Jeopardy block 5

1. Jeopardy!
November 8, 2018

2. Case Reports Specialty Talks Morning Conference Clinic Didactic From the Depths of the ITE
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3. Answer
What percentage of all in-hospital patients
directly survive a code resuscitation?
Ajeto

4. 40%

5. Answer
A SAAG Greater than this number strongly
suggests portal HTN
Sidney MS3

6. 1.1

7. Answer
Characteristic RBC finding on smear for
patient with cold AIHA
Au

8. RBC Aggregation

9. Answer
This Classic Triad
Encephalopathy
Oculomotor dysfunction
Gait ataxia
Denardin

10. Wernicke's Encephalopathy

11. Answer
HBsAg -
HBsAb +
HBcAb -
Opheim

12. Immune - Vaccinated

13. Answer
Before surgery, a patient at elevated risk for
major adverse cardiac events can proceed to
surgery without further testing if they can
demonstrate the ability to do what physical
activities? Name 2.
Pre-Op Evaluation – Dr. Longo

14. Walking 4 mph on flat ground (15 min/mile)
Walking up a flight of stairs
Walking up a hill
Heavy cleaning

15. Answer
Current guidelines for the treatment of acute
pancreatitis state that enteral nutrition
should be started within what time period in
acute pancreatitis?
Acute Pancreatitis – Dr. