internal medicine jeopardy game - utdl.edu · pdf filedate single quiz double quiz final quiz...
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Single Quiz
DoubleQuiz
FinalQuiz
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
Single Quiz
DoubleQuiz
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
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Hard to imagine.What is this?
Sickle Red Cells
Topic X 800 QuestionGo To Double
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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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