Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
6/23/2016
1
• Team captains picks question for their team to answer
• Everyone on team votes – captain can choose consensus answer or go rogue
• If a team answers correctly, they retain control of the board for up to 3 questions
• If a team answers incorrectly, the other team takes control of the board
Jeopardy Rules
$100
$200
$300
$500
$400
A Disease Called Fame
$100
$200
$300
$500
$400
Were You Sleeping?
$100
$200
$300
$500
$400
A Closer Look
$100
$200
$300
$500
$400
Rainbow of Medicine
$100
$200
$300
$500
$400
Medical Zoo
Final Jeopardy
Some celebrities have voiced opposition to vaccination due to incorrect beliefs about its safety. Which of the following celebrities have publicly voiced support for childhood vaccination?
A. Jim Carrey
B. Donald Trump
C. Steven Colbert
D. Robert De Niro
J i m C a r
r e yD o n
a l d T r u
m pS t e
v e n C o
l b e rt
R o be r t
D e N i r o
4%14%
75%
7%
6/23/2016
2
Main Board
Some celebrities have voiced opposition to vaccination due to incorrect beliefs about its safety. Which of the following celebrities have publicly voiced support for childhood vaccination?
C. Steven Colbert
The Angelina Jolie Effect refers to the increased number of women who underwent bilateral mastectomy due to the BRCA mutation after the actress reveal that her decision to do this. Which of these cancers is NOT more common in patients with BRCA 1 or 2 mutation?
A. Pancreatic
B. Ovarian
C. Prostate
D. Papillary thyroidP a n
c r e at i c
O v ar i a n
P r os t a t
eP a p
i l l a ry t h
y r oi d
27%
37%33%
3%
Main Board
The Angelina Jolie Effect refers to the increased number of women who underwent bilateral mastectomy due to the BRCA mutation after the actress reveal that her decision to do this. Which of these cancers is NOT more common in patients with BRCA 1 or 2 mutation?
A. Pancreatic
B. Ovarian
C. Prostate
D. Papillary thyroid
Arnold Schwarzenegger’s most famous Hollywood role was that of the Terminator cyborg. In real life, he had a bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis before:
A. Colonoscopy
B. Tooth extraction
C. Both A & B
D. Neither
C o lo n o
s c op y
T o ot h e
x t r ac t i o
n
B o th A
& B
N e it h e
r
7%
40%
30%
23%
6/23/2016
3
Main Board
A. Colonoscopy
B. Tooth extraction
C. Both A & B
D. Neither
Arnold Schwarzenegger’s most famous Hollywood role was that of the Terminator cyborg. In real life, he had a bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis before:
Gluten sensitivity is a popular diagnosis among the Hollywood set. True celiac sprue is associated with all of the following auto-antibodies EXCEPT:
A. Anti-myeloperoxidase
B. Anti-gliadin
C. Anti-tissue transglutamidase
D. Anti-reticulin
.
A n t i- m y e
l o p er o x i
d a s eA n t i
- g l i ad i n
A n t i- t i s s
u e tr a n s
g l u ta m . .
.A n t i
- r e t ic u l i n
56%
40%
0%4%
Main Board
Gluten sensitivity is a popular diagnosis among the Hollywood set. True celiac sprue is associated with all of the following auto-antibodies EXCEPT:
A. Anti-myeloperoxidaseB. Anti-gliadin
C. Anti-tissue transglutamidase
D. Anti-reticulin
Game of Thrones actor Peter Dinklage’s short stature is due to a form of achondroplasia. Growth delay can occur with all of the following diagnoses EXCEPT:?
A. Hypothyroidism
B. Hypoparathyroidism
C. Pseudohypoparathyroidism
D. Pseudo-pseudohypoparathyroidism
A. B. C. D.
10%
62%
29%
0%
6/23/2016
4
Main Board
Game of Thrones actor Peter Dinklage’s short stature is due to a form of achondroplasia. Growth delay can occur with all of the following diagnoses EXCEPT:?
A. Hypothyroidism
B. Hypoparathyroidism
C. Pseudohypoparathyroidism
D. Pseudo-pseudohypoparathyroidism
A woman complains of pruritic vaginal discharge. You perform a wet mount (shown below) and prescribe:
A. Metronidazole PO
B. Doxycycline PO
C. Fluconazole PO
D. Hydrocortisone topical
M e t r on i d
a z ol e P
OD o x
y c yc l i n
e P OF l u c
o n az o l e
P OH y d
r o c or t i s
o n e t o p
i c a l
88%
4%8%0%
Main Board
A woman complains of pruritic vaginal discharge. You perform a wet mount (shown below) and prescribe:
A. Metronidazole POB. Doxycycline PO
C. Fluconazole PO
D. Hydrocortisone topicalTrichomonas(motile)
A patient is admitted with fever, anemia, and thrombocytopenia. The peripheral blood smear below supports a diagnosis of:
A. Immune thrombocytopenic purpura
B. Autoimmune thromboyctopenia and hemolytic anemia
C. Thrombotic thrombocytopenic purpura
D. Sickle cell anemia
I m mu n e
t h ro m
b o cy t o
p e n. .
A u to i m
m un e t
h r om b
o y c. . .
T h ro m
b o ti c t h
r o mb o c
y t . ..
S i c kl e c
e l l an e m
i a
0%
42%42%
17%
6/23/2016
5
Main Board
A patient is admitted with fever, anemia, and thrombocytopenia. The peripheral blood smear below supports a diagnosis of:
A. Immune thrombocytopenic purpura
B. Autoimmune thromboyctopenia and hemolytic anemia
C. Thrombotic thrombocytopenic purpura
D. Sickle cell anemia
While working in South Sudan, you encounter a woman with headache and fever. You perform a lumbar puncture. The CSF gram stain below indicates:A. Meningococcal meningitis
B. Cryptococcal meningitis
C. Dengue Fever
D. Tuberculosis
M e n i ng o c
o c ca l m
e n in g i t
i sC r y
p t oc o c
c a l m e
n i n gi t i s
D e ng u e
F e ve r
T u be r c
u l o si s
46%
0%
31%23%
Main Board
While working in South Sudan, you encounter a woman with headache and fever. You perform a lumbar puncture. The CSF gram stain below indicates:A. Meningococcal meningitisB. Cryptococcal meningitis
C. Dengue Fever
D. Tuberculosis
A. Acute gout
B. Acute pseudogout (CPPD)
C. Reactive arthritis
D. Septic arthritis
An elderly man presents with a painful, swollen left knee. Arthrocentesis yields a slightly cloudy fluid with 20,000 wbc (mostly PMNs). Polarized light microscopy of the fluid (shown below) indicates:
Arrow shows slow axis of compensator
A c ut e g
o u t
A c ut e p
s e ud o g
o u t ( C P
P D )R e a
c t i ve a r
t h r it i s
S e pt i c a
r t h ri t i s
28%
4%8%
60%
6/23/2016
6
Main Board
A. Acute gout
B. Acute pseudogout (CPPD)C. Reactive arthritis
D. Septic arthritis
An elderly man presents with a painful, swollen left knee. Arthrocentesis yields a slightly cloudy fluid with 20,000 wbc (mostly PMNs). Polarized light microscopy of the fluid (shown below) indicates:
Arrow shows slow axis of compensator
A young man presents with painless hematuria. The urine microscopy finding below supports a diagnosis of:
A. Hemolysis
B. Renal calculus
C. Focal segmental glomerulosclerosis
D. IgA nephropathyH e m
o l y si s
R e na l c
a l c ul u s
F o ca l s
e g me n t
a l gl o m
e r u. . .
I g A n e p
h r op a t
h y
4%
46%
35%
15%
Main Board
A. Hemolysis
B. Renal calculus
C. Focal segmental glomerulosclerosis
D. IgA nephropathy
A young man presents with painless hematuria. The urine microscopy finding below supports a diagnosis of:
What is the mechanism of unilateral scleral icterus?
A. CMV Hepatitis
B. Mirizzi’s Syndrome
C. Prosthetic Eye
D. Cholangiocarcinoma
C MV H
e p at i t i s
M i r
i z z i’ s S
y n dr o m
eP r o
s t he t i c
E y eC h o
l a ng i o
c a rc i n
o ma
8%
20%
56%
16%
6/23/2016
7
What is the mechanism of unilateral scleral icterus?
A. CMV Hepatitis
B. Mirizzi’s Syndrome
C. Prosthetic Eye
D. Cholangiocarcinoma
Main Board
Which of the following does
NOT cause blue sclera?
