internal medicine jeopardy game - utdl.edu · pdf filedate single quiz double quiz final quiz...

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Internal MedicineJeopardy Game

Ziad Mattar, M.D. Chief Medical Resident

University of Toledo

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Doc, I Can’t See!!

Dry as Bone

One way Out!!

History Channel

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FinalQuiz

I 100Q

Topic I 100 Question

This 8 month old baby boy presented with painless reddish purple nodule

Go To SingleQuiz

Hemangioma

I 200Q

Topic I 200 Question

12 month old baby boy presented with a clean well-demarcated superficial erosions and flaccid bullae

Go To SingleQuiz

Physical abuse

I 300Q

Topic I 300 Question

This 11-year-old boy developed an itchy papulo-squamous eruption around the umbilicus

Go To SingleQuiz

Contact Dermatitis

I 400Q

Topic I 400 Question

This 45 year old man developed slowly progressive yellow plaques which had been present on the eye lids for 3 years.

Go To SingleQuiz

Xanthelasma

I 500Q

Topic I 500 QuestionGo To Single

Quiz

This 36 year old woman developed asymptomatic brown papules on her elbows. Physical examination also revealed

lacrimal gland hypertrophy

Sarcoidosis

II 100Q

Topic II 100 QuestionGo To Single

Quiz

It is the probability that a patient who has a normal test is actually free of disease

NPV

II 200Q

Topic II 200 QuestionGo To Single

Quiz

It measures the probability if the test result is due to the chance alone

P-Value

II 300Q

Topic II 300 QuestionGo To Single

Quiz

What is: TP + FN

TP + FP + TN + FN

Prevalence

II 400Q

Topic II 400 QuestionGo To Single

Quiz

300 Subjects were randomized for a trial for the efficacy of a drug. Placebo group has 90% mortality at

one year. Treatment group has 75% mortality at one year. How many patients need to be treated to save

one life?

15/100

II 500Q

Topic II 500 QuestionGo To Single

Quiz

What is the meaning of a positive likelihood ratio (or odds) of 10 %

a) 10% of those tested are likely to have the disease

b) Of those testing positive, 10% have to have disease

c) There is 10%prevalence of the disease

III 100Q

Topic III 100 QuestionGo To Single

Quiz

a 32 yo M comes for physical exam for left side systolic murmur that decreases with inspiration and valsalva, but louder on squatting. Dx?

a) Aortic regurgitation

b) Mitral regurgitation

c) Hypertrophic Cardiomyopathy

d) Mitral Stenosis

III 200Q

Topic III 200 QuestionGo To Single

Quiz

Wide splitting of S2 is representative of which of the following?

a) Normal sinus rhythm with RBBB

b) Normal sinus rhythm with LBBB

c) Hypertrophic Cardiomyopathy

III 300Q

Topic III 300 QuestionGo To Single

Quiz

An 18 yo F is seen for routine exam before playing for school baseball team. PE shows a paradoxical S2 splitting at the base. What is the Dx?

a) LBBB c) Pulmonary stenosis

b) RBBB d) Mitral regurgitation

III 400Q

Topic III 400 QuestionGo To Single

Quiz

Low pitched rumbling diastolic murmur best heard at apex in the left lateral position. What is it?

Opening snap

III 500Q

Topic III 500 QuestionGo To Single

Quiz

A 33 yo pregnant patient in 2nd trimester has SOB due to MS that is not responding to medical treatment. An Echo shows mitral valve orifice of 0.5cm2. Which of the following is indicated?

a) Mitral Valvotomy after delivery

b) Offer pregnancy termination

c) Mitral Valvotomy now

d) Mitral valve replacement now

IV 100Q

Topic IV 100 QuestionGo To Single

Quiz

Which of the following is an example of type IV immune reaction?

a) Allergic rhinitis

b) Anaphylaxis

c) Autoimmune hemolytic anemia

d) Contact dermatitis such as with latex allergy

IV 200Q

Topic IV 200 QuestionGo To Single

Quiz

A 22 yo student nurse began working in the hospital for the first time. She develops hives. What test will confirm your suspicion?

a) Skin test for allergey to latex

b) RAST for allergy to latex

c) CH50

d) Patch test

IV 300Q

Topic IV 300 QuestionGo To Single

Quiz

All of the following are examples of T-cell hypersensitivity reaction except:

a) Poison ivy

b) Nickle

c) Hair dyes (chemicals)

d) NSAID

IV 400Q

Topic IV 400 QuestionGo To Single

Quiz

A 24 yo M has a large local reaction to wasp sting. What is the appropriate treatment?

a) SQ Epinephrine

b) RAST testing

c) Desensitization

d) Elevation, anlgesics, antihistamines and topical lotion

IV 500Q

Topic IV 500 QuestionGo To Single

Quiz

Anaphylactic shock occurs in a 54 yo F with bee sting and the BP: 80/60. Epinephrine and Benadryl are given in the ER and the BP is now 200/100. What is your next step

a) SQ Epinephrine

b) Clonidine

c) Admit for Observation

d) Discharge and F/U as outpatient

e) Ephedrine

V 100Q

Topic V 100 QuestionGo To Single

Quiz

Your Co-Resident who is known to drink alcohol in excess, had orchiectomy. On 2nd day after surgery, he c/o extreme nervousness. Soon he is confused. What is the drug treatment of choice?

a) Diltiazem

b) Lorazepam

c) Naloxone

d) Methadone

V 200Q

Topic V 200 QuestionGo To Single

Quiz

Drug with the least sedative effect?

a) Haldol

b) Thorazine

c) Clozapine

d) Risperidone

V 300Q

Topic V 300 QuestionGo To Single

Quiz

Drug with the highest extrapyramidal effect?

a) Haldol

b) Thorazine

c) Clozapine

d) Risperdone

V 400Q

Topic V 400 QuestionGo To Single

Quiz

A patient is on haloperidol. He comes with T-105 degrees and confusion. What is the treatment?

