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

5/26/16 Internal Medicine Jeopardy Rules 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 The Angelina Jolie Effect refers to the increased number of A Disease women who underwent bilateral mastectomy due to the A Closer Rainbow o f Medical Were You Called BRCA mutation after the actress reveal that her decision to Look Medicine Zoo Sleeping? Fame do this. What other cancers are more common in patients with BRCA 1 or 2 mutation? $1 $100 $1 $100 $100 $1 $1 $100 $1 $100 A. Pancreatic B. Ovarian $2 $200 $2 $200 $200 $2 $2 $200 $2 $200 C. Prostate 45% D. Papillary thyroid $300 $3 $3 $300 $3 $300 $300 $3 $3 $300 30% 18% $400 $4 $4 $400 $400 $4 $4 $400 $4 $400 6% $5 $500 $5 $500 $500 $5 $500 $5 $500 $5 A. B. C. D. Final Jeopardy 1

5/26/16 Arnold Schwarzenegger’s most famous Hollywood role The Angelina Jolie Effect refers to the increased number of was that of the T erminator cyborg. In real life, he had women who underwent bilateral mastectomy due to the BRCA mutation after the actress reveal that her decision to bicuspid aortic valve replaced with a prosthesis. He do this. What other cancers are more common in patients should receive endocarditis prophylaxis for: with BRCA 1 or 2 mutation? A. Pancreatic A. Colonoscopy B. Ovarian B. Tooth extraction C. Prostate D. Papillary thyroid C. Both A & B 46% D. Neither 27% 23% 4% Main Board A. B. C. D. Arnold Schwarzenegger’s most famous Hollywood role Gluten sensitivity is a popular diagnosis among the Hollywood was that of the T erminator cyborg. In real life, he had set. T rue celiac sprue is associated with all of the following auto-antibodies EXCEPT : bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis for: A. Anti-myeloperoxidase B. Anti-gliadin A. Colonoscopy C. Anti-tissue transglutamidase B. T ooth extraction D. Anti-reticulin 52% C. Both A & B 44% D. Neither 4% Main Board 0% A. B. C. D. 2

5/26/16 Some celebrities have voiced opposition to vaccination Gluten sensitivity is a popular diagnosis among the Hollywood due to incorrect beliefs about its safety. Which of the set. T rue celiac sprue is associated with all of the following auto-antibodies EXCEPT : following celebrities have publicly voiced support for childhood vaccination? A. Anti-myeloperoxidase B. Anti-gliadin A. Jim Carrey C. Anti-tissue transglutamidase B. Donald Trump D. Anti-reticulin 72% C. Steven Colbert D. Robert De Niro 12% 8% 8% Main Board A. B. C. D. Some celebrities have voiced opposition to vaccination Game of Thrones actor Peter Dinklage’s short due to incorrect beliefs about its safety. Which of the stature is due to a form of achondroplasia. Which of following celebrities have publicly voiced support for the following conditions can also cause growth delay? childhood vaccination? A. Hypothyroidism B. Hypoparathyroidism C. Steven Colbert C. Pseudohypoparathyroidism D. Pseudo-pseudohypoparathyroidism Main Board 3

5/26/16 Game of Thrones actor Peter Dinklage’s short stature is Game of Thrones actor Peter Dinklage’s short due to a form of achondroplasia. Which of the following stature is due to a form of achondroplasia. Which of conditions can also cause growth delay? the following conditions can also cause growth delay? A. Hypothyroidism 43% A. Hypothyroidism B. Hypoparathyroidism B. Hypoparathyroidism C. Pseudohypoparathyr C. Pseudohypoparathyroidism 29% oidism D. Pseudo-pseudohypoparathyroidism D. Pseudo- 14% 14% pseudohypoparathyr oidism Main Board A. B. C. D. A young man presents with painless hematuria. A young man presents with painless hematuria. The urine microscopy finding below supports a The urine microscopy finding below supports a diagnosis of: diagnosis of: A. Hemolysis A. Hemolysis B. Renal calculus B. Renal calculus C. Focal segmental glomerulosclerosis C. Focal segmental glomerulosclerosis 61% D. IgA nephropathy D. IgA nephropathy 35% 4% 0% Main Board A. B. C. D. 4

5/26/16 A patient is admitted with fever, anemia, and A patient is admitted with fever, anemia, and thrombocytopenia. The peripheral blood smear thrombocytopenia. The peripheral blood smear below supports a diagnosis of: below supports a diagnosis of: A. Immune thrombocytopenic purpura A. Immune thrombocytopenic purpura B. Autoimmune thromboyctopenia and B. Autoimmune thromboyctopenia and hemolytic anemia hemolytic anemia C. Thrombotic thrombocytopenic purpura C. Thrombotic thrombocytopenic purpura 75% D. Sickle cell anemia D. Sickle cell anemia 21% Main Board 4% 0% A. B. C. D. A woman complains of pruritic vaginal discharge. A woman complains of pruritic vaginal discharge. Y ou perform a wet mount (shown below) and Y ou perform a wet mount (shown below) and prescribe: prescribe: A. Metronidazole PO A. Metronidazole PO B. Doxycycline PO B. Doxycycline PO C. Fluconazole PO Trichomonas C. Fluconazole PO 85% (motile) D. Hydrocortisone topical D. Hydrocortisone topical 9% 6% 0% A. B. C. D. Main Board 5

