6/23/2016 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 Some celebrities have voiced opposition to vaccination A Disease due to incorrect beliefs about its safety. Which of the A Closer Were You Rainbow of Medical Called following celebrities have publicly voiced support for Look Medicine Zoo Sleeping? Fame childhood vaccination? 75% $100 $100 $100 $100 $100 A. Jim Carrey B. Donald Trump $200 $200 $200 $200 $200 C. Steven Colbert D. Robert De Niro $300 $300 $300 $300 $300 14% 7% 4% $400 $400 $400 $400 $400 y p t o e r m e r r i r b N a u l C r o e T C D $500 $500 $500 $500 $500 m d n l t J i a e r e n v b o e t o D S R Final Jeopardy 1
6/23/2016 The Angelina Jolie Effect refers to the increased number of Some celebrities have voiced opposition to vaccination women who underwent bilateral mastectomy due to the due to incorrect beliefs about its safety. Which of the BRCA mutation after the actress reveal that her decision to following celebrities have publicly voiced support for do this. Which of these cancers is NOT more common in childhood vaccination? patients with BRCA 1 or 2 mutation? A. Pancreatic 37% B. Ovarian C. Steven Colbert 33% C. Prostate 27% D. Papillary thyroid 3% n c e d i a t t a o i a i r t r e a s y r v o c O h n r t P a y P r a Main Board l l i p a P The Angelina Jolie Effect refers to the increased number of Arnold Schwarzenegger’s most famous Hollywood role women who underwent bilateral mastectomy due to the was that of the Terminator cyborg. In real life, he had a BRCA mutation after the actress reveal that her decision to bicuspid aortic valve replaced with a prosthesis. He do this. Which of these cancers is NOT more common in should receive endocarditis prophylaxis before: patients with BRCA 1 or 2 mutation? A. Pancreatic B. Ovarian A. Colonoscopy 40% C. Prostate B. Tooth extraction D. Papillary thyroid 30% C. Both A & B 23% D. Neither 7% y B r n e p o o & h t i t c c A i s a e o h N n r o x t t Main Board o l e B o h C t o o T 2
6/23/2016 Arnold Schwarzenegger’s most famous Hollywood role Gluten sensitivity is a popular diagnosis among the Hollywood was that of the Terminator cyborg. In real life, he had a set. True celiac sprue is associated with all of the following . auto-antibodies EXCEPT: 56% bicuspid aortic valve replaced with a prosthesis. He should receive endocarditis prophylaxis before: A. Anti-myeloperoxidase 40% B. Anti-gliadin C. Anti-tissue transglutamidase A. Colonoscopy D. Anti-reticulin B. Tooth extraction C. Both A & B 4% D. Neither 0% n n i d i l e a u s i c l a g . i . t d - . e i i x t m r n - o i a Main Board r A t t n e u A p l g o s l n e a y r m t - e i t u n s A s i t - Gluten sensitivity is a popular diagnosis among the Hollywood Game of Thrones actor Peter Dinklage’s short stature is set. True celiac sprue is associated with all of the following due to a form of achondroplasia. Growth delay can occur auto-antibodies EXCEPT: with all of the following diagnoses EXCEPT:? A. Hypothyroidism A. Anti-myeloperoxidase B. Hypoparathyroidism B. Anti-gliadin C. Anti-tissue transglutamidase C. Pseudohypoparathyroidism D. Anti-reticulin 62% D. Pseudo-pseudohypoparathyroidism 29% 10% 0% Main Board A. B. C. D. 3
6/23/2016 A woman complains of pruritic vaginal discharge. Game of Thrones actor Peter Dinklage’s short stature is You perform a wet mount (shown below) and due to a form of achondroplasia. Growth delay can occur prescribe: with all of the following diagnoses EXCEPT:? A. Hypothyroidism A. Metronidazole PO 88% B. Hypoparathyroidism B. Doxycycline PO C. Pseudohypoparathyroidism C. Fluconazole PO D. Hydrocortisone topical D. Pseudo-pseudohypoparathyroidism 8% 4% 0% O O O l a P P P c i e e e p l l n o o o i l z t z c a a e y n d c n i o n y o x c o s o u i r l t t D F r o e M c o r Main Board d y H A woman complains of pruritic vaginal discharge. A patient is admitted with fever, anemia, and You perform a wet mount (shown below) and thrombocytopenia. The peripheral blood smear prescribe: below supports a diagnosis of: A. Metronidazole PO 42% 42% A. Immune thrombocytopenic purpura B. Doxycycline PO B. Autoimmune thromboyctopenia and C. Fluconazole PO hemolytic anemia Trichomonas D. Hydrocortisone topical C. Thrombotic thrombocytopenic purpura (motile) 17% D. Sickle cell anemia 0% a . . i n . m . . e . . c . e p y t n o y o a t c b o y l c m b l e o m c o b e r o m h l r k o t h c r e t i n S h c u i t t m o e n b m u m m i o o Main Board m t r u h I A T 4
