Trivial Diagnosis, The GOMECON 2018 Quiz

TRIVIAL DIAGNOSIS
THE UG MEDICAL QUIZ

Round 1
 The round consists of 6 Questions. Each question will be directed
towards a particular team. If answered wrongly or if unanswered, the
questions will pass clockwise.
 The round will have infinite bounce for e.g. If team 4 answers a
particular question correctly, the next question will be directed to the
next team i.e. team 5
 In addition, the round also allows Pounce i.e. the Team to whom the
question is directed must wait a duration of 30 seconds before they
give the answer. Within these 30 seconds, if any of the other teams
think they know the answer, they can write the answer on the piece of
paper provided and submit it to any of the volunteers. Only 1 pounce
per team per question allowed.
 Teams which have pounced cannot answer on the pass.
 Direct question: +10 for correct answer/0 for wrong answer
 Pass: +5 for correct answer/0 for wrong answer
 Pounce: +10 for correct answer/-5 for wrong answer

Q.1
 The term X got its origin from the Greek words
meaning ‘air keeper’.
 This stems from the ancient belief that the X
were windpipes, as the Greeks observed in a
dissected corpse.
 This belief surprisingly continued to be accepted
until the 17th century when it stood corrected by
William Harvey’s famous experiment. What is X?

Q.2
 “X:-The Extraordinary Story of a Wonder Drug” is a book by
Diarmuid Jeffreys. In the book he has associated X with the fall
of the Russian Empire. Alexei, son & heir of the last Czar, was
suffering from haemophilia & the doctors then prescribed him
X, not knowing that X can actually complicate events in patients
with haemophilia.
 In desperation, the Czarina called upon Rasputin who told her
to abandon the treatment. Without X, Alexei improved
symptomatically & Rasputin became close to the Royal family,
which is recognised as a significant factor in turning the
Russians against the Czar & in favour of the revolution.
 Identify X

Q.3
 In February 2018, the actor Irrfan Khan tweeted:-
 “Sometimes you wake up with a jolt with life shaking you
up.... Little had I known that my search for rare stories
would make me find a rare disease....”.
 The ‘rare disease’ he talks about has had many victims,
the most famous one being X.
 X, one of the most successful entrepreneurs in the world,
succumbed to this disease in 2011 in spite of claiming to
be cured after having received the most sophisticated
treatment available at that time.
 Who was X?

Steve Jobs
The disease being talked about is a neuroendocrine tumour.

Q.4
 In Latin, a X is a brooch that works
similar to the modern day
safety pin. X was used to fasten
fabrics together, such as when
wearing a tunic or toga.
 The anatomical structure X is so
named because it so closely
resembles the brooch mentioned
above.
 What anatomical structure is being
talked about?

Q.5
 Among the most commonly searched terms with X
on Google Search is Vitiligo.
 That’s probably because he is the most famous
person known have to suffered from it, and the
disease is rumoured to be responsible for a
number of his well-known quirks, like wearing a
single white glove, wearing full length clothing
and using lots of make up.
 Identify X

Q.6
 The instrument shown in the
picture was used as a racquet
in a sport which was the
forerunner of badminton and
tennis.
 The instrument, although now
obsolete, has lent it’s name to
a particular abnormality which
is seen to have a strong
association with perinatal
complications like foetal
distress, preterm labour and
intrauterine growth restriction.
 What is the abnormality being
described?

Q.1
 The auricular branch of the Vagus nerve is often termed as
the Y nerve. It supplies sensory innervation to the skin of
the ear canal, tragus, and auricle.
 It gets its name from the practice of stimulating this nerve
with hot or cold water to induce vomiting, often practiced
by a certain class of people who frequented various
parties around the city.
 What is Y?

Alderman’s Nerve
The Aldermen were elected members in the government of British towns
and cities.
They were known to frequent dinners and feasts and those who ate too
much would attempt to relive their gastric discomfort by attempting to
stimulate this nerve

Round 2
 6 questions on the buzzer
 +10 for every correct answer & -10 for every wrong
answer/not giving any answer inspite of buzzing.
 Questions will be read out, & if any team buzzes
while question is being read out, the QM will stop
reading the question & that team will have to have
give their answer.
 If any question goes unanswered or is answered
wrongly, it passes to the audience.