5/26/16 While working in South Sudan, you encounter a While working in South Sudan, you encounter a woman with headache and fever. Y ou perform a woman with headache and fever. Y ou perform a lumbar puncture. The CSF gram stain below lumbar puncture. The CSF gram stain below indicates: indicates: A. Meningococcal meningitis A. Meningococcal meningitis B. Cryptococcal meningitis B. Cryptococcal meningitis 63% C. Dengue Fever C. Dengue Fever D. Tuberculosis D. Tuberculosis 19% 13% 6% A. B. C. D. Main Board An elderly man presents with a painful, swollen left An elderly man presents with a painful, swollen left knee. Arthrocentesis yields a slightly cloudy fluid knee. Arthrocentesis yields a slightly cloudy fluid with 20,000 wbc (mostly PMNs). Polarized light with 20,000 wbc (mostly PMNs). Polarized light microscopy of the fluid (shown below) indicates: microscopy of the fluid (shown below) indicates: A. Acute gout A. Acute gout B. Acute pseudogout (CPPD) B. Acute pseudogout (CPPD) C. Reactive arthritis C. Reactive arthritis D. Septic arthritis D. Septic arthritis 72% Arrow shows slow Arrow shows slow axis of compensator axis of compensator 22% 3% 3% Main Board A. B. C. D. 6

5/26/16 What is the mechanism of What is the mechanism of unilateral scleral icterus? unilateral scleral icterus? A. CMV Hepatitis A. CMV Hepatitis B. Mirizzi’s Syndrome B. Mirizzi’s Syndrome C. Prosthetic Eye C. Prosthetic Eye D. Cholangiocarcinoma D. Cholangiocarcinoma 71% 25% 4% Main Board 0% A. B. C. D. A patient is noted by his nurse to be producing blue A patient is noted by his nurse to be producing blue urine… how did this happen? urine… how did this happen? A. Pseudomonas UTI A. Pseudomonoas UTI B. Amitriptyline Ingestion B. Amitriptyline Ingestion C. Copper Poisoning C. Copper Poisoning D. Porphyria D. Porphyria 43% 36% 21% 0% Main Board A. B. C. D. 7

5/26/16 Which of the following does Which of the following does NOT cause blue sclera? NOT cause blue sclera? A. Wilson’s disease A. Wilson’s disease B. Osteogenesis imperfecta B. Osteogenesis imperfecta C. Ehlers-Danlos Syndrome C. Ehlers-Danlos Syndrome D. Marfan’s Disease 47% D. Marfan’s Disease 44% 6% 3% Main Board A. B. C. D. Which of the following does NOT turn the urine Which of the following does NOT turn the urine black? black? A. Metastatic melanoma A. Metastatic melanoma B. Methylene blue B. Methylene blue C. Alkaptonuria C. Alkaptonuria D. Hemolysis due to malaria D. Hemolysis due to malaria 70% 15% 10% 5% Main Board A. B. C. D. 8

5/26/16 What disease process creates silver-colored stool? What disease process creates silver-colored stool? A. Hepatocellular Carcinoma A. Hepatocellular Carcinoma B. Esophageal Cancer B. Esophageal Cancer C. Gastric Cancer C. Gastric Cancer D. Cancer of Ampulla of Vater D. Cancer of Ampulla of Vater 88% 6% 6% 0% Main Board A. B. C. D. While sitting on a beach in Australia, you encounter While sitting on a beach in Australia, you encounter a woman who develops sudden flaccid paralysis after a woman who develops sudden flaccid paralysis after swimming. She doesn’t complain of pain. What swimming. She doesn’t complain of pain. What animal attacked her? animal attacked her? C A B D B. Blue Ringed Octopus Main Board 9

5/26/16 Described in Japanese patients Described in Japanese patients with ST elevations and clean with ST elevations and clean coronaries, this syndrome coronaries, this syndrome involves left apical ballooning involves left apical ballooning that mimics these octopus- that mimics these octopus- catching contraptions. catching contraptions. A. Kawasaki’s disease A. Kawasaki’s disease B. Takatsubo’s disease B. T akatsubo’s disease 57% C. Takayasu’s disease C. Takayasu’s disease D. Katayama disease D. Katayama disease 25% 14% 4% Main Board A. B. C. D. Bartonella henselae infection is associated with Which animal in this picture is most likely to transmit Bartonella henselae if it bites you? the bite from what animal? A. The dog B. The cat B. The cat C. The rat D. The human 63% 34% Main Board 3% 0% A. B. C. D. 10