention?

A patient with opioid overdose will typically present with

In steakhouse syndrome, this lesion causes intermittent food impaction:

Provides insight into the adequacy of oxygen delivery in patients with shock

In dysphagia lusoria, the esophagus is compressed by what artery arising from the descending aorta

Type III respiratory failure is commonly seen in

In CPPD, this gene may undergo mutations that increase elaboration and extracellular transport of pyrophosphate

Treatment for TNF-Receptor Associated Periodic Syndrome (TRAPS)

True of cancer and smoking

Dihydropyridines CCB associated with increased risk of mortality when given during acute myocardial infarction

binds to TGF-beta is recently approved to benefit patients with thalassemia by enhancing late-stage erythropoiesis

Which of these occurs FIRST in the ischemic cascade?

Infiltrative heart disease/inflammatory disease causes of AV block, except

reversible cause of sinus node dysfunction, EXCEPT

This aneurysmal size has 6% risk of rupture in the first year of identification and may remain high indefinitely

How would you prepare a patient for RAI therapy? 

The pathophysiology of the notable increase in MCV in hemolytic anemia is attributed to which of the following?

Which of the following features best distinguishes a nephritic syndrome from a nephrotic syndrome?

antiarrhythmic associated with sinus node dysfunction, EXCEPT

drug of choice for a patient with preexcited atrial fibrillation with normal BP

classic ECG seen in hypothermia

In the NLST study, low dose CT was found to detect more early stage lung cancers and reduce mortality by 20% in patients

Which of the following drugs can cause malignant hyperthermia?

minimum heart rate percentage a patient must achieve for the treadmill exercise test to be considered diagnostic

Which of the following causes "Monday disease" (fluctuating headache and dizziness in factory workers)?

Accounts for 80% of cases of cardiogenic shock complicating acute myocardial infarction:

A patient from an endemic area has hematuria, dysuria, and lower abdominal pain. Urine shows terminal-spined eggs.

In esophageal foreign body impaction, what medication can be tried to dislodge the impacted body prior to endoscopy?

This medication increases claudication distance by 40-60% and improves measures of quality of life

a risk factor for testicular germ cell tumor

Initial resuscitation in sepsis and septic shock except:

converts type 2 or type 3 Brugada pattern ECG to a type 1 pattern

Which type of lung cancer is often characterized by evidence of early metastases at the time of diagnosis?

What is this lesion?

30M with high serum calcium, elevated PTH, normal vitamin D, and low urine calcium. Diagnosis?

strongly predicts increased risk of perioperative CV complications in patients >40 years undergoing major surgery

According to the Universal Definitions of Myocardial Injury and Infarction, "Stent Restenosis" is classified as

Which of the following is a secondary cause of nephrotic syndrome?

Which of the following findings is an indication for initiating dialysis in this patient with tumor lysis syndrome?

64M presented with sudden LSW. CT was negative.

What is the mechanism of action of bisphosphonates in the treatment of osteoporosis?

In Primary Biliary Cholangitis treatment, what is the dose used for UDCA?

TRISS trial in septic shock recommends red blood cell transfusion:

A child with abdominal pain, weight loss, and a cystic liver lesion. Noted was frequent contact with dogs. diagnosis?

In ambulatory pH monitoring, an abnormal result indicative of GERD is defined as:

Which of the following medications has the lowest Hba1C reduction?

A high reticulocyte count in a patient with anemia most likely indicates:

Which of the following statement regarding peptic ulcers is NOT TRUE?

The following are biochemical markers of bone formation except

the minimum number of sampled lymph nodes to accurately define tumor stage

What is the most likely causes of sudden death in Ischemic Heart Disease?

54M with CML in chronic phase was on imatinib for three months, yet his WBC count remains elevated. Next best step?

What amount of zinc per liter of diarrhea is present in patients with secretory diarrhea?

Superior sulcus tumors represent a distinct subset of Stage III disease. They are characterized by the following except:

In acute lymphoblastic leukemia (ALL), which cell lineage marker is most commonly found in B-cell ALL?

