internal medicine jeopardy game

Date

Single Quiz

DoubleQuiz

FinalQuiz

Internal MedicineJeopardy Game

Ziad Mattar, M.D. Chief Medical Resident

University of Toledo

100

200

300

400

500

100

200

300

400

500

100

200

300

400

500

100

200

300

400

500

100

200

300

400

500

Doc, I Can’t See!!

Dry as Bone

One way Out!!

History Channel

Single Quiz

DoubleQuiz

FinalQuiz

I 100Q

Topic I 100 Question

The sudden onset of eye pain and visual loss following pupillary dilation suggests this

diagnosis

Closed Angle Glaucoma

Go To SingleQuiz

I 200Q


This rash may have opthalmologicinvolvement

Herpes-Zoster

Go To SingleQuiz

I 300Q


In a patient with Rheumatoid arthritis, this finding suggests this diagnosis.

Scleritis

Go To SingleQuiz

I 400Q


Unilateral pain and photophobia with “cells and flare” in the anterior chamber suggests this

diagnosis

Anteior Uveitis

Go To SingleQuiz

I 500Q

Topic I 500 QuestionGo To Single

Quiz

This lesion is not associated with visual loss and is usually benign

Sub-conjonctival Hemorrhage

II 100Q

Topic II 100 Question

The diagnosis in this 78 year old female who fell on the palm of her left hand Colle’s Fx

Go To SingleQuiz

II 200Q


Following wrist injury, pain in the anatomic snuffbox suggests this diagnosis.

Scaphoid (Navicular) Fx

Go To SingleQuiz

II 300Q


The sport for which this fracture is named

Go To SingleQuiz

Boxing

II 400Q


The name of this fracture derives it’s name from this method of execution

Hanging

Go To SingleQuiz

II 500Q

Topic II 500 QuestionGo To Single

Quiz

The common name of this thumb injury that may occur while skiing or

snowboarding

Gamekeeper’s thumb

III 100Q

Topic III 100 Question

In Silence of the Lambs, Hannibal Lecter says “I ate his liver with some fava beans and a nice chianti”, any of which could cause a hypertensive

crisis had he been taking one of this class of antidepressants

MAO Inhibitor

Go To SingleQuiz

III 200Q


Excessive salivation, miosis, hyperactive bowel sounds, and lethergy are signs of

poisoning with this?Organophosphate or Cholisteramine Inhibitor

Go To SingleQuiz

III 300Q


Optic neuritis, an anion gap metabolic acidosis and an osmolar gap are hallmarks of ingestion

of this?Methanol

Go To SingleQuiz

III 400Q


Toxicities associated with this medication included abdominal pain, coarse tremors, chorea, lethargy,

seizures, coma and death.Lithium

Go To SingleQuiz

III 500Q

Topic III 500 QuestionGo To Single

Quiz

Urine that fluoresces in ultraviolet light can be seen in ingestion of this substance.

Ethylene Glycol

IV 100Q

Topic IV 100 QuestionGo To Single

Quiz

Widely split, fixed S2 with R axis deviation and RVH

Ostium Secundum

IV 200Q


Quiz

Recommended anti-hypertensive agent in patients with DM

ACE Inhibitor

IV 300Q


Quiz

The lipid lowering drug least likely to interact with antiretroviral drugs

Pravastatin

IV 400Q


Quiz

For someone on Digitalis, was is your strategy regarding K+ level?

Low K+ level

IV 500Q


Quiz

What is Eisenmenger Syndrome?

VSD, Pulmonary HTN, Heart Failure, Erythrocytosis, Death

V 100Q

Topic V 100 QuestionGo To Single

Quiz

Transplantation of this organ was first performed by Christian Barnard in Johannesburg, South

Africa in 1967

The Heart

V 200Q


Quiz

Upon reading this work by Charles Darwin, biologist Thomas Huxley said: “how extremely

stupid not to have thought of that.”

Origin of Species

V 300Q


Quiz

Considered a founder of nuclear medicine through her discovery of radium, this scientist won 2

Nobel prizes and was the first woman Professor at the Sorbonne

Marie Curie

V 400Q


Quiz

In 1918-1919, this illness killed 20 million people worldwide while 8.5 million died in WWI

Influenza

V 500Q


Quiz

In 1758 the Rev. Edward Stone found that chewing the bark of the white willow tree alleviated his rheumatism, an observation that led to the discovery and development of this medication

Aspirin

200

400

600

800

1000

200

400

600

800

1000

200

400

600

800

1000

200

400

600

800

1000

200

400

600

800

1000

GooeyStuff

Blow In &

Analyze

Black &

White

Trivia Q?

