Quiz conducted as part of GOMECON 2017 at Goa Medical College on 20th May 2017 Prepared by Fidha Hussain and team

1. MEDICOGNITIVE
QUIZ

3. GENERAL RULES
• TOTAL ROUNDS : 6
• You will get 10 sec to answer each question
• The more you stare at the questions, the more the
answer stares back at you.
• The decision of the quizmaster is FINAL.
Happy Quizzing!

4. “Again,
Quizmaster is my
Lord and I shall
listen to him and him
only and he shall
decide the fate of
my answers.”

5. IDENTIFY
THE
SYNDROME

6. INFINITE BOUNCE
• Total number of questions : 12
• Rule of Infinite Bounce
Eg:Assume the actual question is to team 1, the
question is passed until say team 4 answers.
The next question goes to team 5 and NOT
team 2.
• No NEGATIVES
• +10 for correct answer

7. 1. Abul Bajandar, 25 years old is the fourth man
in the world with a rare skin disorder caused by
a virus. Identify this condition.

8. EPIDERMODYSPLASIA
VERRUCIFORMIS/TREE MAN ILLNESS
It is is a rare, autosomal recessive inherited skin
disorder characterised by eruptions of wart-like
lesions caused by human papilloma virus.

9. 2. This is a condition that causes hostages to
develop a psychological alliance with their
captors as a survival strategy during captivity.

10. STOCKHOLM SYNDROME

11. 3. Identify this neuropsychiatric disorder , also called the “Walking
Corpse syndrome” in which a person believes they are dead or
missing their soul, organs, blood, or certain body parts.

13. 4. Coronal non contrast CT abdomen radiography showing a
patient suffering from this syndrome.Identify.

14. BODYPACKER SYNDROME

15. 5. A characteristic "delta wave" wave seen
in a person with this syndrome showing
the presence of an abnormal accessory
electrical conduction pathway.Identify.

16. WOLFF–PARKINSON–WHITE
SYNDROME

17. 6. This syndrome is a potentially fatal illness caused
by a bacterial toxin . Symptoms include high fever,
low SBP and macular erythroderma. It has been
linked to superabsorbent tampon use in
menstruating women . Identify.

18. TOXIC SHOCK SYNDROME(TSS)

19. 7. Identify this syndrome which develop after
surgery where ingested foods pass through
the stomach very rapidly and enter the small
intestine largely undigested.

20. DUMPING SYNDROME

21. 8. Also called cerebrohepatorenal syndrome, this
is a rare congenital defect characterized by the
reduction or absence of functional peroxisomes in
the cells of an individual.

22. ZELLWEGER SYNDROME

23. 9. Lizzie Velasquez, recently cruelly mocked for her
appearance by cyber bullies came in the news. This
is an autosomal dominant disorder that involves a
mutation to the gene that makes fibrillin. Identify the
syndrome.

24. MARFANS SYNDROME

25. 10. Name the syndrome characterized
by asymmetric sweating and flushing on
the upper thoracic region of the chest, the
neck, and the face.

26. HARLEQUIN SYNDROME

27. 11.This is a growth disorder characterised by IUGR, short
stature,clinodactyly, triangular shaped face with a small
jaw and a pointed chin.

28. RUSSELL-SILVER SYNDROME

29. 12.Autosomal dominant genetic disorder
also known as a branchial arch syndrome

30. CROUZON SYNDROME

31. AUDIENCE QUESTION
Identify.

32. Stevens–Johnson syndrome

34. GERIATRICS

35. POUNCE
• Questions shall be asked to each team in
sequence.
• Other teams are allowed to “pounce” on the
question (by raising a hand)until 10 seconds after
it has been asked.
• Teams pouncing shall write down the answer on
a piece of paper ,they shall NOT read the answer
aloud
• +10 for each correct answer
• -5 for each wrong answer

36. 1.This cataract is seen in which medical
condition?

37. SNOW STORM CATARACT =
DIABETES MELLITUS

38. 2.These are abnormal aggregates of protein that
develop inside nerve cells in Parkinson’s disease
identified under the microscope on brain
histology .

39. LEWY BODIES

40. 3.Identify the abnormal finding which is one of
the hallmarks of pre-proliferative retinopathy

41. COTTON WOOL SPOTS

42. 4.Identify the drug

43. SILDENAFIL

44. 5.When is the International Day of Older
Persons celebrated every year?

45. 1ST
OCTOBER

46. What are these hard or bony swellings that
develop in the distal interphalangeal joints called,
which is a sign of osteoarthritis?