International society of hypertension guidelines (2020), initial first line drugs, EXCEPT

Erythema multiforme is most commonly caused by

the most common drug-induced cutaneous reaction

Staging for small cell lung cancer is a distinct two-stage system. What excludes limited stage disease?

Right ventricle–left ventricle systolic pressure relationship with inspiration is concordant in

Which of the following patients is periprocedural antibiotic prophylaxis recommended?

This is highly correlated with body fat and is related to disease risk

Which of the following is the primary management strategy for a patient with uncomplicated dengue fever?

Symptomatic proximal esophageal webs and iron-deficiency anemia in middle-aged women constitutes which syndrome?

The most appropriate initial step in distinguishing between prerenal, intrinsic, or postrenal causes

Human leukocyte antigen related to Sjogren’s Syndrome

The hallmark sign of hydrogen sulfide poisoning is

Which of the following correctly matches the recommended frequency for diabetes-related complication screenings?

A generalized seizure disorder that appears in adolescence, characterized by bilateral myoclonic jerks

The pathophysiology of splenomegaly in acquired hemolytic anemia is attributed to which of the following:

heavy metal poisoning is treated with British Anti-Lewisite (dimercaprol)

Which of the following has the LEAST utility in the management of limited-disease small-cell lung cancer?

beta-blocker without partial agonist activity

most serious maternal complication of mechanical heart valves in pregnancy

Which of the following clinical parameters confers higher risk of cancer in patients with solitary pulmonary nodules?

76F demented came in with headache, aphasia, and RSW. CT scan: left frontal hemorrhage. Least likely cause of bleed?

primary mechanism of toxicity in acetaminophen overdose

Traveler with fever, headache, myalgia post trip to sub-Saharan Africa showing banana-shaped gametocyte Likely organism?

Diagnostic of sepsis and predicts poorer outcomes according to the most recent sepsis consensus guidelines:

Solitary pulmonary nodules with HIGH risk of cancer are characterized by the following, except:

Current recommendation: targeted temperature management between 32-36°C for at least 24 hrs for cardiac arrest patients

In patients with small bowel bleeding, what is the most common finding in capsule endoscopy seen in 50-70% of patients?

Which urinary sediment finding is most characteristic of glomerulonephritis in the setting of acute nephritic syndrome?

What is this lesion

76/M with generalized seizure from intracranial metastasis sought consult. Antiepileptic medication to be avoided?

What is the most common ablative modality used for endoscopic treatment of Barrett’s esophagus?

Which of the following is a common symptom of acute iron poisoning?

Type of hereditary predisposition for a 40M with colorectal cancer with strong family history of cancer?

The 4 major cell types of lung cancer include small or oat cell, squamous or epidermoid, adenocarcinoma, and

Vinyl chloride is a carcinogen for which type of cancer?

Which of the following agents can cause nephrotoxicity and ototoxicity?

The following feature is true to most patients with hemolytic anemia?

intensity of the murmurs increased in maneuvers that increase LV afterload, EXCEPT

Which antidote is used for benzodiazepine overdose?

POCUS evaluation of ________  can help in the assessment of intravascular filling and fluid tolerance

 Which of the following chromosomal abnormalities is most commonly associated with chronic myeloid leukemia?

What is a leading cause of previously unexplained acute pancreatitis?

triad of neutropenia, splenomegaly and nodular RA

Trousseau’s syndrome, a paraneoplastic syndrome associated with lung cancer, refers to:

MV mode preserving patient effort and allowing ventilator synchrony; however apneic episodes may be possible

most common cause of seizures in adults >60 years old

This is one of the first and most prominent biochemical abnormalities in people living with obesity

Pancoast syndrome, which presents with shoulder/arm pain and Horner’s syndrome, is commonly associated with:

ARDS typically characterized by a shift from neutrophil-to lymphocyte-predominant pulmonary infiltrates

Patients in classic cardiogenic shock but with failure to respond to initial interventions are in

Which of the following nephrotic syndromes is most commonly associated with HIV infection, heroin use, and obesity?

