Internal Medicine Jeopardy Game€¦ · Jeopardy Game Ziad Mattar, M.D. Chief Medical Resident...

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Single Quiz Double Quiz Final Quiz Internal Medicine Jeopardy Game Ziad Mattar, M.D. Chief Medical Resident University of Toledo

Transcript of Internal Medicine Jeopardy Game€¦ · Jeopardy Game Ziad Mattar, M.D. Chief Medical Resident...

Page 1: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

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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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Things that Itch

More Trivia

The Heartof theMatter

A Drop ofBlood

Single Quiz

DoubleQuiz

FinalQuiz

Full of Warm Air

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I 100Q

Topic I 100 Question

This inflammatory reaction is centered histologically in the superficial dermis, and the

individual “hive-like lesions” (= wheals) by definition should last no more than 24 hours.

Go To SingleQuiz

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I 200Q

Topic I 200 Question

One - two per cent of these type of skin lesions may be pigmented and are sometimes confused with melanoma.

Go To SingleQuiz

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I 300Q

Topic I 300 Question

These skin lesions are seen in a 43 y/o construction worker who has malaise, transaminases in the 300’s, T. Bili of 1.8 and positive Hepatitis C antibodies

Go To SingleQuiz

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I 400Q

Topic I 400 Question

This 78 y/o woman has had b/l pruritic erythema of the lower legs for 2 months. Treatment with antibiotics was ineffective. Over the last 2 weeks, she has developedgradual onset of tense bullaeas seen, which are characteristic for this slowlyprogressivebullous disease.

Go To SingleQuiz

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I 500Q

Topic I 500 QuestionGo To Single

Quiz

This 62 y/o homeless woman with chronic hepatitis C presents in January with cutaneous necrosis involving her fingers and toes. She has this systemic illness.

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II 100Q

Topic II 100 QuestionGo To Single

Quiz

This test should be ordered for a 44 y/ononsmoking female with CT lungs below.

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II 200Q

Topic II 200 QuestionGo To Single

Quiz

This interstitial lung disease could be seen in a 55 y/o pipe fitter.

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II 300Q

Topic II 300 QuestionGo To Single

Quiz

Over 90% of patients with massive hemoptysis bleed from these arteries.

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II 400Q

Topic II 400 QuestionGo To Single

Quiz

A young male cigarette smoker has diffuse parenchymallung disease with large lung volumes, recurrent

pneumothorax and irregular cystic lesions on HRCT.

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II 500Q

Topic II 500 QuestionGo To Single

Quiz

An important pulmonary complication of Sjogren’ssyndrome which may predispose the patient to

lymphoma.

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III 100Q

Topic III 100 QuestionGo To Single

Quiz

Name the City and Country where the famous classic movie “Sounds of Music” took place.

Page 14: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

III 200Q

Topic III 200 QuestionGo To Single

Quiz

Many Stephen King novels are set in the fictional town of Castle Rock. The state in which you

would find Castle Rock.

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III 300Q

Topic III 300 QuestionGo To Single

Quiz

A lycanthrope believes they are this kind of creature.

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III 400Q

Topic III 400 QuestionGo To Single

Quiz

Of all canned fruits and vegetables, pumpkin is the best source of this vitamin.

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III 500Q

Topic III 500 QuestionGo To Single

Quiz

In 1983, Canadian Wade Davis wrote about Louis Ozias, a self-described Haitian zombie. Ozias

had been buried, dug up and enslaved on a sugar plantation. Wade blamed, not bad juju, but bad

drugs. This poison found in Japanese puffer fish may cause deathly paralysis and anaesthesia

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IV 100Q

Topic IV 100 QuestionGo To Single

Quiz

This cardiac drug can cause pneumonitis, thyroid dysfunction and proarrhythmia.

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IV 200Q

Topic IV 200 QuestionGo To Single

Quiz

The pulmonary artery occlusion pressure (PAOP) estimates this parameter.

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IV 300Q

Topic IV 300 QuestionGo To Single

Quiz

Clubbing and cyanosis in a 37 y/o patient with this syndrome due to and atrial septal defect.

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IV 400Q

Topic IV 400 QuestionGo To Single

Quiz

This is the most common mechanism for cardiac arrhythmias.

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IV 500Q

Topic IV 500 QuestionGo To Single

Quiz

The most common adult congenital heart disease.

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V 100Q

Topic V 100 QuestionGo To Single

Quiz

The most likely diagnosis for a 70 y/o male with splenomegaly, thrombocytosis, post bathing pruritis

and an elevated total RBC count.

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V 200Q

Topic V 200 QuestionGo To Single

Quiz

Disseminated Intravascular Coagulation is a clinical feature associated with this subtype of acute

myelogenous leukemia.

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V 300Q

Topic V 300 QuestionGo To Single

Quiz

This disease might be characterized by a life-long history of mild bleeding, normal PT, prolonged activated PTT with a prolonged bleeding time

and Factor VIII activity of 10%.

Page 26: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

V 400Q

Topic V 400 QuestionGo To Single

Quiz

Greater than 75% of patients with symptomatic AIDS have anemia. 70% of AIDS patients have decreased levels of this, which may be

one of the causes of the anemia.

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V 500Q

Topic V 500 QuestionGo To Single

Quiz

The most likely diagnosis in a 55 y/o female who presents with anemia, splenomegaly,

leukoerythroblastic blood smear with dacrocytes.