47. HEBERDEN’S NODES

49. PAGE 3

50. 1.Salaam bhaai!
Name the medical condition he
suffers from for which carbamazepine
is the drug of choice.

51. TRIGEMINAL NEURALGIA

52. 2.Name the condition which
she suffers in which
butterfly-shaped malar rash
is a characteristic feature
noted in diagnostic criteria.

53. SLE

54. 3.Name the drug referred to
as the “Mickey Finn” the
overdose of which caused the
untimely death of this beauty

55. CHLORAL HYDRATE

56. 4. Dr. _____ , an alumnus of John
Hopkin’s Medical School and
University of Michigan medical school,
has double speciality in infectious
diseases and nephrology. He is well-
known for his excellence in making
uncommon diagnoses. Some critics
have pointed out that he is psychiatric
and suffers from Messiah complex and
Rubik’s complex. He was in news
when his patient, President Dibala, the
African dictator succombed to death.
Who?

57. Dr. Gregory House

58. 5.Name the cardiac poison
“wolfsbane” which killed King
Joffrey Baratheon, a popular
Game of Thrones character.

59. Aconite

60. 6.What do they have in
common?

61. All the authors are doctors

62. Amitabh Bachchan is newly
appointed as the WHO Goodwill
Ambassador for a disease, himself
being a sufferer of the same
disease.Identify the disease.
AUDIENCE QUESTION

63. HEPATITIS B

65. JUST
TRIVIA

66. INFINITE BOUNCE
• Total number of questions : 12
• Rule of Infinite Bounce
Eg:Assume the actual question is to team 1, the
question is passed until say team 4 answers.
The next question goes to team 5 and NOT
team 2.
• No NEGATIVES
• +10 for correct answer

67. 1.Pink ribbon : Breast
Cancer
Blue ribbon : Diabetes
Red ribbon : HIV/AIDS
Orange ribbon : ??

68. Malnutrition

69. 2. X is a company first introduced in 1898
was named after Y(enzyme) and kola(nuts).
In 1931 the company entered bankruptcy
and changed hands. The new owners
changed the recipe to resemble more Coca-
Cola.
Identify X & Y.

70. X- Pepsi-cola
Y- Pepsin

71. 3.X was incurable, but people could live for
long with the disease (unlike the cases of
other epidemics). Since X was found
infectious its stigma has been universal,
and has been present in all parts of the
world where X was present. In Europe, a
person suffering from X would carry a
clapper and bell to warn of his approach.

72. Leprosy

73. 4.Tokophobia is the fear of
____________

74. Fear of pregnancy and childbirth

75. 5.A bitter tasting substance X was added to
Tonic water(beverage) as a prophylactic
against the disease Y. Tonic water was
originally intended for consumption in
tropical areas of South Asia and Africa
where that disease is endemic. Originally,
no sugar was added. Most tonic water today
contains a less significant amount of X , so
the taste is much milder.

76. X- quinine
Y - malaria

77. 6.X is a type of nicotine poisoning caused
by the dermal absorption of nicotine from
the surface of wet tobacco plants. The
symptoms include vomiting, headache and
fluctuations in blood pressure and heart
rate. These may be so severe as to
require emergency medical treatment.

78. Green tobacco sickness

79. Identify.
AUDIENCE QUESTION

80. Breast implants

81. X was a severe epidemic 1557-’58 that
caused the death of Y allowing her
younger half sister to ascend the throne. X
was also known as the ‘sweating sickness
’
Give X and Y.
AUDIENCE QUESTION

82. • X – ‘INFLUENZA’ also
known as the sweating
sickness.
• Y – MARY TUDOR better
known as “Bloody Mary”
whose younger half sister
queen Elizabeth ascended
the throne as she had no
children of her own.

83. AUDIENCE QUESTION
• Beriberi is a sickness caused by extreme
deficiency of vitamin B1, thiamine. X(staple
food of people from southern asia) is in
general poor source of vitamins, but it
completely lacks thiamine. During research
on the beriberi causes Polish biochemist,
Kazimierz Funk discovered thiamine, the first
vitamin B1.
IDENTIFY X.

84. White rice

86. CLINICAL
ROUND

87. Rules
• Each case has two questions. Only if the team answers
the first question, they are eligible to attempt the second
question.
• If any team fails to answer the first question correctly, the
question is open for other teams. The other teams may
make an attempt by writing the answer in the chits
provided.
• Those teams who answer the first question correctly are
eligible to make an attempt to answer the second
question of that case.
• Correct answer to each question will earn the team 15
points. Thus, each case carries a total score of 30
points.
• The questions should be answered within 30 sec after
the question has been read.