Teams, please test your buzzers!

Salvador Dali’s moustache sign

Mallampati Classification
(named after Dr. Seshagiri Mallampati)

Round 3
 6 cases will be given, one for each team, starting from the team with
the lowest score to the team with the highest. The team can choose
from the specialties available.
 Each case will have 2 questions. The first question will be directed to
that team and can only be answered by them. It will not pass to any
other team. If answered correctly, the team will get +10. No points
for wrong answer/no answer.
 If the team answers the 1st question correctly, they will be able to
attempt the 2nd question for an additional +20. No points for wrong
answer/no answer.
 The Team to whom the 2nd question is directed must wait a duration
of 30 seconds before they give the answer. During this time, other
teams may pounce for the 2nd question by writing on the paper
provided. They will get +40 for a correct answer but -40 for wrong
answer. Only 1 pounce per team per question allowed.

Specialties
 Gastro-intestinal disease
 Disease in pediatric age group
 Endocrine disease
 Neurological disease
 Orthopedic Disease
 Kidney and Urinary tract disease
Go to round 4

Gastro-intestinal disease
Q.1
 A 60-year-old woman presented to the emergency
department with upper abdominal pain.
 She gave history of chronic constipation, recurrent
abdominal pain, breathlessness on exertion for last 1 year
 On examination, any pathological respiratory findings
were not elicited. Her abdomen was mildly distended, but
no organomegaly, mass lesion or ascites were detected.
 CBC, LFTs & RFTs were within normal ranges. Patient’s BP,
ECG & ECHO findings were within normal limits.

 A chest X ray and CT scan performed and are shown
below.
 What is the most probable diagnosis?

Chilaiditi syndrome
 Anterior interposition of the colon to the liver reaching the under-surface of
the right hemidiaphragm with associated upper abdominal pain.
 X-ray shows gas between liver and diaphragm, and rugal folds within the gas
suggesting that it is within the bowel and not free.
 Return to specialties
 Go to bonus question

Safety Slide
Bonus question coming up!

Gastro-intestinal disease
Bonus
 Which of the following investigation is contraindicated in
this syndrome?
 A. Barium Enema
 B. Liver Biopsy
 C. Abdominal Ultrasound
 D. Exploratory Laparotomy

Liver Biopsy
Return to specialties

Disease in pediatric age group
Q.1
 A day old neonate presents with abdominal distension.
 Further questioning of the parents reveal that he has not
passed meconium stool since birth.
 Barium enema is done to investigate patient.

What is the most probable
diagnosis?
Case courtesy of Dr Hani Salam,
Radiopaedia.org, rID: 7570

Hirschsprung disease
 Go to Bonus question

Disease in pediatric age group
Bonus question
 Full thickness bowel resection is done.
 To confirm diagnosis, immunohistochemical staining of the
tissue is done for which enzyme?

Acetylcholinesterase

Endocrine disease
Q.1
 A 30 year old woman presents with failure of menses. She
also complains of fatigue, intolerance to cold and weight
gain over the past few months.
 On further questioning, she reveals that she had a
delivery 11 months ago which was complicated by severe
post partum haemorrhage. There was also history of
failure of lactation.
 On examination, bradycardia is noted

Sheehan syndrome

Endocrine disease
Bonus
 Sheehan syndrome is confirmed following biochemical
tests and MRI of the brain.
 What is the characteristic finding in MRI of the brain in
long standing cases of this condition?

Empty Sella

Neurological disease
Q.1
 A 40-year-old male presented with complains of
headache, generalised tonic clonic seizures, right-sided
hemiparesis & intermittent vomiting for last 4 months.
 On Physical examinations, he was disoriented with
bilateral papilledema.
 Brain CT scan revealed a large, well-defined cystic lesion
in the left fronto-parietal region with mass effect.
 The lesion was removed in toto by irrigating saline
between cyst wall and brain interface.

