This document provides information about a medical quiz being organized by EKTHA, the Students' Union of Kottayam Medical College, in association with SMRITHI. The quiz will have 9 rounds testing knowledge in various medical disciplines like basic sciences, radiology, images, new drugs, instruments and medications. It provides the rules and sample questions for the first 4 rounds covering basic sciences, radiology, images and new drugs.

1. WELCOME
TO
KOTTAYAM MEDICAL COLLEGE

2. QUIZ MASTER
Dr.HARIKRISHNAN VG
(Infectious Diseases Unit ,
Govt.Medical College , Kottayam)

3. 60 SECONDS TO
DIAGNOSIS
Dr. Harikrishnan V G

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. 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)

7. ROUND 1
BASIC SCIENCES

8. Rules
• 6 Questions ( in a clockwise manner )
• 10 points for each correct answer.
• 5 points for passed qn.
• No negative points for incorrect answers .

9. Q1. Identify the blanks ( points only for
correctly identifying all the 3)
A
B
C

10. The Answer Is..

11. ANSWER

12. Q2. Identify this Disaccharide & give one use
.
C12H22O11

13. The Answer Is..

14. ANSWER
• Lactulose

15. Q3. Identify A and name one analogue
A

16. The Answer Is..

17. ANSWER
• Glucagon Like Peptide 1 (GLP 1)

18. Q4. Identify this opportunistic pathogen
in humans .

19. The Answer Is..

20. ANSWER
• Isospora belli

21. Q5. Identify all the 3 symbols correctly
( No partial points)
A B C

22. The Answer Is..

23. ANSWER
IONISING
RADIATION
BIOHAZARD CHEMICAL
WEAPON

24. Q6 . Identify this Instrument ?

25. The Answer Is..

26. ANSWER
BODY PLETHYSMOGRAPH

27. Audience Qn.
Identify this molecule which is an
integral part of mammalian central
nervous system.

28. The Answer Is..

29. ANSWER
• GABA

30. ROUND 2
RADIOLOGY

31. Rules
• 6 Questions
• Each Question carries 10 points .
• No negative points for any incorrect
answers .

32. Q1. What is your Diagnosis ?

33. The Answer Is..

34. ANSWER
PNEUMOPERICARDIUM

35. Q2. What is your Diagnosis ?

36. The Answer Is..

37. ANSWER
POLY ARTERITIS NODOSA

38. Q3. What is your Diagnosis ?

39. The Answer Is..

40. ANSWER
HORSESHOE KIDNEY

41. Q4. What is this sign called ?
Identify the condition .

42. The Answer Is..

43. ANSWER
 STRING SIGN
 CROHN’S DISEASE

44. Q5. What is the radiological sign in this
Chest X Ray ?

45. The Answer Is..

46. ANSWER
CHILAIDITI
SIGN

47. Q6.

48. The Answer Is..

49. ANSWER: coronary artery aneurysm in
Kawasaki disease

50. Audience Qn .
What is your diagnosis ?

51. The Answer Is..

52. ANSWER
PERIVENTRICULAR PLAQUES : MULTIPLE SCLEROSIS

53. Audience Qn.
What is this radiological feature called ?
In which condition is it seen ?

54. The Answer Is..

55. ANSWER
CORKSCREW ESOPHAGUS
ACHALASIA CARDIA

57. ROUND 3

58. RULES
• 6 Questions ( All the six are Images )
• 10 points for correct answer
• 5 points for pass
• No Negative points

59. Q1.Identify .

60. The Answer Is..

61. ANSWER
• CUTANEOUS LARVA MIGRANS

62. Q2.Identify

63. The Answer Is..

64. ANSWER
GEOGRAPHIC TONGUE

65. Q3.Look at the scalp of this boy.
What’s your Diagnosis?

66. The Answer Is..

67. ANSWER
• MENKES KINKY HAIR DISEASE

68. Q4.IMAGE OF LIVER IS SHOWN.GIVE
YOUR DIAGNOSIS

69. The Answer Is..

70. ANSWER
• DUBIN JOHNSON SYNDROME
• BLACK LIVER

71. Q5. Which instrument is shown here ?

72. The Answer Is..

73. ANSWER
• BIOTHESIOMETER

74. Q6.

75. The Answer Is..

76. ANSWER
• ERYTHEMA GYRATUM REPENS
• FIGURATE ERYTHEMA
• PARANEOPLASTIC PROCESS

77. ROUND 4
New Drugs

78. 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 .

79. Q1.

80. Q2.

81. Q3.

82. Q4.

83. Q5.

84. Q6.

85. EXCHANGE YOUR ANSWER SHEETS

86. Q1.

87. ANSWER
• MOA -
• Primary Use -

88. Q2.

89. ANSWER
• MOA –
• Primary Use -

90. Q3.

91. ANSWER
• MOA -
• Primary Use -

92. Q4.

93. ANSWER
• MOA -
• Primary Use -

94. Q5.

95. ANSWER
• MOA –
• Primary Use -

96. Q6.

97. ANSWER
• MOA –
• Primary Use -

99. ROUND 4
Instruments & Medications

100. 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 .

101. Pulse Oxyimeter

102. Normal Saline

103. Foley’s Catheter

104. Insulin Syringe

105. Intercostal Drainage Tube

106. Lumbar Puncture Needle

108. ROUND 5
History ,Examination & an Image ..

109. Rules
• Open to all the 6 teams .
• 30 points to each correct answer .
• -10 for an Incorrect answer .
•BUZZER ROUND

110. 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?

111. (CT Image with X-Ray)

112. The Answer Is..

113. ADDISONS DISEASE
AURICULAR CALCIFICATION

114. Q2.
• A 40 year old patient presents with backpain
& lower limb weakness.
• CSF study was done.

115. (CSF SAMPLE)
1.What is your diagnosis ?
2. What is the reason for the CSF
finding ?

116. The Answer Is..

117. ANSWER
• FROIN SYNDROME
• HYPERCOAGULABILITY
• XANTHOCHROMIA
• HIGH PROTEIN LEVEL

118. 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

119. Q1 .What is seen in Urine deposits ?
Q2 . What is the cause of increase in blood urea and
serum creatinine ?

120. The Answer Is..

121. ANSWER
• ACYCLOVIR CRYSTALS
• Acute Kidney Injury due to Acyclovir

122. 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)

123. 1. What is your diagnosis ?
2. What is the reason for this appearance ? Where is
the site of lesion ?

124. The Answer Is..

125. ANSWER
• PANCOAST TUMOUR
• 2ND ORDER NEURON (Horner’s Syndrome)

126. 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 )

127. (CT ABDOMEN)

128. The Answer Is..

129. ANSWER
• Emphysematous Pyelonephritis

130. 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

132. The Answer Is..

133. Answer
• Golf ball cells
• HbH disease

134. ROUND 6
Videos

135. Rules
• 6 Questions
• 20 points for each correct answer .
• No negative points .

136. Q 1: DIAGNOSE

137. The Answer Is..

138. ANSWER
• Magnetic Gait
• FRONTAL LOBE APRAXIA
• BRUNS ATAXIA
• NPH

139. Q 2: DIAGNOSE

140. The Answer Is..

141. ANSWER
• VENTRICULAR SEPTAL DEFECT
• MEMBRANOUS PART

142. Q 3

143. The Answer Is..

144. ANSWER

145. Q 4: IDENTIFY

146. The Answer Is..

147. ANSWER
• BIOPSY UREASE TEST

148. Q 5: DIAGNOSE

149. The Answer Is..

150. ANSWER
• MITRAL VEGETATION

151. Q 6: IDENTIFY

152. The Answer Is..

153. ANSWER IS…
• FISH

155. ROUND 7

156. 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 .

157. 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.

158. 2nd clue (+20/-15)
• And I lost a lot of money for my bank while
trading.

159. The Answer Is..

160. Answer
• Gerstmann syndrome
• Agraphia
• Acalculia
• Finger agnosia
• Right-left confusion

161. 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.

162. 2nd clue (+20/-15)
• My doctor just told me I have developed
diabetes too……..

163. The Answer Is..

164. ANSWER
• Hemochromatosis

165. 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.

166. 2nd Clue ( +20/-15)
• I tried explaining my innocence, but of late my
speech is broken and incoherent.

167. The Answer Is..

168. ANSWER
• Cortical basal ganglial degeneration
• Alien limb phenomenon

169. 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.

170. 2nd Clue (+20/-15)
• I also have chest pain and fainting when I
play football.

171. The Answer Is..

172. ANSWER
• Williams syndrome
• Hypercalcemia
• Elfin facies
• Cocktail party manner
• Supravalvular aortic stenosis

173. 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.

174. 2nd Clue (+20/-15)
• My friends say that everytime I go blank, I clap
my hands wildly

175. The Answer Is..

176. ANSWER
• Complex partial seizures

177. Q6. 1st Clue ( +30/-10)
• . Whenever I touch water, I have itching…………

178. 2nd Clue (+20/-15)
• I thought it wasn’t serious, but my doctor has
ordered genetic tests.

179. The Answer Is..

180. ANSWER
• Polycythemia Vera