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60 seconds to diagnosis final

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Slides of 60 Seconds To Diagnosis Finals. An intercollegiate quiz on Medicine. Very informative and Self inspiring Quiz. Self learning for PG aspirants and Medicine enthusiasts.

Published in: Health & Medicine
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60 seconds to diagnosis final

  1. 1. WELCOME TO KOTTAYAM MEDICAL COLLEGE
  2. 2. QUIZ MASTER Dr.HARIKRISHNAN VG (Infectious Diseases Unit , Govt.Medical College , Kottayam)
  3. 3. 60 SECONDS TO DIAGNOSIS Dr. Harikrishnan V G
  4. 4. 60 SECONDS TO DIAGNOSIS A NATIONAL LEVEL MEDICAL QUIZ FOR UNDERGRADUATES & PG ASPIRANTS ORGANISED BY EKTHA ( STUDENTS’ UNION 2015 – ’16) IN ASSOCIATION WITH SMRITHI
  5. 5. Rounds – 9 • Round 1 - BASIC SCIENCES (6 Questions) • Round 2 - RADIOLOGY ( 6 Questions) • Round 3 – IMAGES (6 Questions ) • Round 4 - NEW DRUGS (6 Questions) [ Written Round] • Round 5 - INSTRUMENTS & MEDICATIONS ( 5 Questions to each team) • Round 6 - History , Examination & an Image ( 6 Questions) • Round 7 - VIDEOS ( 6 Questions) • Round 8 - FLY OR FALL ( 6 Questions) • Rapid Fire ( 10 Questions to each team)
  6. 6. ROUND 1 BASIC SCIENCES
  7. 7. Rules • 6 Questions ( in a clockwise manner ) • 10 points for each correct answer. • 5 points for passed qn. • No negative points for incorrect answers .
  8. 8. Q1. Identify the blanks ( points only for correctly identifying all the 3) A B C
  9. 9. The Answer Is..
  10. 10. ANSWER
  11. 11. Q2. Identify this Disaccharide & give one use . C12H22O11
  12. 12. The Answer Is..
  13. 13. ANSWER • Lactulose
  14. 14. Q3. Identify A and name one analogue A
  15. 15. The Answer Is..
  16. 16. ANSWER • Glucagon Like Peptide 1 (GLP 1)
  17. 17. Q4. Identify this opportunistic pathogen in humans .
  18. 18. The Answer Is..
  19. 19. ANSWER • Isospora belli
  20. 20. Q5. Identify all the 3 symbols correctly ( No partial points) A B C
  21. 21. The Answer Is..
  22. 22. ANSWER IONISING RADIATION BIOHAZARD CHEMICAL WEAPON
  23. 23. Q6 . Identify this Instrument ?
  24. 24. The Answer Is..
  25. 25. ANSWER BODY PLETHYSMOGRAPH
  26. 26. Audience Qn. Identify this molecule which is an integral part of mammalian central nervous system.
  27. 27. The Answer Is..
  28. 28. ANSWER • GABA
  29. 29. ROUND 2 RADIOLOGY
  30. 30. Rules • 6 Questions • Each Question carries 10 points . • No negative points for any incorrect answers .
  31. 31. Q1. What is your Diagnosis ?
  32. 32. The Answer Is..
  33. 33. ANSWER PNEUMOPERICARDIUM
  34. 34. Q2. What is your Diagnosis ?
  35. 35. The Answer Is..
  36. 36. ANSWER POLY ARTERITIS NODOSA
  37. 37. Q3. What is your Diagnosis ?
  38. 38. The Answer Is..
  39. 39. ANSWER HORSESHOE KIDNEY
  40. 40. Q4. What is this sign called ? Identify the condition .
  41. 41. The Answer Is..
  42. 42. ANSWER  STRING SIGN  CROHN’S DISEASE
  43. 43. Q5. What is the radiological sign in this Chest X Ray ?
  44. 44. The Answer Is..
  45. 45. ANSWER CHILAIDITI SIGN
  46. 46. Q6.
  47. 47. The Answer Is..
  48. 48. ANSWER: coronary artery aneurysm in Kawasaki disease
  49. 49. Audience Qn . What is your diagnosis ?
  50. 50. The Answer Is..
  51. 51. ANSWER PERIVENTRICULAR PLAQUES : MULTIPLE SCLEROSIS
  52. 52. Audience Qn. What is this radiological feature called ? In which condition is it seen ?
  53. 53. The Answer Is..
  54. 54. ANSWER CORKSCREW ESOPHAGUS ACHALASIA CARDIA
  55. 55. ROUND 3
  56. 56. RULES • 6 Questions ( All the six are Images ) • 10 points for correct answer • 5 points for pass • No Negative points
  57. 57. Q1.Identify .
