URI
1.
Wobble, A 5'4'' 250lb man with flushed cheeks walks into your office. He is complaining of a rough/grainy rash under his arms and in a few of his more prominent skin folds. He reports getting a “cold” two weeks ago and “just toughing it out.”
A) What is the most likely etiological agent of Wobble's “cold?”
B) What is the name of the pathology causing his skin rash?
C) Name three potential complications of this pathology.
1 -
2 -
3 -
Bonus I: The above pathology is caused by what kind of toxin?
Bonus II: What causes the toxin production?
2.
You are on a date at the Metropolitan Museum of Art with a UNE undergrad you are hoping to impress. But, as it turns out you're kind of an idiot and don't know a thing about art. You've all but given up hope when you spot a painting that lifts your spirits. It is entitled “George Washington with Barking Cough,” and depicts our founding father on his deathbed. You call over your date who looks at the painting for a minute then asks:
A) “Why is his neck all extended like that?”
B) “That's scary! What do you call his disease?”
C)“What kind of bacteria would do such a thing?”
Bonus: Your date gives you a crooked smile then without warning rips off her wig, mask and UNE JV Soccer jersey, revealing none other than Dr. Vaughn wearing saddle shoes and, oddly enough, an identical UNE JV Soccer Jersey. He shouts:
“Oh yeah! But what if his neck wasn't extended and he didn't have a barking cough? What if he was just hoarse with a slightly deeper voice than normal? What bug(s) might cause that pathology, Smart Guy?!”
-Pathology:
-Etiology:
3.
A pack of rabid cougars forces everyone in Maine indoors. You're home polishing your cougar pistol when your phone rings:
“Doctor Feelgood!,” a frantic voice shouts into the phone, “My 6-month old is screaming and won't shut up! He had a common cold two weeks ago that was probably viral in origin, but that went away and now his left tympanic membrane looks red and bulging! What's making little Francis so sick???”
A) Most likely pathology:
B) How did little Francis's virus-induced “cold” contribute to his current bacterial pathology?
C)What are the top three bugs that cause this bacterial pathology? (Note: if three bugs aren't known, full credit will be given for the #1 etiology alone as long as it is written with confidence.)
- #1:
- #2:
- #3:
Bonus: What if Francis started crying the morning after attending a mother-child bonding day at the local health club where they used the 90 degree therapy pool for trust building exercises?
(bug only)
LRI
4.
Old Man Jones presents to you chiropractic office with a persistent productive cough that has been growing worse over the last 4 weeks. X-rays reveal extensive consolidation in both lungs. Pt has a 20 pack-year history of smoking.
A) What's he got? (in 3-letters or less)
B) What bug would you guess is causing it?
C)What bug might it be if Old Man Jones had been hospitalized?
Bonus I: What type of bug would a foul-smelling sputum lead you to suspect?
Bonus II: What is the two-word sputum-describing buzz-word that Dr. Vaughn might hint at to let you know there has been involvement of the alveolar tissue?
5.
Dr. Vaughn presents to your out-of-state clinic under a false name, carrying with him a petri dish containing colonies growing on chocolate agar. When he spots you he runs for the door only to find Jim, the overweight and gassy orderly, blocking his path. Knowing he is trapped, Dr. Vaughn tries to distract you with a rapid-fire, impromptu pimping session:
A) “Name the Big Three Criteria for defining atypical pneumonia!” he says.
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2-
3-
B) “Uh, bu- wha- I...” he stammers before jumping behind a plastic palm tree and pretending to be invisible. To fill the awkward silence while a murse fetches you a syringe of Ativan, you add, “________________ _______________ (g&s) is the #1 cause of atypical pneumonia.”
Dr. Vaughn is so shocked you just answered all his queries correctly, he promptly passes out, spilling the culture of N. gonorrhea all over Jim, the gassy orderly.
And they all lived happily ever after.
The End.