Double Quiz

FinalQuiz

Tracing

VI 200Q

Topic VI 200 QuestionGo To Double

Quiz

A coagulation disorder with:

↑ PTTNormal PTNormal Plt countNormal bleeding timeNormal Thrombin TimeWithout bleeding diathesis

Factor XII Deficiency

VI 400Q


Quiz

This disorder is common in children. In normal adults it can result in symmetric

arthritis of the hands, wrists, and feet

Parvo virus B19

VI 600Q


Quiz

For Gram Negative Infections, this monobactam may be given to PCN

allergic patients with <1% cross-reactivity

Aztreonam

VI 800Q


Quiz

Single most common cause of culture negative endocarditis

Antibiotic Use

VI 1000Q


Quiz

Conditions associated with positively birefringent rhomboid crystals. List at least two

conditionsOA, Hyperparathyroidism, Hemochromatosis,

HypoMg, Hypo PO4

VII 200Q

Topic VII 200 Question

Individuals with any of these conditions are candidates to receive long-term O2 at

PO2 56 - 60

or O2sat 89 - 90%

Cor Pulmonale, Pulm HTN, Erythrocytosis

VII 400Q

Topic VII 400 QuestionGo To Double

Quiz

What are the 3 components of Samter’ssyndrome (triad)?

Asthma, Nasal Polyps, ASA Sensitivity

VII 600Q


Quiz

Histiologic finding in Hamman-Rich Syndrome?

Organizing Diffuse Alveolar Damage

VII 800Q


Quiz

Syndrome of digital clubbing, chronic proliferative periostitis of long bones, and

synovitis. Common in bronchogenic carcinoma

Pulm Hypertrophic Osteoarthropathy

VII 1000Q


Quiz

In Hypersensitivity pneumonitis what is the CD4/CD8 and what type of cell dominate the

BAL?

Lymphocytes with Low CD4/CD8

VIII 200Q

Topic VIII 200 QuestionGo To Double

Quiz

LLL Effusion with LLL Atelectasis and Consolidation

VIII 400Q


Quiz

Bronchiectasis

VIII 600Q


Quiz

PE

VIII 800Q


Quiz

LLL Atelectasis

VIII 1000Q


Quiz

Rt Pneumothorax

IX 200Q

Topic IX 200 QuestionGo To Double

Quiz

2 to 1 SA Block

IX 400Q


Quiz

Anteroseptal MI

IX 600Q


Quiz

AV JunctionalRhythm Bradycardia

IX 800Q


Quiz

HyperK+

IX 1000Q


Quiz

Non-Q Wave MI

X 200Q

Topic X 200 QuestionGo To Double

Quiz

According to data presented at the 2006 ADA Conference from a randomized, double-blind,

cross-over clamp study in 24 Type 1 patients, this insulin provided 38 % more glucose disposal (GIR

Tmax) when compared with Insulin Detemir.

Lantus (insulin glargine)

X 400Q


Quiz

Guidelines published in Endocrine Practice July/August 2006 fromthe ACE/ADA Inpatient Diabetes and Glycemic Control Consensus

Conference recommend starting basal insulin doses for this insulin in patients who are eating on the general medicine and surgical floors:

- 0.5 U/kg- 0.3 U/kg for conditions with concern over risk of hypoglycemia such as with renal, cardiac, or hepatic dysfunction, hypothyroidism, adrenal insufficiency, and elderly and/or frail patients, etc.- 0.7 U/kg for patients with obesity, metabolic syndrome, infections, open wounds, etc.

Lantus (insulin glargine)

X 600Q


Quiz

An endogenous signaling system which consists of peripherally and centrally located receptors and the endogenous ligands anandamide

and 2-arachidonylgycerol (2-AG). When over-stimulated this system can increase food intake and lipogenesis and decrease adiponectin

levels, satiety signals, gastric emptying, and insulin stimulated glucose uptake. This results in increases in body weight, waist

circumference, dyslipidemia, insulin resistance, and energy intake which ultimately negatively affects the cardiometabolic risks of

patients.endocannabinoid system (ECS)

X 800Q


Quiz

This rapid acting insulin analogue more closely mimics normal endogenous insulin secretion by

providing 31% more glucose clearance in the first 1.5 hours after injection when compared with

insulin lispro.Apidra (insulin glulisine)

X 1000Q


Quiz

Final Quiz

Explanations

CongratulationsCongratulations

Congratulations

internal medicine jeopardy game

Documents