Jeopardy block 4

1. Jeopardy!
10/15/2018

2. Case Reports Specialty Talks Clinic Didactic Inpatient
Curriculum
MKSAP
Specials
$100 $100 $100 $100 $100
$200 $200 $200 $200 $200
$300 $300 $300 $300 $300
$400 $400 $400 $400 $400
$500 $500 $500 $500 $500

3. Answer
What is this?

4. Granuloma

5. Answer
How many categories are there of lupus
nephritis?

6. 6

7. Answer
This drug is a cause of both urine and skin
discoloration as well as hemolytic anemia

8. Phenazopyridine

9. Answer
This is the prevalence of H. Pylori in the
United States (within +/-5%)

10. 35%

11. Answer
What percent of medications prescriptions
are taken properly?

12. 25 – 30%

13. Answer
The difference between ordering
a medication STAT vs NOW?

14. None

15. Answer
Name the diagnosis
Dr. Holm – Decompression Illness

16. Arterial gas embolism (AGE)

17. Answer
Which DOAC has clinical trials that support a
decrease in both stroke and all-cause
mortality compared to warfarin?
Dr. Woo – Anticoagulation

18. Apixaban

19. Answer
What is the most common cause of an S4
extra heart sound?
Dr. Gabriel – Cardiac Exam

20. S3 – heart failure
S4 - hypertension

21. Answer
Name 4 oral agents that can be used for the
outpatient treatment of community acquired
MRSA infection.
Dr. Wang – Outpatient SSTI

22. Bactrim
Doxycycline
Clindamycin
Linezolid
Rifampin

23. Answer
PHQ9 Score Rage Associated with Moderate
Depression

24. 15 - 19

25. Answer
Conditions in environment in which people
are born, live, learn, work, play and worship
that can impact their health, quality of life,
and outcomes.

26. Social Determinants Of Health
(SDOH)

27. Answer
How do you determine when get x-ray in
knee trauma

28. Ottawa knee rules:
Age ≥55 years
Isolated tenderness of patella (with no other bony tenderness of the knee)
Tenderness at the head of the fibula
Inability to flex the knee to 90 degrees
Inability to bear weight both immediately and in the emergency department for four steps, regardless
of limp (ie., unable to transfer weight onto each lower limb two times)

29. Answer
How many levonorgestrel-releasing FDA-
approved IUDs

30. 4

31. Answer
What are 2+ birth control options for a female
who has had a DVT

32. IUD of any type.
Implanon
Progesterone-only pill
Depo-Provera
Barrier methods (other options better!)

33. Answer
A patient presents with AKI, fever, rash, and
eosinophilia. What is the treatment?
What is the treatment if the first line
treatment doesn’t work?
Dr. Aldana – AKI

34. The diagnosis is AIN.
To treat, remove the offending drug or treat
the underlying cause.
If not improving, consider treatment with
steroids.

35. Answer
What are 2 essential diagnostic tests to
perform on patients presenting with
syncope?
Dr. Philander – Syncope

36. EKG – assess for bradycardia, AV block, SVT
Orthostatic vital signs
Consider TTE if concern for structural heart
disease, Holter if concern for arrhythmia,
review medication list

37. Answer
Name 3 antibiotics that are high risk for
causing C diff colitis?
Dr. Slade – C diff

38. 3rd/4th generation cephalosporins
Fluoroquinolones
Clindamycin
Carbapenems

39. Answer
Name at least 1 medication for the treatment
of vasovagal and orthostatic syncope.
Dr. Philander – Syncope

40. Midodrine
Fludrocortisone
Can also recommend increasing fluid and salt
intake.

41. Answer
Name 4 risk factors for the development of C
diff colitis.
Dr. Slade – C diff

42. Antibiotic use
Prolonged antibiotic use
CKD, ESRD
HIV
Immunocompromised
Inflammatory bowel disease
Tube feeds
Prior GI surgery
PPI use

43. Answer
This medication is considered the anchor
drug for lupus and may be the only drug
needed in mild disease.
Lupus Diagnosis and Treatment

44. Hydroxychloroquine

45. Answer
A patient with lupus presents with joint pain,
rash, and mild leukopenia.
What dose of prednisone would be
appropriate to treat this patient?
Lupus Diagnosis and Treatment

46. These symptoms are consistent with a mild
flare of lupus. A dose of prednisone
20-40 mg/day would be appropriate.

47. Answer
What are the two most common causes of
primary adrenal failure?
Primary Adrenal Insufficiency

48. Autoimmune adrenalitis 70-80% of cases
(most patients have a history of other
autoimmune disease)
Tuberculosis 7-20% of cases

49. Answer
You suspect a patient has adrenal
insufficiency. Their 8 AM basal cortisol level is
8. What is the next step in diagnosis?
Primary Adrenal Insufficiency

50. If 8 AM cortisol is 5-12, perform ACTH
(cosyntropin) stimulation testing.
A normal response results in a peak serum
cortisol level > 20.
A suppressed response is consistent with
adrenal insufficiency.

51. Answer
What two non-steroid medications are
generally used for the treatment of lupus
nephritis?
Lupus Management

52. Mycophenolate if class 2-4 nephritis
Cyclophosphamide if severe nephritis