88. Case 1
• 9 year old boy with hepatosplenomegaly and the shown bone
marrow picture was treated with a second line drug which
caused palpitations and muscle pain.
1.A) What is the Diagnosis?

89. • Answer:
Kala Azar
Hepatosplenomegaly
LD bodies

90. • Which of the following is the ECG pattern that will
be seen in this patient due to the administered
drug?
a) d)
b)
c)

91. • Answer:
a) Hypokalemia
Amphotericin B induced Hypokalemia

92. Case 2
A 19 year old man has a history of recurrent mucoid
rhinorrhea with chronic sinusitis and otitis media since
childhood. He has experienced multiple bouts of
pneumonia.
O/E: T-37.7 degrees Celsius RS: Rhonchi +,
Rales +
Rhinoscopy: Nasal Polyps +
Chest Xray is shown:
2.a) What is the diagnosis?

93. • Answer:
Kartagener’s Syndrome
 Dextrocardia, Bronchial dilatation, Focal
atelectasis, other clinical features

94. • 2.b)Which is the most likely abnormality?
I. alpha 1 antitrypsin deficiency
II.Atopy
III.Chloride ion channel dysfunction
IV.Ciliary dyskinesia

95. • Answer:
• IV) Ciliary Dyskinesia- Kartageners Syndrome

96. Case 3
• A 50 year old man presented to emergency department
with abdominal bloating, nausea, vomiting and no bowel
movement. Past surgical history is significant for
appendicectomy done as a young adult.
O/E: Vitals Stable
P.A: Distended,
decreased Bowel Sounds
No rebound tenderness
Xray Abdomen shown:
3.a) Identify radiological
Feature X

97. • Answer:
Valvulae conniventes

98. • Which of the following statements are
correct?
i. There is large bowel obstruction
ii.There is small bowel obstruction
iii.There are signs of vascular compromise
iv.CT abdomen is unnecessary

99. • Answer:
Small bowel Obstruction

100. Case 4
• A 25 year old male gives history of sudden redness, photophobia
and mild dimunition of vision for past 3 days. H/O lower backache
for past 1 year.
O/E: Circumcorneal congestion +
Deep AC, Cells 2+
Cornea: few Keratic precipitates +
IOT: normal
Other eye: Normal
X ray Pelvis is as shown:
4.a) What does the Xray Show?

101. • Answer: Sacroilitis
Sclerosis and partial ankyloses seen.
Grade 2-3

102. • 4.b) The patient is most likely suffering from?
i. Acute attack of angle closure glaucoma
ii.HLA B27 related anterior uveitis
iii.JRA induced uveitis
iv.Herpetic keratits

103. • Answer:
HLA B27 related anterior uveitis

104. Case 5
13 year old boy is referred for evaluation of nocturnal
enuresis and short stature.
O/E: BP normal, No systemic findings
Investigations:
Hb- 8g% Urea 112mg% Creatinine 6mg%
Na 119mEq/l K 4mEq/l Ca 7mg%
PO4 6mg% ALP 300IU/l
Urine: Proteins trace, hyaline casts,
no RBC/WBC
USG: B/L small kidneys, hyperechoic
5.a) What is the diagnosis?

105. • Nephronophthisis
Urinary concentration defects
Anaemia
B/L small kidneys

106. 5.b)Which of the following is true about pre
renal AKI?
i.FENa >1g%
ii.BU/SC ratio is raised in comparision to renal
AKI
iii.Urinary osmolality is less compared to renal
AKI
iv.Specific gravity is less as compared to renal
AKI

107. • Answer: b) urea absorption is hampered in
intrinsic renal type, and not in pre-renal AKI

108. Case 6
• A 30 years old man presents with H/o Heart burn. ECG and
biopsy from the suspicious lesion obtained by upper GI
endoscopy is shown below.
6.a) What is the diagnosis?

109. Normal ECG
Dysplastic changes in G-E junction
Barrett’s Esophagus

110. 6.b)Which special stain would you use for
confirmation?
a)AgNO3
b)Mucin stain
c)Keratin Stain
d)None of the above

111. • Answer: Mucin Stain

112. Case 7
• A 75 year old man, old case of Pulmonary TB and a chronic
smoker for 20 years came with fever, recurrent pulmonary
infections and copious foul smelling discharge was
admitted to the dept of pulmonary medicine. He died
within 4 days. On autopsy, the lung specimen showed
presence of airways that could be traced to the pleural
surface.
• 7.a) What is the diagnosis?