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HIV Sweet Stuff

Yummy in the

Tummy

Double Quiz

FinalQuiz

Romper Rheum

Brain

Power

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VI 200Q

Topic VI 200 QuestionGo To Double

Quiz

The most likely cause of joint pain when linear, intraarticulardeposition of calcium is seen on X-ray.

Page 30: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VI 400Q

Topic VI 400 QuestionGo To Double

Quiz

A premenopausal renal transplant patient might have gout secondary to this medication.

Page 31: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VI 600Q

Topic VI 600 QuestionGo To Double

Quiz

The most useful test for establishing a diagnosis in a 22y/o white man with iritis and an 8month history

of low back pain with morning stiffness.

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VI 800Q

Topic VI 800 QuestionGo To Double

Quiz

The Milwaukee shoulder and knee syndrome often occurs in elderly women in their dominant

shoulder and is associated with the deposition of these crystals in the periarticular tissues.

Page 33: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VI 1000Q

Topic VI 1000 QuestionGo To Double

Quiz

Woody-like swelling of the affected extremities associated with hypereosinophilia after unusual

physical activity.

Page 34: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VII 200Q

Topic VII 200 Question

20% of patients with Guillain Barre Syndrome may have a preceding gastroenteritis caused by

this organism.

Page 35: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VII 400Q

Topic VII 400 QuestionGo To Double

Quiz

This type of drug is used to treat multiple sclerosis, particularly those with relapsing remitting type and

has been shown to slow the development of physical disability as well as to lower the relapse rate.

Page 36: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VII 600Q

Topic VII 600 QuestionGo To Double

Quiz

This slowly progressive inflammatory myopathy is seen in elderly patients with proximal and distal muscles affected, no muscle pain and a normal

serum CK.

Page 37: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VII 800Q

Topic VII 800 QuestionGo To Double

Quiz

A combination of headaches and bilateral papilledema with a negative imaging study is

most suggestive of this disorder.

Page 38: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

VII 1000Q

Topic VII 1000 QuestionGo To Double

Quiz

Pregnant women taking this antiepileptic drug have a 1-2% incidence of having

offspring with neural tube defects.

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VIII 200Q

Topic VIII 200 QuestionGo To Double

Quiz

The most common clinical presentation of Cryptococcus Neoformans in HIV infected

persons.

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VIII 400Q

Topic VIII 400 QuestionGo To Double

Quiz

The most common cause of focal mass CNS lesions in HIV infected persons.

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VIII 600Q

Topic VIII 600 QuestionGo To Double

Quiz

The most common clinical presentation of CMV in HIV infected persons.

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VIII 800Q

Topic VIII 800 QuestionGo To Double

Quiz

Renal toxicity is the major side effect of this drug used to treat CMV disease.

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VIII 1000Q

Topic VIII 1000 QuestionGo To Double

Quiz

A PPD with greater than this many mm induration requires 12 months prophylaxis with isoniazid for HIV infected persons.

Page 44: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

IX 200Q

Topic IX 200 QuestionGo To Double

Quiz

Worldwide, this is the most common cause of primary adrenal insufficiency.

Page 45: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

IX 400Q

Topic IX 400 QuestionGo To Double

Quiz

This is the cornerstone of medical management of pheochromocytoma and is essential for the control of

HTN, prevention of crisis and restoration of euvolemia.

Page 46: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

IX 600Q

Topic IX 600 QuestionGo To Double

Quiz

This autosomal dominant familial disorder is characterized by parathyroid hyperplasia/adenoma and tumors of the endocrine pancreas and anterior

pituitary.

Page 47: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

IX 800Q

Topic IX 800 QuestionGo To Double

Quiz

This cancer of the thyroid is a neoplasm of the parafollicular or C-cells and is associated with

overproduction of calcitonin.

Page 48: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

IX 1000Q

Topic IX 1000 QuestionGo To Double

Quiz

Name 2 risk factors for gestational diabetes.

Page 49: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

X 200Q

Topic X 200 QuestionGo To Double

Quiz

The most common cause of lower GI bleeding in young patients

Page 50: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

X 400Q

Topic X 400 QuestionGo To Double

Quiz

The presence of malabsorption, CNS symptoms, arthritis, hyperpigmentation and lymphadenopathy

in a 70 y/o man is strongly suggestive of this disease.

Page 51: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

X 600Q

Topic X 600 QuestionGo To Double

Quiz

The screening test for family members of a patient diagnosed with hemachromatosis.

Page 52: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

X 800Q

Topic X 800 QuestionGo To Double

Quiz

Treatment of Wilson’s disease is chelation of copper with either of these 2 medications

Page 53: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

X 1000Q

Topic X 1000 QuestionGo To Double

Quiz

This illness is strongly suggested by the combination of a protein-losing enteropathy

with lymphocytopenia

Page 54: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

Final Quiz

Page 55: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

TOPIC: INFECTIOUS DISEASE

Page 56: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

Question

Doxycycline is the drug of choice for treating the acute form of this widespread zoonotic illness which may be

asymptomatic or present as a flu-like illness, pneumonia or hepatitis. The name of the illness was

designated in 1935 following an outbreak in Queensland, Australia.

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Answer

Q FEVER

Page 58: Internal Medicine Jeopardy Game€¦ · Jeopardy 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

CongratulationsCongratulations

Congratulations