  58. 58. The Answer Is..
  59. 59. ANSWER • CUTANEOUS LARVA MIGRANS
  60. 60. Q2.Identify
  61. 61. The Answer Is..
  62. 62. ANSWER GEOGRAPHIC TONGUE
  63. 63. Q3.Look at the scalp of this boy. What’s your Diagnosis?
  64. 64. The Answer Is..
  65. 65. ANSWER • MENKES KINKY HAIR DISEASE
  66. 66. Q4.IMAGE OF LIVER IS SHOWN.GIVE YOUR DIAGNOSIS
  67. 67. The Answer Is..
  68. 68. ANSWER • DUBIN JOHNSON SYNDROME • BLACK LIVER
  69. 69. Q5. Which instrument is shown here ?
  70. 70. The Answer Is..
  71. 71. ANSWER • BIOTHESIOMETER
  72. 72. Q6.
  73. 73. The Answer Is..
  74. 74. ANSWER • ERYTHEMA GYRATUM REPENS • FIGURATE ERYTHEMA • PARANEOPLASTIC PROCESS
  75. 75. ROUND 4 New Drugs
  76. 76. Rules • Written Round (Write the answers clearly ) • 6 Questions • Each Question has 2 parts – (Mechanism of action & Primary use of the Drug) - Each carry 5 points .
  77. 77. Q1.
  78. 78. Q2.
  79. 79. Q3.
  80. 80. Q4.
  81. 81. Q5.
  82. 82. Q6.
  83. 83. EXCHANGE YOUR ANSWER SHEETS
  84. 84. Q1.
  85. 85. ANSWER • MOA - • Primary Use -
  86. 86. Q2.
  87. 87. ANSWER • MOA – • Primary Use -
  88. 88. Q3.
  89. 89. ANSWER • MOA - • Primary Use -
  90. 90. Q4.
  91. 91. ANSWER • MOA - • Primary Use -
  92. 92. Q5.
  93. 93. ANSWER • MOA – • Primary Use -
  94. 94. Q6.
  95. 95. ANSWER • MOA – • Primary Use -
  96. 96. ROUND 4 Instruments & Medications
  97. 97. Rules • 5 questions about the instrument /medication provided . • Each correct answer carries 5 points . • Time : 30 seconds • The team with the highest points get to choose the instruments first . • A bonus of 5 points if all the 5 answers are correct .
  98. 98. Pulse Oxyimeter
  99. 99. Normal Saline
  100. 100. Foley’s Catheter
  101. 101. Insulin Syringe
  102. 102. Intercostal Drainage Tube
  103. 103. Lumbar Puncture Needle
  104. 104. ROUND 5 History ,Examination & an Image ..
  105. 105. Rules • Open to all the 6 teams . • 30 points to each correct answer . • -10 for an Incorrect answer . •BUZZER ROUND
  106. 106. Q1. • A 60 year old man was brought to the hospital following a Road Traffic Accident & had minimal blood loss. • He was in hypotension for 3 days, but recovered after therapy with IV fluids, steroids, antibiotics & mannitol. • The CT image is shown below. • What is your diagnosis?
  107. 107. (CT Image with X-Ray)
  108. 108. The Answer Is..
  109. 109. ADDISONS DISEASE AURICULAR CALCIFICATION
  110. 110. Q2. • A 40 year old patient presents with backpain & lower limb weakness. • CSF study was done.
  111. 111. (CSF SAMPLE) 1.What is your diagnosis ? 2. What is the reason for the CSF finding ?
  112. 112. The Answer Is..
  113. 113. ANSWER • FROIN SYNDROME • HYPERCOAGULABILITY • XANTHOCHROMIA • HIGH PROTEIN LEVEL
  114. 114. Q3. • A 23 year old female presented with altered sensorium & seizures and is undergoing treatment in MICU . • On 7th day, she had rise in blood urea&serum creatinine. • Urine deposits showed the following
  115. 115. Q1 .What is seen in Urine deposits ? Q2 . What is the cause of increase in blood urea and serum creatinine ?
  116. 116. The Answer Is..
  117. 117. ANSWER • ACYCLOVIR CRYSTALS • Acute Kidney Injury due to Acyclovir
  118. 118. Q4. • A 45 year old male presented with hemoptysis & pain in left shoulder radiating to axilla. • O/E , there is atrophy of hand muscles. • The image of his face is shown (Image in the next slide)
  119. 119. 1. What is your diagnosis ? 2. What is the reason for this appearance ? Where is the site of lesion ?
  120. 120. The Answer Is..