What is the most
probable diagnosis?
Histopathology of cyst

Hydatid Cyst

Neurological disease
Bonus
 On ultrasound, this
sign is produced due
to the irregular wavy
nature of the fluid
level produced by the
collapsed hydatid
membranes floating on
top of the residual
hydatid fluid.
 What is this sign
commonly known as?

Water lily sign

Orthopedic disease
Q.1
 A 23 year old lady presents with a progressive pain on the radial
aspect of her right hand. She admits that lately she spends a lot
of time using her smartphone and mainly uses instant messaging
apps.
 On examination, she has swelling over the dorsoradial aspect of
her right wrist. On palpation, she has some palpable thickening
in the same region and tenderness over the styloid process of
the distal radius.
 There is no vascular or neurological deficit. Radiographs do not
reveal any degenerative changes.

De Quervain’s tenosynovitis

Orthopedic disease
Bonus question
 In order to confirm the diagnosis, the examining physician
grasps the thumb and ulnar deviates the hand sharply.
 The patient recoils due to sharp pain along the distal
radius.
 This test is characteristic of De Quervain’s tenosynovitis.
 What is the test known as?

Finkelstein test

Kidney and urinary tract disease
Q.1
 21 year old male patient present with hematuria over the
past 2 days. He also gives history of hemoptysis over the
past 7 days. There is no history of sore throat in the past
month.
 Patient gives history of smoking for last 3 years.
 On examination: pulse is 90 beats/minute, BP 156/90 and
mild edema is seen over the face.
 Investigations reveal Serum creatinine and blood urea
nitrogen are raised above reference range.
 What is the most likely diagnosis?

Goodpasture syndrome

Kidney and urinary tract disease
Bonus question
 Goodpasture syndrome may progress to rapidly
proliferative glomerulonephritis (RPGN).
 What is the characteristic feature of Goodpasture
syndrome seen on immunofluorescence staining of kidney
biopsy that differentiates it from other precursors of
RPGN?

Linear deposits of IgG and C3

Q.1
 What is common to the following:-
 Rosalia Virus Disease[RVD]
 Rigellian Fever
 The Red Death
 Dragon Pox
 Irumodic Syndrome
 Torsonic Polarity Syndrome[TPS]

Fictional diseases from
movies/literature

Round 4
 The round consists of 6 Questions on the theme “Universal health
coverage: health for all”. Each question will be directed towards a
particular team. If answered wrongly or if unanswered, the questions
will pass anti-clockwise.
 The round will have infinite bounce
 In addition, the round also allows Pounce i.e. the Team to whom the
question is directed must wait a duration of 30 seconds before they
give the answer. Within these 30 seconds, other teams may pounce by
writing on the paper provided. Only 1 pounce per team per question
allowed.
 Teams which have pounced cannot answer on the pass.
 Direct question: +10 for correct answer/0 for wrong answer
 Pass: +5 for correct answer/0 for wrong answer
 Pounce: +10 for correct answer/-5 for wrong answer

Q.1
 HIV-AIDS is one of the biggest health problems of the
world, particularly so in the continent of Africa. Long
waiting times and congestion in the public healthcare
facilities is, thus, extremely common.
 In an effort to tackle this, the South African government
took a cue from the world of banking and has come up
with an innovative plan to distribute medicines efficiently
while saving a lot of time.
 What is it?

Q.2
 X is a leading Indian conglomerate with
interests in various sectors including energy,
transportation and other infrastructure. One
of its major and well known projects has been
the development of the Chatrapati Shivaji
International Airport during the last decade.
 X's biggest contribution to the field of
medicine has been an essential service, which
currently employs over 45,000 people over 15
states and 2 union territories, including Goa,
Maharashtra and Karnataka.
 What is X?

