Download - Jeopardy Rules
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Jeopardy Rules
• The team member “buzzing in” will answer
• Discussion is allowed only with final jeopardy
• All responses must be phrased as questions
• Wrong questions will be penalized the value of the question
• The judge’s decisions and ad hoc rules, however pigheaded and uninformed, are final
• Gratuitous abuse of the judge will be penalized
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Choose a category. You will be given the answer.
You must give the correct question. Click to begin.
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Click here for Final Jeopardy
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That’s Sweet!
It’s All In Your Head
My StomachAches
10 Point
20 Points
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10 Point 10 Point 10 Point 10 Point
20 Points 20 Points 20 Points 20 Points
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30 Points 30 Points 30 Points
40 Points 40 Points 40 Points
50 Points 50 Points 50 Points
PicturePotpourri
Vomitings &Diarrhea
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This is the first line therapy for management of most children with
AGE
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What isORT - Oral rehydration therapy (at 30ml/kg/hr)
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These are the 2 most common viral etiologies for gastroenterities in
children
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What are Rotavirus and Adenovirus
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Bilious emesis in a child is suspicious for this condition
(Hint: Describe where the anatomical lesion is)
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What is
Obstruction, distal to ampulla of vater
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This bacterial cause of gastroenteritis is commonly known to be associated
with febrile seizures
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What is
Shigella
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These are the 4 signs that are most helpful in predicting dehydration
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What are 1. CR>2s 2. Absent tears 3. Dry mucous membranes 4. General appearance(ill appearance)
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This is the leading cause of mortality in children with diabetes
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What is DKA
(Cerebral edema is the leading cause of mortality in DKA)
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This is the % deficit assumed in patients with DKA
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What is
10% (100 mL/kg)
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Hypoglycemia in neonates is managed by giving this solution
(Hint: Name the solution and volume)
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What is
D10W @ 5 to 10 mL/kg bolus, administered IV or IO (0.5 to 1
g/kg/dose)
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Metabolic emergencies in infants often present with nonspecific features that may mimic more common conditions like sepsis.
These are the 3 most common signs & symptoms found in metabolic emergencies
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What are
Vomiting, altered mental status, and poor feeding
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A type 1 diabetic presents in DKA
Her labs are:
Glucose - 650mg/dl, and Na - 131meq/l
This is her corrected sodium…
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What is
140 meq/L
(Correct reported sodium by adding 1.6 meq/L for every
100mg/dl of serum glucose over normal)
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This disease usually presents in infancy with delayed passage of meconium or chronic constipation, but can be missed and present later in childhood
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What is
Hirschsprung Disease
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This neonate presented with bilious vomiting
Describe the X ray, and name the genetic condition most commonly associated with this anomaly
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What is
-Double bubble sign (Duodenal atresia)
-Trisomy 21 (Nearly 40%)
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This is an abdominal sonogram of a 4 month old infant with vomitings
Describe the finding, and name the diagnosis
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What is
Target sign or donut appearance;
This is typical of Intussusception
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This adolescent presented with an oval lesion as shown along with a more generalized rash
Name one differential diagnosis and treatment
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What is
Secondary Syphilis
Symptomatic treatment
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This lesion was noticed on the thigh of a toddler who presented with a seizure
Name the lesion and the condition associated with this lesion
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What is
Ash leaf macule (a well demarcated hypopigmented
macule)
Tuberous sclerosis
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A 4 year old girl having a GTC seizure, has not responded to 2 doses of Ativan. This is your next step…
(ABC’s, oxygen, d-stick and IV access/labs have been done).
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What is
Load with Fosphenytoin (@15-20mg PE/kg IV)
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These are the 3 characteristics associated with complex febrile seizures
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What are
-Focal seizures-Duration >15 minutes-Two or more seizures in a 24 hour period
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A 3 year old with a 3 day h/o vomiting and diarrhea has a GTC seizure.
Temp: 103 FD-stick & shock panel: normal
Describe her diagnosis and management
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What isSimple febrile seizure No additional work-up needed
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A 10 year old with a 7 month h/o throbbing headaches, associated with nausea and photophobia has a normal neurological exam
This is what you would do next…(Hint: Mom has a h/o headaches)
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What is
Treat for migraine headacheNo imaging necessary
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The most common cause of headaches in children is _(a)_,
but keep in mind these _(b)_ worrying symptoms which should prompt further work-up (name at least 7)
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What is (a)viral illness
(b) Features suggesting secondary pathology:
• headaches on awakening or disrupting sleep
• new onset (< 6months)• changes in behavior,
personality, or school performance
• change in characteristics of headache
• vision disturbances (by hx or exam)
• abnormal neuro exam
• unusual locations (occipital)
• younger age (< 6 yo), • neck stiffness • exacerbated by changes in
posture, coughing, or sneezing
• endocrine changes (precocious puberty, abnormal growth)
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A 3 week old male infant presents with vomiting for several daysLabs: Na 131, K 2.5, Cl 82, HCO3 31, Glucose 48, VBG: pH=7.52
Name the most likely diagnosis
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What is
Pyloric stenosis
(Hypokalemic hypochloremic metabolic alkalosis)
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A 3 year old male with a 2 day h/o intermittent abdominal pain &
vomiting, and the following rash
This is the most likely diagnosis
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What is
HSP (Henoch Schonlein Purpura)
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A 3 week old male with a 4 hour h/o progressively bilious vomiting, fussiness, and abdominal distension. The stool guaiac is positive
Name the diagnostic study of choice
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What is Upper GI series
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A 3 y.o.male with intermittent abdominal pain, lethargy…
Name the most likely diagnosis
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What is
Intussusception
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A 3 wk old male with a 3 day h/o vomiting, poor feeding, decreased wet diapers, and sleeping more than usual
Labs: Na 126, K 7.5, Cl 81, HCO3 11 Glu 40mg/dl, VBG: pH 7.21
Name the most likely diagnoses
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What is
Congenital Adrenal Insufficiency
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Make your wager
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List at least 4 phone extensions to the Pediatric ER
(KCHC only)
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What are,
3638, 3860, 3861
3634, 3643, 1435