A. Wilson’s disease
B. Osteogenesis imperfecta
C. Ehlers-Danlos Syndrome
D. Marfan’s DiseaseW i l
s o n’ s d
i s e as e
O s te o g
e n es i s
i m pe r f e
c t aE h l
e r s- D a
n l os S y
n d ro m
eM a
r f an ’ s
D i se a s
e
54%
23%
8%15%
Which of the following does
NOT cause blue sclera?
A. Wilson’s diseaseB. Osteogenesis imperfecta
C. Ehlers-Danlos Syndrome
D. Marfan’s Disease
Main Board
What disease process creates silver-colored stool?
A. Hepatocellular CarcinomaB. Esophageal CancerC. Gastric CancerD. Cancer of Ampulla of Vater
A. B. C. D.
7%
85%
7%0%
6/23/2016
8
What disease process creates silver-colored stool?
A. Hepatocellular CarcinomaB. Esophageal CancerC. Gastric CancerD. Cancer of Ampulla of Vater
Main Board
A patient is noted by his nurse to be producing blue urine… how did this happen?
A. Pseudomonas UTI
B. Amitriptyline Ingestion
C. Copper Poisoning
D. PorphyriaP s e
u d om o
n a s U T
IA m
i t r i pt y l i
n e I n g e
s t i on
C o pp e r
P oi s o n
i n g
P o rp h y
r i a
3%
41%41%
14%
A patient is noted by his nurse to be producing blue urine… how did this happen?
A. Pseudomonoas UTI
B. Amitriptyline IngestionC. Copper Poisoning
D. Porphyria
Main Board
Which of the following does NOT turn the urine black?
A. Metastatic melanomaB. Methylene blue C. AlkaptonuriaD. Hemolysis due to malaria
A. B. C. D.
56%
11%
22%
11%
6/23/2016
9
Which of the following does NOT turn the urine black?
A. Metastatic melanomaB. Methylene blue C. AlkaptonuriaD. Hemolysis due to malaria
Main Board
Described in Japanese patients with ST elevations and clean coronaries, this syndrome involves left apical ballooning that mimics these octopus traps
A. Kawasaki’s diseaseB. Takatsubo’s diseaseC. Takayasu’s diseaseD. Katayama disease
K a wa s a
k i ’ s d i s
e a se
T a ka t s u
b o ’s d i
s e as e
T a ka y a
s u ’ s d i s
e a se
K a ta y a
m a d i s e
a s e
16%8%8%
68%
A. Kawasaki’s diseaseB. Takatsubo’s diseaseC. Takayasu’s diseaseD. Katayama disease
Main Board
Described in Japanese patients with ST elevations and clean coronaries, this syndrome involves left apical ballooning that mimics these octopus traps
Which animal in this picture is most likely to transmit Bartonella henselae if it bites you?
A. The dog
B. The cat
C. The rat
D. The human
T h e d o
g
T h e c a t
T h e r a t
T h e h u
m an
4%
26%
15%
56%
6/23/2016
10
Main Board
Bartonella henselae infection is associated with the bite from what animal?
B. The cat
The venom of the Gila Monster is the basis of a drug used to treat:
A. DiabetesB. Heparin-induced thrombocytopeniaC. Breast cancerD. Acute coronary syndrome
A. B. C. D.
31%
19%
4%
46%
Main Board
The venom of the Gila Monster is the basis of a drug used to treat:
A. Diabetes (Exenatide)B. Heparin-induced thrombocytopeniaC. Breast cancerD. Acute coronary syndrome
What disease is caused by this bug?
A. Lyme Disease
B. Chaga’s Disease
C. Erlichiosis
D. Uncomfortable rash
E. Ascending paralysis
L y me D
i s e as e
C h ag a ’ s
D i se a s
eE r l i
c h i os i s
U n co m
f o r ta b l
e r as h
A s ce n d
i n g p a r
a l y si s
42%
15%
0%
38%
4%
6/23/2016
11
Main Board
What disease is caused by this bug?
A. Lyme Disease
B. Chaga’s Disease
C. Erlichiosis
D. Uncomfortable rashE. Ascending paralysis
While sitting on a beach in Australia, you encounter a woman who develops sudden flaccid paralysis after swimming. She doesn’t complain of pain. What animal attacked her?
A. .B. .C. .D. .
A B C D
. . . .