GVK EMRI 108 ambulance service

Q.3
 Launched on 14th April 2018 by Prime Minister Narendra Modi, X is a
program which aims to providing a service to create a healthy,
capable and content New India.
 It has two goals, one, creating a network of health and wellness
infrastructure across the nation to deliver comprehensive primary
healthcare services, and another is to providing insurance cover to at
least 40 per cent of India's population which is majorly deprived of
secondary and tertiary care services.
 It has defined benefit cover of ₨ 5 lakh per family per year and will
subsume the on-going centrally sponsored schemes - Rashtriya
Swasthya Bima Yojana (RSBY) and the Senior Citizen Health Insurance
Scheme (SCHIS).
 What is X?

Ayushman Bharat Yojana/
National Health Protection Scheme

Q.4
 We all know the importance of the Golden hour, defined
as the first hour after a traumatic injury, when emergency
treatment is most likely to be successful.
 Many states are now operating Two-wheeler ambulances
services to reach patients and victims stuck in congested
areas, especially in cities, where a four-wheeler finds it
difficult to navigate, especially during road accidents.
 Which state became the first to pilot a Two-wheeler
ambulance service, starting in 2015?

Q.5
 The Time magazine Person of the Year for 2014 was not
exactly a ‘person’, but a group of individuals from
organisations like MSF, Samaritan’s Purse, and a whole lot
of others who had no affiliation to any big organisation.
 In explaining this, the editor Nancy Gibbs says:
 “Not the glittering weapon fights the fight, says the
proverb, but rather the hero’s heart. Maybe this is true in
any battle; it is surely true of a war that is waged with
bleach and a prayer.”
 This refers to the bravery shown by these people in the
face of a poorly understood danger and scant resources.
 Who were these courageous people?

Q.6
 On April 12, 1955, the day X was declared “safe,
effective and potent,” legendary CBS newsman Edward R.
Morrow interviewed its creator Y and asked who owned
the patent.
 “Well, the people, I would say,” said Y in light of the
millions of charitable donations raised by the March of
Dimes that funded X’s research and field testing. “There is
no patent. Could you patent the sun?”
 Identify X or Y.

X- Salk Polio Vaccine
Y- Jonas Salk

Q
 X Medal is the one of the most prestigious honours that a
surgeon can receive for his work in his life-time. It was
named in the honour of X as he is responsible for saving
countless lives due to a certain novel technique he
employed in Surgery.
 Y, named after X, was invented in the 19th century as a
powerful surgical antiseptic. It was later sold in distilled
form as both a floor cleaner and a cure for gonorrhoea.
But it wasn’t a runaway success until the 1920s when it
was pitched as a solution for “chronic halitosis”.
 Identify X & Y.

Round 5
 Each team will be asked a total of 7 questions and they
will have to answer them within 90 seconds.
 There will be 1 question each on anatomy, physiology,
biochemistry, pathology, microbiology, pharmacology and
forensic medicine & toxicology.
 +10 for every correct answer & -5 for every wrong answer.
 Teams can say ‘Pass’ if they don’t know the answer & can
later attempt them again if time is remaining.
 Each team can answer 1 question once only.

Q.1
 In 1863, Italian chemist Angelo Mariani came up with a
healing tonic containing red wine treated with coca
leaves. Vin Mariani, as it was known, was a hit, as coca
leaves contain cocaine.
 Ads claimed the drink was endorsed by 8,000 doctors and
was ideal for "overworked men, delicate women, and
sickly children." It was enjoyed by Thomas Edison, Queen
Victoria, the Czar of Russia, Pope Saint Pius X, and Pope
Leo XIII, who even appeared in an ad for the tonic and
awarded it a gold medal.
 Vin Mariani sold briskly in the U.S., where it helped
inspire a certain John S. Pemberton to come up with a
similar product. What did it inspire?

Trivial Diagnosis, The GOMECON 2018 Quiz

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Similar to Trivial Diagnosis, The GOMECON 2018 Quiz

Similar to Trivial Diagnosis, The GOMECON 2018 Quiz (13)

More from Overlord QM

More from Overlord QM (11)

Recently uploaded

Recently uploaded (7)

Trivial Diagnosis, The GOMECON 2018 Quiz

Editor's Notes