Internal Medicine Jeopardy Rules Team captains picks question for - - PDF document

5/26/16 1

Internal Medicine

• 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

$1 $100 $2 $200 $3 $300 $5 $500 $4 $400

A Disease Called Fame

$1 $100 $2 $200 $3 $300 $5 $500 $4 $400

Were You Sleeping?

$1 $100 $2 $200 $3 $300 $5 $500 $4 $400

A Closer Look

$1 $100 $2 $200 $3 $300 $5 $500 $4 $400

Rainbow o f Medicine

$1 $100 $2 $200 $3 $300 $5 $500 $4 $400

Medical Zoo

Final Jeopardy

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. What other cancers are more common in patients with BRCA 1 or 2 mutation?

• A. Pancreatic
• B. Ovarian
• C. Prostate
• D. Papillary thyroid

A. B. C. D.

18% 45% 30% 6%

5/26/16 2

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. What other cancers are 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 T erminator cyborg. In real life, he had bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis for:

• A. Colonoscopy
• B. Tooth extraction
• C. Both A & B
• D. Neither

4% 46% 27% 23%

Main Board

• A. Colonoscopy
• B. T
• oth extraction
• C. Both A & B
• D. Neither

Arnold Schwarzenegger’s most famous Hollywood role was that of the T erminator cyborg. In real life, he had bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis for:

Gluten sensitivity is a popular diagnosis among the Hollywood

• set. T

rue 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. B. C. D.

52% 44% 4% 0%

5/26/16 3

Main Board

Gluten sensitivity is a popular diagnosis among the Hollywood

• set. T

rue 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

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

A. B. C. D.

8% 12% 72% 8%

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
• A. Hypothyroidism
• B. Hypoparathyroidism
• C. Pseudohypoparathyroidism
• D. Pseudo-pseudohypoparathyroidism

Game of Thrones actor Peter Dinklage’s short stature is due to a form of achondroplasia. Which of the following conditions can also cause growth delay?

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Game of Thrones actor Peter Dinklage’s short stature is due to a form of achondroplasia. Which of the following conditions can also cause growth delay?

• A. Hypothyroidism
• B. Hypoparathyroidism
• C. Pseudohypoparathyr
• idism
• D. Pseudo-

pseudohypoparathyr

• idism

A. B. C. D.

43% 29% 14% 14%

• A. Hypothyroidism
• B. Hypoparathyroidism
• C. Pseudohypoparathyroidism
• D. Pseudo-pseudohypoparathyroidism

Main Board Game of Thrones actor Peter Dinklage’s short stature is due to a form of achondroplasia. Which of the following conditions can also cause growth delay? 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 nephropathy

A. B. C. D.

0% 35% 61% 4%

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:

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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

A. B. C. D.

0% 21% 75% 4%

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

A woman complains of pruritic vaginal discharge. Y

• u perform a wet mount (shown below) and

prescribe:

• A. Metronidazole PO
• B. Doxycycline PO
• C. Fluconazole PO
• D. Hydrocortisone topical

85% 0% 6% 9%

Main Board A woman complains of pruritic vaginal discharge. Y

• u perform a wet mount (shown below) and

prescribe:

• A. Metronidazole PO
• B. Doxycycline PO
• C. Fluconazole PO
• D. Hydrocortisone topical

Trichomonas (motile)

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While working in South Sudan, you encounter a woman with headache and fever. Y

• u perform a

lumbar puncture. The CSF gram stain below indicates:

• A. Meningococcal meningitis
• B. Cryptococcal meningitis
• C. Dengue Fever
• D. Tuberculosis

63% 6% 19% 13%

Main Board While working in South Sudan, you encounter a woman with headache and fever. Y

• u perform a

lumbar puncture. The CSF gram stain below indicates:

• A. Meningococcal meningitis
• B. Cryptococcal meningitis
• C. Dengue Fever
• D. Tuberculosis
• A. Acute gout
• B. Acute pseudogout (CPPD)
• C. Reactive arthritis
• D. Septic arthritis

A. B. C. D.

22% 3% 3% 72%

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

Main Board

• 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

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What is the mechanism of unilateral scleral icterus?

• A. CMV Hepatitis
• B. Mirizzi’s Syndrome
• C. Prosthetic Eye
• D. Cholangiocarcinoma

0% 4% 71% 25%

What is the mechanism of unilateral scleral icterus?

• A. CMV Hepatitis
• B. Mirizzi’s Syndrome
• C. Prosthetic Eye
• D. Cholangiocarcinoma

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. Porphyria

A. B. C. D.

21% 36% 43% 0%

A patient is noted by his nurse to be producing blue urine… how did this happen?

• A. Pseudomonoas UTI
• B. Amitriptyline Ingestion
• C. Copper Poisoning
• D. Porphyria

Main Board

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Which of the following does NOT cause blue sclera?