0%
54%
32%
14%
B. Blue Ringed Octopus
Main Board
While sitting on a beach in Australia, you encounter a woman who develops sudden flaccid paralysis after swimming. She doesn’t complain of pain. What animal attacked her?
Which of the following is a typical requirement for physician aid in dying (PAD) laws such as the California’s End of Life Options Act?
A. Psychiatry evaluation required
B. Can be requested in advanced directive
C. Cannot be requested by designated surrogate
D. Patient must be enrolled in hospice
P s yc h i a
t r y e v a
l u at i o n
r e .. .
C a n b e
r e qu e s
t e d i n
a d v. . .
C a nn o t
b e r e q
u e st e d
b y . . .
P a ti e n
t mu s t
b e e n
r o l le d .
. .
12% 15%
65%
8%
6/23/2016
12
Main Board
Which of the following is a typical requirement for physician aid in dying (PAD) laws such as the California’s End of Life Options Act?
A. Psychiatry evaluation required
B. Can be requested in advanced directive
C. Cannot be requested by designated surrogateD. Patient must be enrolled in hospice
In a 2015 meta-analysis, listening to music perioperatively was associated with all of the following outcomes except:
A. Reduced length of stay
B. Reduced postoperative pain
C. Less anxiety
D. Improved satisfactionR e d
u c ed l e
n g th o
f s t ay
R e du c e
d p os t o p
e r at i v e
p a in
L e ss a n
x i e ty
I m pr o v
e d sa t i s
f a c ti o n
53%
33%
7%7%
Main Board
In a 2015 meta-analysis, listening to music perioperatively was associated with all of the following outcomes except:
A. Reduced length of stayB. Reduced postoperative pain
C. Less anxiety
D. Improved satisfaction
The SPRINT trial results are most directly applicable to a hypertensive patient who also has:
A. Coronary artery disease
B. History of stroke
C. Diabetes mellitus
D. Heart failure
C o ro n a
r y ar t e r
y d is e a
s eH i s t
o r y o f s
t r o ke
D i ab e t
e s me l l i t
u sH e a
r t f ai l u r
e
40%
12%
28%
20%
6/23/2016
13
Main Board
The SPRINT trial results are most directly applicable to a hypertensive patient who also has:
A. Coronary artery diseaseB. History of stroke
C. Diabetes mellitus
D. Heart failure
Compared to warfarin, a left atrial appendage occlusion device (Watchman) has all the following effects EXCEPT:
A. Fewer hemorrhagic strokes
B. Less non-procedural bleeding
C. More ischemic strokes
D. More CV/unexplained deaths
F e we r h
e m or r h a
g i c s t r o
k e s
L e s s n o n
- p r oc e d
u r al b l e
. . .M o r e
i s c he m i
c s tr o k
e s
M o r e C V
/ u ne x p
l a i ne d d
e . . .
8%
28%
52%
12%
Main Board
Compared to warfarin, a left atrial appendage occlusion device (Watchman) has all the following effects EXCEPT:
A. Fewer hemorrhagic strokes
B. Less non-procedural bleeding
C. More ischemic strokes
D. More CV/unexplained deaths
How much of what you learned from a medical lecture today will be remembered tomorrow?.
A. 80%
B. 60%
C. 40%
D. 20%
8 0%
6 0%
4 0%
2 0%
0%
68%
24%
8%
6/23/2016
14
How much of what you learned from a medical lecture today will be remembered tomorrow?
A. 80%
B. 60%
C. 40%D. 20%
Main Board
Which of the following does NOT have a specific corresponding ICD-10 code:
A. Spacecraft collision injuring occupant, sequelae
B. Struck by macaw, subsequent encounter
C. Injury to genitalia from zipper, initial encounter
D. Other contact with orca, subsequent encounter
S p ac e c
r a f t c o l
l i s i on i n
j u r i. .
S t r uc k b
y ma c a
w , su b s
e . . .
I n j ur y t
o ge n i
t a l ia f r
o m z . . .
O t he r c
o n ta c t
w i th o
r c a, . . .
42%
27%
4%
27%
Which of the following does NOT have a specific corresponding ICD-10 code:A. Spacecraft collision injuring occupant, sequelae
B. Struck by macaw, subsequent encounter
C. Injury to genitalia from zipper, initial encounterD. Other contact with orca, subsequent encounter Thank You for Playing