60 seconds to diagnosis final

WELCOME TO

KOTTAYAM MEDICAL COLLEGE

QUIZ MASTER

Dr.HARIKRISHNAN VG (Infectious Diseases Unit ,

Govt.Medical College , Kottayam)

60 SECONDS TO DIAGNOSIS

Dr. Harikrishnan V G

60 SECONDS TO DIAGNOSIS

A NATIONAL LEVEL MEDICAL QUIZ FOR UNDERGRADUATES &

PG ASPIRANTSORGANISED BY

EKTHA ( STUDENTS’ UNION 2015 – ’16)

IN ASSOCIATION WITH SMRITHI

Rounds – 9 • Round 1 - BASIC SCIENCES (6 Questions)• Round 2 - RADIOLOGY ( 6 Questions)• Round 3 – IMAGES (6 Questions )• Round 4 - NEW DRUGS (6 Questions) [ Written Round]• Round 5 - INSTRUMENTS & MEDICATIONS ( 5 Questions

to each team)• Round 6 - History , Examination & an Image ( 6

Questions)• Round 7 - VIDEOS ( 6 Questions)• Round 8 - FLY OR FALL ( 6 Questions)• Rapid Fire ( 10 Questions to each team)

ROUND 1BASIC SCIENCES

Rules

• 6 Questions ( in a clockwise manner )• 10 points for each correct answer.• 5 points for passed qn.• No negative points for incorrect answers .

Q1. Identify the blanks ( points only for correctly identifying all the 3)

A

B

C

The Answer Is..

ANSWER

Q2. Identify this Disaccharide & give one use .

C12H22O11

The Answer Is..

ANSWER

• Lactulose

Q3. Identify A and name one analogue

A

The Answer Is..

ANSWER

• Glucagon Like Peptide 1 (GLP 1)

Q4. Identify this opportunistic pathogen in humans .

The Answer Is..

ANSWER

• Isospora belli

Q5. Identify all the 3 symbols correctly ( No partial points)

A B C

The Answer Is..

ANSWER

IONISINGRADIATION

BIOHAZARD CHEMICAL WEAPON

Q6 . Identify this Instrument ?

The Answer Is..

ANSWER

BODY PLETHYSMOGRAPH

Audience Qn.Identify this molecule which is an integral part

of mammalian central nervous system.

The Answer Is..

ANSWER

• GABA

ROUND 2RADIOLOGY

Rules

• 6 Questions• Each Question carries 10 points .• No negative points for any incorrect

answers .

Q1. What is your Diagnosis ?

The Answer Is..

ANSWER

PNEUMOPERICARDIUM

The Answer Is..

ANSWER

POLY ARTERITIS NODOSA

The Answer Is..

ANSWER

HORSESHOE KIDNEY

Q4. What is this sign called ? Identify the condition .

The Answer Is..

ANSWER

STRING SIGN CROHN’S DISEASE

Q5. What is the radiological sign in this Chest X Ray ?

The Answer Is..

ANSWER

CHILAIDITI SIGN

The Answer Is..

ANSWER: coronary artery aneurysm in Kawasaki disease

Audience Qn . What is your diagnosis ?

The Answer Is..

ANSWER

PERIVENTRICULAR PLAQUES : MULTIPLE SCLEROSIS

Audience Qn. What is this radiological feature called ?

In which condition is it seen ?

The Answer Is..

ANSWER

CORKSCREW ESOPHAGUSACHALASIA CARDIA

ROUND 3

RULES

• 6 Questions ( All the six are Images )• 10 points for correct answer• 5 points for pass• No Negative points

Q1.Identify .

The Answer Is..

ANSWER

• CUTANEOUS LARVA MIGRANS

Q2.Identify

The Answer Is..

ANSWER

GEOGRAPHIC TONGUE

Q3.Look at the scalp of this boy.What’s your Diagnosis?

The Answer Is..

ANSWER

• MENKES KINKY HAIR DISEASE

Q4.IMAGE OF LIVER IS SHOWN.GIVE YOUR DIAGNOSIS

The Answer Is..

ANSWER

• DUBIN JOHNSON SYNDROME

• BLACK LIVER

Q5. Which instrument is shown here ?

The Answer Is..

ANSWER

• BIOTHESIOMETER

The Answer Is..

ANSWER

• ERYTHEMA GYRATUM REPENS• FIGURATE ERYTHEMA• PARANEOPLASTIC PROCESS

ROUND 4New Drugs

Rules

• Written Round (Write the answers clearly )• 6 Questions• Each Question has 2 parts – (Mechanism of

action & Primary use of the Drug) - Each carry 5 points .

EXCHANGE YOUR ANSWER SHEETS

ANSWER

• MOA -

• Primary Use -

ANSWER

• MOA –

• Primary Use -

ANSWER

• MOA - • Primary Use -

ANSWER

• MOA –

• Primary Use -

ROUND 4Instruments & Medications

Rules

• 5 questions about the instrument /medication provided .

• Each correct answer carries 5 points .• Time : 30 seconds • The team with the highest points get to

choose the instruments first .• A bonus of 5 points if all the 5 answers are

correct .

Pulse Oxyimeter

Normal Saline

Foley’s Catheter

Insulin Syringe

Intercostal Drainage Tube

Lumbar Puncture Needle

ROUND 5History ,Examination & an Image ..

Rules

• Open to all the 6 teams .• 30 points to each correct answer .• -10 for an Incorrect answer .