• A. Wilson’s disease
• B. Osteogenesis imperfecta
• C. Ehlers-Danlos Syndrome
• D. Marfan’s Disease

A. B. C. D.

47% 44% 6% 3%

Which of the following does NOT cause blue sclera?

• A. Wilson’s disease
• B. Osteogenesis imperfecta
• C. Ehlers-Danlos Syndrome
• D. Marfan’s Disease

Main Board Which of the following does NOT turn the urine black?

• A. Metastatic melanoma
• B. Methylene blue
• C. Alkaptonuria
• D. Hemolysis due to malaria

A. B. C. D.

70% 5% 10% 15%

Which of the following does NOT turn the urine black?

• A. Metastatic melanoma
• B. Methylene blue
• C. Alkaptonuria
• D. Hemolysis due to malaria

Main Board

5/26/16 9

What disease process creates silver-colored stool?

• A. Hepatocellular Carcinoma
• B. Esophageal Cancer
• C. Gastric Cancer
• D. Cancer of Ampulla of Vater

A. B. C. D.

0% 88% 6% 6%

What disease process creates silver-colored stool?

• A. Hepatocellular Carcinoma
• B. Esophageal Cancer
• C. Gastric Cancer
• D. Cancer of Ampulla of Vater

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? A B C D

• 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?

5/26/16 10

Described in Japanese patients with ST elevations and clean coronaries, this syndrome involves left apical ballooning that mimics these octopus- catching contraptions.

• A. Kawasaki’s disease
• B. Takatsubo’s disease
• C. Takayasu’s disease
• D. Katayama disease

14% 4% 25% 57%

Described in Japanese patients with ST elevations and clean coronaries, this syndrome involves left apical ballooning that mimics these octopus- catching contraptions.

• A. Kawasaki’s disease
• B. T

akatsubo’s disease

• C. Takayasu’s disease
• D. Katayama disease

Main Board 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

A. B. C. D.

0% 3% 34% 63%

Main Board Bartonella henselae infection is associated with the bite from what animal?

• B. The cat

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What disease is caused by this bug?

• A. Lyme Disease
• B. Chaga’s Disease
• C. Erlichiosis
• D. Uncomfortable rash
• E. Ascending paralysis

A. B. C. D. E.

40% 32% 0% 24% 4%

Main Board What disease is caused by this bug?

• A. Lyme Disease
• B. Chaga’s Disease
• C. Erlichiosis
• D. Uncomfortable rash
• E. Ascending paralysis

The venom of the Gila Monster is the basis of a drug used to treat:

• A. Diabetes
• B. Heparin-induced thrombocytopenia
• C. Breast cancer
• D. Acute coronary syndrome

A. B. C. D.

32% 18% 14% 36%

Main Board The venom of the Gila Monster is the basis of a drug used to treat:

• A. Diabetes (Exenatide)
• B. Heparin-induced thrombocytopenia
• C. Breast cancer
• D. Acute coronary syndrome

5/26/16 12

Which of the following is a typical requirement for physician aid in dying (P AD) 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

A. B. C. D.

18% 18% 61% 3%

Main Board Which of the following is a typical requirement for physician aid in dying (P AD) 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

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 satisfaction

A. B. C. D.

70% 21% 9% 0%

Main Board 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 satisfaction

5/26/16 13

Screening for HCV infection is recommended by the CDC and USPSTF for all:

• A. Baby boomers
• B. MSM
• C. Blood transfusion recipients
• D. Patients with prior HBV infection

44% 11% 26% 19%

Main Board Screening for HCV infection is recommended by the CDC and USPSTF for all:

• A. Baby boomers
• B. MSM
• C. Blood transfusion recipients
• D. Patients with prior HBV infection

Compared to warfarin, a left atrial appendage

• cclusion device (Watchman) has all the following

effects EXCEPT:

22% 22% 44% 11%

• A. Fewer hemorrhagic strokes
• B. Less non-procedural bleeding
• C. More ischemic strokes
• D. More CV/unexplained deaths

Main Board Compared to warfarin, a left atrial appendage

• cclusion 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

5/26/16 14

How much of what you learned from a medical lecture today will be remembered tomorrow?

• A. 80%
• B. 60%
• C. 40%
• D. 20%

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

W61.62XD is the ICD-10 code for:

• A. Spacecraft collision

injuring occupant, sequelae

• B. Struck by duck,

subsequent encounter

• C. Problems in relations

with in-laws

• D. Other contact with

cow, subsequent encounter

A. B. C. D.

25% 25% 25% 25%

7

W61.62XD is the ICD-10 code for:

• A. Spacecraft collision injuring occupant, sequelae
• B. Struck by duck, subsequent encounter
• C. Problems in relations with in-laws
• D. Other contact with cow, subsequent encounter