How many percent of patients who present with hematochezia have bleeding from the colon?

Most common site of spinal cord compression in malignancy

Type of extracorporeal gas exchange given to a patient both in shock and requiring full respiratory support:

Initial intervention for patients with pulseless electrical activity:

Recommended adjunctive IV steroid dose for refractory septic shock:

In a patient with AKI and severe metabolic acidosis, intravenous sodium bicarbonate therapy is generally indicated to:

Typically presents with reduced SVR, compensatory increase in CO, and low CVP

syncope or cardiac arrest during sudden auditory stimuli or emotional upset

The antidote for methanol poisoning is:

A patient with lead poisoning may present with

This is associated with a higher risk of PUD, premalignant gastric lesions, and gastric cancer

A patient with SLUDGE (salivation, lacrimation, urination, diarrhea, GI distress, and emesis). most likely cause?

estimated METS for carrying objects 60-90 pounds

Pauci-immune crescentic glomerulonephritis is most commonly associated with which of the following serologic markers?

An absolute contraindication to Fibrinolysis

auscultatory finding expected in patients with LBBB and aortic stenosis (images on INSPIRATION and EXPIRATION)

Second most common cause of dementia

This is independently associated with higher risk for metabolic syndrome, diabetes mellitus and cardiovascular disease

The edema seen in nephrotic syndrome is primarily due to:

A disorder with tender trigger points, sleep disturbance, exaggerated pain, sensitivity, and minimal lab abnormalities.

Sliding hiatal hernia results from weakening of which ligament?

63F with recent osteoporotic hip fracture started on teriparatide. What is a key limitation to the use of this therapy?

Preferred DVT prophylaxis in high risk critically-ill patients:

Mutation in the human RYR2 gene and in CASQ2

Type I RPGN is primarily associated with:

features favors VT over SVT

A patient presents with tinnitus, respiratory alkalosis followed by metabolic acidosis. What is the most likely cause?

Most common initial symptom of malignant spinal cord compression

What is the most common viral pathogen complicating organ transplantation?

beta blocker contraindicated during pregnancy

Right ventricle systolic pressure is >60 mmHg in

Which of the following patients has the highest priority (status 1) in the liver transplant waiting list?

estimated LDL reduction that statins offer

class III antiarrhythmic that causes prolongation of QT at slower heart rates

The following are risk factors for hepatocellular carcinoma except

In patients with HOCM, atrial fibrillation, and CHADSVASC 0, which of the following can be given for stroke prevention

usual ablation target of a typical AVNRT circuit

cancer therapy often causing severe autoimmune reactions like myositis, polymyalgia rheumatica, and polyarthritis.

23M came in for weakness and chest discomfort. History of paternal sudden death at 36 years. Loss of function of gene?

 Primary peripheral nervous system (PNS) disorders in critically-ill patients except:

The most common type of lung cancer occurring in never smokers, women and younger adults:

This offers >80% chance of cure and improved QoL among patients with severe thalassemia on chronic transfusion support

Anti-fibrotic under study for most autoimmune related ILDs

Criteria for Ventilator-associated Pneumonia (VAP) except:

flecainide when used in patients post MI was associated with increased mortality compared to placebo

syncope or cardiac arrest during exertion, particularly swimming

biologic inhibiting T cell co-stimulation by blocking CD28-CD80/86 interactions and inhibiting antigen-presenting cells

coronary artery lesion carrying the highest risk for cardiovascular events

Initial antimicrobial therapy for immunocompetent patients with severe sepsis and allergy to β-lactam antibiotics

antiarrhythmic associated with sinus node dysfunction, EXCEPT

A 28 y/o male with history of LOC during stress. EEG shows intermittent discharges on bilateral temporal lobes. Seizure?

Short-term hyperventilation to target PaCO₂ 30-35 mmHg in cases of increased ICP may be done based on this mechanism:

Sudden loss of effective circulation due to cardiac/vascular factors that may reverse spontaneously or with intervention

A "cherry-red" skin appearance at autopsy is characteristic of poisoning by