6/23/2016 While working in South Sudan, you encounter a A patient is admitted with fever, anemia, and woman with headache and fever. You perform a thrombocytopenia. The peripheral blood smear lumbar puncture. The CSF gram stain below below supports a diagnosis of: indicates: A. Immune thrombocytopenic purpura 46% A. Meningococcal meningitis B. Autoimmune thromboyctopenia and B. Cryptococcal meningitis hemolytic anemia 31% C. Dengue Fever C. Thrombotic thrombocytopenic purpura 23% D. Tuberculosis D. Sickle cell anemia 0% r s s s e i i i s t t v i i o g g e F u l n n c n i n i e r e e u e g m m b n u e T l a l a D c c c c o o c c o o t g p n i y n r Main Board C e M An elderly man presents with a painful, swollen left While working in South Sudan, you encounter a knee. Arthrocentesis yields a slightly cloudy fluid woman with headache and fever. You perform a with 20,000 wbc (mostly PMNs). Polarized light lumbar puncture. The CSF gram stain below microscopy of the fluid (shown below) indicates: indicates: 60% A. Meningococcal meningitis A. Acute gout B. Cryptococcal meningitis B. Acute pseudogout (CPPD) C. Dengue Fever C. Reactive arthritis 28% D. Tuberculosis D. Septic arthritis 8% 4% Arrow shows slow t s s ) u D i i axis of compensator o t t P i r i g r P h h e C t t t ( r r a a u t c u e c A o i v t g i p t o c e d a S e u R e s p e t Main Board u c A 5
6/23/2016 A young man presents with painless hematuria. An elderly man presents with a painful, swollen left The urine microscopy finding below supports a knee. Arthrocentesis yields a slightly cloudy fluid diagnosis of: with 20,000 wbc (mostly PMNs). Polarized light microscopy of the fluid (shown below) indicates: A. Hemolysis 46% A. Acute gout B. Renal calculus B. Acute pseudogout (CPPD) C. Focal segmental glomerulosclerosis 35% C. Reactive arthritis D. IgA nephropathy D. Septic arthritis 15% 4% Arrow shows slow s s y i u . s . h y l . u u t l a axis of compensator o c r m l e p a m o e c r H l o h a l p n g e e l n a R t A n g e I m g e s l a Main Board c o F A young man presents with painless hematuria. What is the mechanism of The urine microscopy finding below supports a unilateral scleral icterus? diagnosis of: A. CMV Hepatitis A. Hemolysis B. Mirizzi’s Syndrome B. Renal calculus C. Prosthetic Eye C. Focal segmental glomerulosclerosis D. IgA nephropathy D. Cholangiocarcinoma 56% 20% 16% 8% Main Board s e i e a t m y m i E t o o a r c n p d i e n t c i H e r y h a S V s t c M s o o ’ i C z i r g z P n i a r M i o l h C 6
6/23/2016 Which of the following does What is the mechanism of unilateral scleral icterus? NOT cause blue sclera? A. CMV Hepatitis B. Mirizzi’s Syndrome A. Wilson’s disease C. Prosthetic Eye B. Osteogenesis imperfecta D. Cholangiocarcinoma C. Ehlers-Danlos Syndrome 54% D. Marfan’s Disease 23% 15% 8% a e e e s t m s a c a e e e o s r f r s i e d i d n D p s m y s ’ ’ Main Board n S n i o s s a s i o f s l r l i e n a W a M n e D g - o s e r e t l s h O E Which of the following does What disease process creates silver-colored stool? NOT cause blue sclera? A. Hepatocellular Carcinoma B. Esophageal Cancer A. Wilson’s disease C. Gastric Cancer B. Osteogenesis imperfecta D. Cancer of Ampulla of Vater C. Ehlers-Danlos Syndrome 85% D. Marfan’s Disease 7% 7% 0% Main Board A. B. C. D. 7
6/23/2016 What disease process creates silver-colored stool? A patient is noted by his nurse to be producing blue urine… how did this happen? A. Hepatocellular Carcinoma A. Pseudomonas UTI B. Esophageal Cancer B. Amitriptyline Ingestion C. Gastric Cancer C. Copper Poisoning D. Cancer of Ampulla of Vater D. Porphyria 41% 41% 14% 3% Pseudomonas UTI Amitriptyline Ingestion Copper Poisoning Porphyria Main Board Which of the following does NOT turn the urine A patient is noted by his nurse to be producing blue black? urine… how did this happen? A. Pseudomonoas UTI A. Metastatic melanoma B. Amitriptyline Ingestion B. Methylene blue C. Copper Poisoning C. Alkaptonuria D. Hemolysis due to malaria D. Porphyria 56% 22% 11% 11% Main Board A. B. C. D. 8
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