Date

Single Quiz

DoubleQuiz

FinalQuiz

Internal MedicineJeopardy Game

Ziad Mattar, M.D. Chief Medical Resident

University of Toledo

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Diarrhea GERD Urgent Matters Gallery Action &

Reaction

Single Quiz

DoubleQuiz

FinalQuiz

I 100Q

Topic I 100 Question

The nail findings of severe iron deficiency anemia

Go To SingleQuiz

I 200Q

Topic I 200 Question

This radiographic finding of submucosal hemorrhage and

edema in the colon is seen in cases of this condition

Go To SingleQuiz

I 300Q

Topic I 300 Question

This organism, acquired through ingestion of contaminated beef may

cause bloody diarrhea and HUS

Go To SingleQuiz

I 400Q

Topic I 400 Question

This organism causes a chronic diarrhea in AIDS patients with

weight loss, abdominal cramps fever and peripheral eosinophilia

Go To SingleQuiz

I 500Q

Topic I 500 QuestionGo To Single

Quiz

An elevated fecal osmotic gap suggests this type of diarrheal disease

II 100Q

Topic II 100 Question

This fundoplication operation is a surgical approach for the treatment

ofGERD

Go To SingleQuiz

II 200Q

Topic II 200 Question

Barrett’s esophagus is associated with this type of cell metaplasia

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II 300Q

Topic II 300 Question

Name 3 extra-esophageal manifestations of GERD

Go To SingleQuiz

II 400Q

Topic II 400 Question

A mucosal ring found at the gastro-esophageal junction and may cause

dysphagia

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II 500Q

Topic II 500 QuestionGo To Single

Quiz

A 63 yo pt c/o dysphagia for solid food that gradually progress to include liquids. Barium swallow shows stricture in the esophagus. Management?

a) A trial of Omeprazole c) EGD for biopsy

b) NG tube for feeding d) EGD for dilatation

III 100Q

Topic III 100 Question

What is the fecal osmotic gap?

Na- 39 mmol/L

K- 96 mmol/L

Go To SingleQuiz

III 200Q

Topic III 200 Question

The appropriate treatment for a patient with ulcerative colitis and

high-grade dysplasia

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III 300Q

Topic III 300 Question

Patient with T-cell mediated inflammatory reaction to gluten who presents with itching may have this associated dermatologic condition

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III 400QA 43 yo alcoholic c/o large bowel volume diarrhea and weight loss. Xylose tolerance test shows low urine xylose. What is next

best test?

a) Barium enema c) Small bowel biopsy

b) Small bowel series d) CT scan pancreas

Topic III 400 QuestionGo To Single

Quiz

III 500Q

Topic III 500 QuestionGo To Single

Quiz

A 42 yo pt with lactose intolerance c/o large voldiarrhea. Stool fat is 40gm/24hrs. Xylose test shows blood level of 40 mg% after 1 hr and 5 hrs urine excretion of 8gm. What will you do?

a) Small bowel biopsy c) Restrict lactose

b) Plain abdominal film d) Give lactase tablets

IV 100Q

Topic IV 100 QuestionGo To Single

Quiz

Patient septic and frank blood per rectum.

Diagnosis?

IV 200Q

Peripheral smear finding in lead

poisoning

Topic IV 200 QuestionGo To Single

Quiz

Diagnosis?

IV 300Q

Topic IV 300 QuestionGo To Single

Quiz

What is the initial treatment of this

condition?

IV 400Q

Topic IV 400 QuestionGo To Single

Quiz

Name of bug

IV 500Q

Topic IV 500 QuestionGo To Single

Quiz

Diagnosis?

V 100Q

Topic V 100 QuestionGo To Single

Quiz

Epigastric pain in patient with bloating and watery diarrhea – 6 times/day. Cause?

a) Giardia

b) Campylobacter Jejuni

c) Shigella

d) Yersinia

V 200Q

Topic V 200 QuestionGo To Single

Quiz

Non-bloody diarrhea, epigastric pain and eosinophilia occur in in a sales executive returning from Peru. Flagyl is tried but it

did not help. MCV is low. Diagnosis?

a) E.Coli c) Yersinia

b) Giardia d) Strongyloides

V 300Q

Topic V 300 QuestionGo To Single

Quiz

A 33 yo pt gets watery diarrhea after a trip to Mexico. Stools smear reveals presence of

leukocytes and curved organisms. Which is the causative organism?

a) Giardia c) Campylobacter Jejuni

b) Toxigenic E. Coli d) Vibrio Cholerae

V 400Q

Topic V 400 QuestionGo To Single

Quiz

A 34 yo F develops bloody diarrhea followed by sepsis and nodules on her legs. What is the cause of this disease?

a) Vibrio Vulnificus c) Salmonella

b) Shigella d) Yersinia

V 500Q

Topic V 500 QuestionGo To Single

Quiz

A 26 yo F presents with 36 hrs non-bloody diarrhea. She admits swimming in seawater

in New Orleans while on vacation on vacation. What is the cause?

a) Giardia c) Toxigenic E. Coli

b) V. Para-hemolyticus d) Hurricane Katrina

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Electrical Rhythm

I Am Treatment Do you Know?