• BUZZER ROUND

Q1.

• A 60 year old man was brought to the hospital following a Road Traffic Accident & had minimal blood loss.

• He was in hypotension for 3 days, but recovered after therapy with IV fluids, steroids, antibiotics & mannitol.

• The CT image is shown below.• What is your diagnosis?

(CT Image with X-Ray)

The Answer Is..

ADDISONS DISEASE AURICULAR CALCIFICATION

Q2.

• A 40 year old patient presents with backpain & lower limb weakness.

• CSF study was done.

(CSF SAMPLE)

1.What is your diagnosis ?2. What is the reason for the CSF finding ?

The Answer Is..

ANSWER

• FROIN SYNDROME• HYPERCOAGULABILITY• XANTHOCHROMIA• HIGH PROTEIN LEVEL

Q3.

• A 23 year old female presented with altered sensorium & seizures and is undergoing treatment in MICU .

• On 7th day, she had rise in blood urea&serum creatinine.

• Urine deposits showed the following

Q1 .What is seen in Urine deposits ?Q2 . What is the cause of increase in blood urea and serum creatinine ?

The Answer Is..

ANSWER

• ACYCLOVIR CRYSTALS

• Acute Kidney Injury due to Acyclovir

Q4.

• A 45 year old male presented with hemoptysis & pain in left shoulder radiating to axilla.

• O/E , there is atrophy of hand muscles. • The image of his face is shown (Image in the

next slide)

1. What is your diagnosis ?2. What is the reason for this appearance ? Where is the site of lesion ?

The Answer Is..

ANSWER

• PANCOAST TUMOUR

• 2ND ORDER NEURON (Horner’s Syndrome)

Q5.

• A 65 year old man with Type 2 DM is admitted with severe abdominal pain ,fever & vomiting .

• RBS – 465 mg/dl• Urine Ketone - ++• CT abdomen is shown (Image next slide )

(CT ABDOMEN)

The Answer Is..

ANSWER

• Emphysematous Pyelonephritis

Q6.

• A 12 year old child is brought to the hospital with abdominal pain and tiredness.

• Examination of her blood revealed anemia.

• Special staining of blood is given next

The Answer Is..

Answer

• Golf ball cells

• HbH disease

ROUND 6Videos

Rules

• 6 Questions• 20 points for each correct answer .• No negative points .

Q 1: DIAGNOSE

The Answer Is..

ANSWER

• Magnetic Gait

• FRONTAL LOBE APRAXIA

• BRUNS ATAXIA

• NPH

Q 2: DIAGNOSE

The Answer Is..

ANSWER

• VENTRICULAR SEPTAL DEFECT

• MEMBRANOUS PART

The Answer Is..

ANSWER

Q 4: IDENTIFY

The Answer Is..

ANSWER

• BIOPSY UREASE TEST

Q 5: DIAGNOSE

The Answer Is..

ANSWER

• MITRAL VEGETATION

Q 6: IDENTIFY

The Answer Is..

ANSWER IS…

• FISH

ROUND 7

RULES

• 6 Questions• Open to all the 6 teams .• 2 clues for a Question – If answers correct in

the 1st clue , 30 points & in the second clue ,20 points .

• But if it goes wrong in the 1st clue , -10 points .• If it goes wrong in the second clue ,-15 points .

Question 1 : 1st clue (+30/-10)

• I seem to be getting into too much trouble recently.

• I got locked out of my office last week as the security system did not let me enter

• Last week a policeman yelled at me for turning right instead of left at a traffic signal.

2nd clue (+20/-15)

• And I lost a lot of money for my bank while trading.

The Answer Is..

Answer

• Gerstmann syndrome

• Agraphia • Acalculia

• Finger agnosia • Right-left confusion

Question 2: 1st clue ( +30/-10)

• I just got back from a holiday in Thailand, where I spend a couple of weeks hanging around the beaches.

• But other than a good tan, I found my libido wasn’t very good.

2nd clue (+20/-15)

• My doctor just told me I have developed diabetes too……..

The Answer Is..

ANSWER

• Hemochromatosis

Question 3 : 1st Clue (+30/-10)

• Last week I got into trouble in the train for unknowingly fondling a lady passenger.

• I could see what I was doing, but somehow couldn’t pull back my hand.

2nd Clue ( +20/-15)

• I tried explaining my innocence, but of late my speech is broken and incoherent.

The Answer Is..

ANSWER

• Cortical basal ganglial degeneration

• Alien limb phenomenon

Question 4 : 1st Clue ( +30/-10)

• My teachers say that my IQ is low and I was slow to start speaking, but that I am wonderful and witty at parties.

2nd Clue (+20/-15)

• I also have chest pain and fainting when I play football.

The Answer Is..

ANSWER

• Williams syndrome

• Hypercalcemia • Elfin facies

• Cocktail party manner• Supravalvular aortic stenosis

Q5 . 1st clue (+30/-10)

• Yesterday while sitting in class, I noticed a pink snake crawl towards me.

• As it closed in on my face, I lost consciousness.

2nd Clue (+20/-15)

• My friends say that everytime I go blank, I clap my hands wildly

The Answer Is..

ANSWER

• Complex partial seizures

Q6. 1st Clue ( +30/-10)

• . Whenever I touch water, I have itching…………

2nd Clue (+20/-15)

• I thought it wasn’t serious, but my doctor has ordered genetic tests.

The Answer Is..

ANSWER

• Polycythemia Vera

60 seconds to diagnosis final

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