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

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A Disease Called Fame

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Were You Sleeping?

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A Closer Look

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Rainbow of Medicine

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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

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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%

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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%

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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

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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%

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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%

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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%

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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%

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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%

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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

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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%

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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%

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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%

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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

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t r o ke

D i ab e t

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u sH e a

r t f ai l u r

e

40%

12%

28%

20%

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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%

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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