113. • Answer: Bronchiectasis
Airways are dilated 3-4 times the normal size
Cystic spaces on cut section
Affects the lower lobes, bilateral.( confined to
one segment in obstruction)
Most severe involvement are found in distal
bronchi & bronchioles
Bronchioles can be traced upto pleura
( normally can be traced only upto 2-3cms
away from pleura)

114. 7.b) Which of the following is false about
Bronchiectasis?
I.Amyloidosis is a possible complication
II.Coarse leathery rales are characteristic
III.Total Lung Capacity is significantly decreased
IV.Clubbing is common

115. • Answer:
• C) Not a feature of obstructive lung disease

116. Case 8
• 1 year old boy presented to OPD with irritability
and delayed milestones.
O/E: Generalised lymphadenopathy
Seborrheic Dermatitis present
in the scalp
Hepatosplenomegaly
Exophthalmos +
Skull Xray is as shown:
8.a)What is the diagnosis?

117. • Histiocytosis X
Solitary lytic lesion
Dermatological manifestations
HSM
Exophthalmos

118. 8.b) Which of the following is a characteristic
feature of histiocytes in liver and bone marrow
biopsy?
I.Birbeck Granules in cytoplasm
II.Myelin figures in cytoplasm
III.Parallel rays of tubular structures in
lysosomes
IV.Electron dense deposits in mitochondria

119. • Answer: Birbeck Granules

120. Case 9
For a child with ataxia,
hypotonia, irregular eye
movements; consider this
MRI picture
9.a) Identify the sign

121. • Answer: Molar tooth sign
• 9.b) What is the diagnosis?
McCune Albright Syndrome
SMA
Prader willi syndrome
Joubert Syndrome

122. • Answer: Joubert Syndrome
Autosomal Recessive
Hypotonia, Abnormal eye movements,
Ataxia
Failure of decussation of superior cerebellar
peduncles

123. Case 10
• A patient suffered from MI 8 days back. He has recently
developed shortness of breath, more on lying down; and a
constricting chest pain.
O/E: JVP is raised. BP:84/54 mm Hg. Tachycardia, pulsus
paradoxus
CVS: Heart sounds soft, muffled
RS: B/L scattered fine crepts at the bases
ECG and CXR is as shown.
10.a) What is the diagnosis?

124. • Answer:
Cardiac Tamponade: Beck’s triad, electrical alternans, CXR
findings
10.b) A patient developed Pericardial effusion 2 days after
MI
Assertion: This could be because of Dresslers syndrome
Reasoning: Autoimmune damage in Dresslers syndrome can
cause pericarditis and effusion
Which is true?
I. Assertion and reasoning, both are true & reasoning is the
correct explanation for A
II. Assertion and reasoning, both are true & reasoning is not
the correct explanation for A
III.Assertion is true, Reasoning is false
IV.None of the above

125. • Answer: d
Dresslers syndrome occurs after >1 week of MI,
hence assertion is false

126. Case 11.

129. BUZZER ROUND
• +10 for each correct answer
• -20 for each incorrect answer

130. 1.What is this sign known as ?
( Gallium 67 scan)

131. • PANDA’S SIGN ( SARCOIDOSIS)

132. 2.Ventricular septal defect (VSD) is
the most common congenital heart
defect, what condition is it most likely to
be associated with?

133. Fetal alcohol syndrome

134. 3.Identify the condition

136. 4.Which drug is the only one to
undergo phase II metabolism before
first?

137. Isoniazid (INH)

138. 5.Name the feature depicted and
the condition in which it is seen

139. • WHITE FORELOCK
• WAARDENBURG SYNDROME

140. 6.Parkinsonism like features are
evident in surviving patients of which
poisoning?

141. Carbon monoxide poisoning

142. 7.The feature shown on this X-
ray is seen in which condition?

143. • β THALASSEMIA

144. 8.Before onset of puberty , the
GnRH neurons are under the
inhibitory control of which
neurotransmitter?

145. GABA

146. 9.What is this X Ray feature
known as and the condition in
which it is seen?

148. • BAMBOO SPINE
• ANKYLOSING SPONDYLITIS

149. 10.Identify this opportunistic
pathogen in humans .

150. Isospora belli

151. Q11.2What is your
Diagnosis ???

152. Polyarteritis nodosa
POLY ARTERITIS
NODOSA

153. 12.Identify this sign and the
condition in which it is seen.

154. STRING SIGN
CROHN’S
DISEASE