Bromocriptine

V 500Q

Topic V 500 QuestionGo To Single

Quiz

A 65 yo F has severe pain associated with Herpes ophtalmicus. A combination on phenothiazine, amitriptiline

and carbamazepine provided relief of pain. Over the next month the patient develops trouble standing. She moves and

shuffles about, falls backward easily, and develops continuous chewing movements and gasping respiration.

What is this condition?

Tardive Dyskinesia

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GooeyStuff

Blow In &

Analyze

Black &

White

Trivia Q?

Double Quiz

FinalQuiz

Tracing

VI 200Q

Topic VI 200 QuestionGo To Double

Quiz

This 52-year-old man with a history of "cardiomyopathy" presents with near syncope. No coronary disease!

HCM

VI 400Q

Topic VI 400 QuestionGo To Double

Quiz

What is the ECG diagnosis?

WPW

VI 600Q

Topic VI 600 QuestionGo To Double

Quiz

A 47-yr-old man with double trouble.

Pericarditis

VI 800Q

Topic VI 800 QuestionGo To Double

Quiz

30-yr-old man, not on medication. What waveform is prominent? What is the diagnosis?

U Wave, HypoK

VI 1000Q

Topic VI 1000 QuestionGo To Double

Quiz

A 68-year-old man with dyspnea. What does the ECG show?

Vent Paced Rhythm + MI

VII 200Q

Topic VII 200 Question

You are asked to clear a patient for surgery scheduled next day because a urine sample shows the presence of fungus. Patient has no symptoms. What is your advice?

a) Proceed with surgery

b) Treat with Fluconazole and proceed with surgery

c) Cancel surgery

VII 400Q

Topic VII 400 QuestionGo To Double

Quiz

Which of the following is indicated for reducing the risk of contrast-induced renal disease in high-risk patients?

a) ½ NS, 12 hrs before and 12 hrs after the procedure

b) D5 ½ NS at 125ml/hr, 8hrs before and 12 hrs after the procedure

c) D5 ½ NS or ½ NS before the procedure

d) Pre medicate with Benadryl and Steroids

VII 600Q

Topic VII 600 QuestionGo To Double

Quiz

Primary Glomerular diseases with nephrotic syndromes include all, except:

a) Minimal change diseaseb) Focal Segmental glomerulosclerosisc) IgA nephropathyd) Membranous glomerulopathy

VII 800Q

Topic VII 800 QuestionGo To Double

Quiz

Which disease causes Secondary Glomerular diseases with nephrotic syndrome:

a) Minimal change diseaseb) Focal Segmental glomerulosclerosisc) SLEd) IgA nephropathye) Membranous glomerulopathy

VII 1000Q

Topic VII 1000 QuestionGo To Double

Quiz

Which disease is not a cause of normal serum complement glomerular disease with nephritic syndrome:

a) IgA nephropathy e) TTP

b) Berger’s disease f) HSP

c) Goodpasture’s g) Wegener’s

d) HUS h) SLE

VIII 200Q

Topic VIII 200 QuestionGo To Double

Quiz

What is your Dx?

Pancreatic Cyst

VIII 400Q

Topic VIII 400 QuestionGo To Double

Quiz

What is your Dx?

Meningioma

VIII 600Q

Topic VIII 600 QuestionGo To Double

Quiz

What is your Dx?

Basilar Artery Aneurysm

VIII 800Q

Topic VIII 800 QuestionGo To Double

Quiz

What is your Dx?

Diverticulosis

VIII 1000Q

Topic VIII 1000 QuestionGo To Double

Quiz

What is your most probably Dx?

Brain Tumor/Metastasis

IX 200Q

Topic IX 200 QuestionGo To Double

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Bronchiectasis

IX 400Q

Topic IX 400 QuestionGo To Double

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RLL Abscess

IX 600Q

Topic IX 600 QuestionGo To Double

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Sarcoidosis

IX 800Q

Topic IX 800 QuestionGo To Double

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AcanthosisNigricans

IX 1000Q

Topic IX 1000 QuestionGo To Double

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HiatalHernia

X 200Q

Topic X 200 QuestionGo To Double

Quiz

Hard to imagine.What is this?

Household dust

X 400Q

Topic X 400 QuestionGo To Double

Quiz

Hard to imagine.What is this?

TreponemaPallidum

X 600Q

Topic X 600 QuestionGo To Double

Quiz

Hard to imagine.What is this?

Sickle Red Cells

Topic X 800 QuestionGo To Double

Quiz

Plastination

X 1000Q

Topic X 1000 QuestionGo To Double

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Final Quiz

List all 4 causes of Low Serum Complement Glomerular Diseases

with Nephritic Syndrome

Answer:

Post streptococcal infectionSLE

CryoglobulinemiaIdiopathic Membranoproliferative

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