  121. 121. ANSWER • PANCOAST TUMOUR • 2ND ORDER NEURON (Horner’s Syndrome)
  122. 122. Q5. • A 65 year old man with Type 2 DM is admitted with severe abdominal pain ,fever & vomiting . • RBS – 465 mg/dl • Urine Ketone - ++ • CT abdomen is shown (Image next slide )
  123. 123. (CT ABDOMEN)
  124. 124. The Answer Is..
  125. 125. ANSWER • Emphysematous Pyelonephritis
  126. 126. Q6. • A 12 year old child is brought to the hospital with abdominal pain and tiredness. • Examination of her blood revealed anemia. • Special staining of blood is given next
  127. 127. The Answer Is..
  128. 128. Answer • Golf ball cells • HbH disease
  129. 129. ROUND 6 Videos
  130. 130. Rules • 6 Questions • 20 points for each correct answer . • No negative points .
  131. 131. Q 1: DIAGNOSE
  132. 132. The Answer Is..
  133. 133. ANSWER • Magnetic Gait • FRONTAL LOBE APRAXIA • BRUNS ATAXIA • NPH
  134. 134. Q 2: DIAGNOSE
  135. 135. The Answer Is..
  136. 136. ANSWER • VENTRICULAR SEPTAL DEFECT • MEMBRANOUS PART
  137. 137. Q 3
  138. 138. The Answer Is..
  139. 139. ANSWER
  140. 140. Q 4: IDENTIFY
  141. 141. The Answer Is..
  142. 142. ANSWER • BIOPSY UREASE TEST
  143. 143. Q 5: DIAGNOSE
  144. 144. The Answer Is..
  145. 145. ANSWER • MITRAL VEGETATION
  146. 146. Q 6: IDENTIFY
  147. 147. The Answer Is..
  148. 148. ANSWER IS… • FISH
  149. 149. ROUND 7
  150. 150. RULES • 6 Questions • Open to all the 6 teams . • 2 clues for a Question – If answers correct in the 1st clue , 30 points & in the second clue ,20 points . • But if it goes wrong in the 1st clue , -10 points . • If it goes wrong in the second clue ,-15 points .
  151. 151. Question 1 : 1st clue (+30/-10) • I seem to be getting into too much trouble recently. • I got locked out of my office last week as the security system did not let me enter • Last week a policeman yelled at me for turning right instead of left at a traffic signal.
  152. 152. 2nd clue (+20/-15) • And I lost a lot of money for my bank while trading.
  153. 153. The Answer Is..
  154. 154. Answer • Gerstmann syndrome • Agraphia • Acalculia • Finger agnosia • Right-left confusion
  155. 155. Question 2: 1st clue ( +30/-10) • I just got back from a holiday in Thailand, where I spend a couple of weeks hanging around the beaches. • But other than a good tan, I found my libido wasn’t very good.
  156. 156. 2nd clue (+20/-15) • My doctor just told me I have developed diabetes too……..
  157. 157. The Answer Is..
  158. 158. ANSWER • Hemochromatosis
  159. 159. Question 3 : 1st Clue (+30/-10) • Last week I got into trouble in the train for unknowingly fondling a lady passenger. • I could see what I was doing, but somehow couldn’t pull back my hand.
  160. 160. 2nd Clue ( +20/-15) • I tried explaining my innocence, but of late my speech is broken and incoherent.
  161. 161. The Answer Is..
  162. 162. ANSWER • Cortical basal ganglial degeneration • Alien limb phenomenon
  163. 163. Question 4 : 1st Clue ( +30/-10) • My teachers say that my IQ is low and I was slow to start speaking, but that I am wonderful and witty at parties.
  164. 164. 2nd Clue (+20/-15) • I also have chest pain and fainting when I play football.
  165. 165. The Answer Is..
  166. 166. ANSWER • Williams syndrome • Hypercalcemia • Elfin facies • Cocktail party manner • Supravalvular aortic stenosis
  167. 167. Q5 . 1st clue (+30/-10) • Yesterday while sitting in class, I noticed a pink snake crawl towards me. • As it closed in on my face, I lost consciousness.
  168. 168. 2nd Clue (+20/-15) • My friends say that everytime I go blank, I clap my hands wildly
  169. 169. The Answer Is..
  170. 170. ANSWER • Complex partial seizures
  171. 171. Q6. 1st Clue ( +30/-10) • . Whenever I touch water, I have itching…………
  172. 172. 2nd Clue (+20/-15) • I thought it wasn’t serious, but my doctor has ordered genetic tests.
  173. 173. The Answer Is..
  174. 174. ANSWER • Polycythemia Vera

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