jeopardy game 2.24.2010 univ mich fm
DESCRIPTION
Jeopardy game for core content review in family medicine resident conference.TRANSCRIPT
Science Jeopardy
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USPSTF update
Antidepressant
What’s new FM Uptodate
ID PotPourri
Final Jeopardy
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(1) Save a duplicate of this template.
(2) Enter all answers and questions in the normal view. (view/normal)
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(5) Use the home red button after each question.
©Norman Herr, 2003
QuestionAnswer
A-100• The age, at which USPSTF recommend to start routine mammography.
• 50 yo Screening every other year 50-74yo (grade B) 40-49yo (grade C) teaching self-exam (grade D) clinical breast exam (Grade I)
QuestionAnswer
A-200
• The recommendation level in USPSTF for newborn universal bilirubin screening to prevent chronic bilirubin encephalopathy (kernicterus).
• Grade I (insufficient data).
QuestionAnswer
A-300
• The age, at which USPSTF recommend start screening for obesity.
• 6 yo Jan 2010 recommendation. Obesity is defined as over 95%tile of age-gender specific BMI.
QuestionAnswer
A-400
• The recommendation level of screening for bacterial vaginosis in asymptomatic pregnant women at low/high risk for preterm delivery.
• Grade D/ Grade I
QuestionAnswer
A-500
• Recommended criteria to screen for type2 Diabetes Mellitus in adults.
• BP over 135/80 (Grade B) under 135/80 (Grade I)
QuestionAnswer
• 3 common (specific) side effects of SSRI
• Nausea/vomiting, sexual dysfunction, weight gain, insomnia/agitation, suicidal ideation/behavior, bleeding etc
B-100
QuestionAnswer
B-200
• The response rate for antidepressants (acute depression and maintenance phase).
• 50-60% Remission rate 28% in real world study.
QuestionAnswer
B-300
• SSRI with least weight gain
• Fluoxetine (Prozac)
QuestionAnswer
B-400
• The best antidepressant among second generation, regarding symptom improvement & drop out rate.
• None But one meta-analysis showed Escitalopram (Lexapro) and Sertraline(Zoloft) better than other SSRIs, SNRIs, bupropion, Mirtazapine
QuestionAnswer
B-500
• SSRI with least p450 interaction, comparatively lower side effects, and indication not only for depression but for anxiety.
• Citalopram (Celexa)
QuestionAnswer
C-100
• Interval of ultrasound screening of hepatocelluar carcinoma for patients with hepatitis B.
• 6 months A new guideline from the American Association for
the Study of Liver Diseases
QuestionAnswer
C-200
• The risk known to be increased by Tanning bed (ultraviolet-light emitted).
• Melanoma Tanning beds, sunlamps, and risk of cutaneous
malignant melanoma. Cancer Epidemiol Biomarkers Prev 2005 Mar;14(3):562-6.
QuestionAnswer
C-300
• The recommendation level of neonatal pulse oximetry screening for congenital heart disease.
• Uncertain Role of pulse oximetry in examining newborns
for congenital heart disease: a scientific statement from the AHA and AAP. Pediatrics. 2009 Aug;124(2):823-36. Epub 2009 Jul 6.
QuestionAnswer
C-400
• The announcement by FDA due to use of a new reference standard for unfractionated heparin products manufactured in the United States after October 8, 2009.
• 10% less potent
QuestionAnswer
C-500
• Indications for Propylthiouracil(PTU) as 1st lined drug for hyperthyroidism
• 1st trimester of pregnancy• life-threatening thyrotoxicosis or thyroid storm.
The Role of Propylthiouracil in the Management of Graves' Disease in Adults: report of a meeting jointly sponsored by the American Thyroid Association and the Food and Drug Administration. Thyroid 2009; 19:673
QuestionAnswer
D-100
• Sensitivity of rapid antigen test for Pandemic H1N1 influenza
• 18-69%
QuestionAnswer
D-200• 5 Target groups for pandemic H1N1 influenza vaccination by CDC and ACIP
• Pregnant women• Household contacts and caregivers of child<6mo
• Healthcare and emergency med services personnel
• 6m-24yo• 25yo-64yo w increased risk of flu complication
QuestionAnswer
D-300
• Efficacy of Pneumovax immunization for people over 65yo. (all unimmunized people>65yo are recommended target)
• Decrease all-cause pneumonia (combined relative risk 0.73, 95% CI 0.56-0.94).
• No difference in high quality trials. Does not decrease pneumococcal pneumonia nor mortality.
QuestionAnswer
D-400
• 4 strains, the novel H1N1 influenza represents
• 2 swine strains, 1 human strain, 1 avian strain.
QuestionAnswer
D-500
• Number of weeks after onset of infectious mononucleosis when athlete can return to sports (non-conact / contact sports)
• Non- contact : 3weeks• Contact : 4weeks or symptom-free, afebrile, normal energy level
QuestionAnswer
E-100
• The most common cause of systolic murmurs in young children.
• Innocent/functional murmur• Present in 50-90% of children at some point between 2-7yo
• Less than 1% attribute to congenital heart disease.
QuestionAnswer
E-200
• Hormone which explains, why women exhibit lower pain threshold, increased pain rating, and respond with 30% less dosage of morphine compared to male.
• Estrogen
QuestionAnswer
E-300
• PPI which can be used safely in combination with Plavix for pt w ACS.
• Pantoprazole (Protonix)
QuestionAnswer
E-400
• Conventional pap testing vs liquid-based testing The test with higher accuracy (detection rates and PPV) for CIN 1,2,3, cervical cancer.
• None• RCT showed, liquid-based cytology is neither more sensitive nor specific.
(Comparision of liquid-based cytology with conventional cytology for detection of cervical cancer precursors. JAMA 2009: 302(16): 1757-1764)
QuestionAnswer
E-500
• Percentage of decreased smoker following brief advice by primary care physician.
• 2.1% = NNT 48 (Cochrane Review 2005)
QuestionAnswer
FINAL JEOPARDY
• 5 criteria of CHADS2 score for A fib
• Congestive Heart Failure (1 point)• Hypertension (1 point)• Age >= 75 years (1 point)• Diabetes Mellitus (1 point)• Stroke symptoms previously or TIA (2 point)