Double Quiz

FinalQuiz

Liver or

Viral

VI 200Q

Topic VI 200 QuestionGo To Double

Quiz

VI 400Q

Topic VI 400 QuestionGo To Double

Quiz

VI 600Q

Topic VI 600 QuestionGo To Double

Quiz

VI 800Q

Topic VI 800 QuestionGo To Double

Quiz

VI 1000Q

Topic VI 1000 QuestionGo To Double

Quiz

VII 200Q

Topic VII 200 Question

Which of the following does NOTcause painful mouth ulcer:

a) Aphtous Ulcerb) Behcet’sc) Reiter’s sundromed) Pemphigus Vulgaris

VII 400Q

Topic VII 400 QuestionGo To Double

Quiz

What is the gold standard test for fat malabsorption?

VII 600Q

Topic VII 600 QuestionGo To Double

Quiz

Which of the following sets of blood test is compatible with Celiac disease?

Condition Serum Ca Phosphorus Alk Phos PTH

A low high high highB Low Low High highC nl nl very high nl

VII 800Q

Topic VII 800 QuestionGo To Double

Quiz

Chest pain occurs after retching and vomiting. X-ray of chest shows left pleural effusion.

Next Step?

a) Gastrografin study

b) CPK

c) Endoscopy

d) CT scan chest

VII 1000Q

Topic VII 1000 QuestionGo To Double

Quiz

A 41 yo patient with duodenal ulcer treated for H.Pylori gastritis, however he returns with

same symptoms. Which of the following would best indicate repeat infection with H. Pylori?

a) Breath urease test

b) Gastric contents for H. Pylori culture

c) IgG serological test for H. Pylori

d) Duodenal aspirate for H. Pylori

VIII 200Q

Topic VIII 200 QuestionGo To Double

Quiz

A 41 yo pt with Crohn’s disease develops perianal fistula. Which of the following

will most likely to heal it?a) Metronidazole

b) Methotrexate

c) Steroids

d) Surgery

VIII 400Q

Topic VIII 400 QuestionGo To Double

Quiz

Which of the following drugs used in Crohn’s disease is steroids-sparing?

a) Metronidazole

b) 6-MP

c) Sulfasalazine

d) 5-ASA

VIII 600Q

Topic VIII 600 QuestionGo To Double

Quiz

Recurrent oxalate renal stones occur in a patient with Crohn’s disease. What is the cause of

renal stones?a) Increased oxalate absorption

b) Decreased oxalate excretion by the kidneys

c) Decreased absorption of Na oxalate from the colon

d) Increased Ca intake

VIII 800Q

Topic VIII 800 QuestionGo To Double

Quiz

A hospitalized patient, while on ABX, gets diarrhea that is positive for C. difficile. Flagyl is started and

the diarrhea goes away in 3 days. Flagyl is continued for 7 days and patient discharged. Two

days later, he gets diarrhea again. What is the step?

a) PO Flagyl c) PO Vanco

b) IV Flagyl d) PO Cholestyramine

VIII 1000Q

Topic VIII 1000 QuestionGo To Double

Quiz

A 34 yo F presents c/o bloody diarrhea with RLQ tenderness and painful leg

nodules. What is your possible diagnosis?

IX 200Q

Topic IX 200 QuestionGo To Double

Quiz

Which test in Hepatitis B indicates maximum infectivity?

a) HBc Ab

b) HBs Ag

c) HBe Ag

d) HBs Ab

IX 400Q

Topic IX 400 QuestionGo To Double

Quiz

A patient with history of hepatitis develops periarteritis nodosa. Which

hepatitis was it?

IX 600Q

Topic IX 600 QuestionGo To Double

Quiz

A 31 yo F comes with anorexia and modestly elevated AST and ALT but miLdly elevated

Alk Phos. Hep A, B and C are negative. What is your next step?

a) Anti-smooth muscle Ab c) ERCP

b) Anti-mitochondrial Ab d) EGD

IX 800Q

Topic IX 800 QuestionGo To Double

Quiz

A 53 yo pt is actively bleeding from esophageal varices. What is the next step?

a) Endoscopic sclerotherapy

b) Endoscopic band ligation

c) Octreotide and Somatostation infusion and enoscopic therapy

d) TIPS

IX 1000Q

Topic IX 1000 QuestionGo To Double

Quiz

A patient develops arthralgia and purpuric lesions on the legs. There is a past history of hepatitis.

What hepatitis was it?

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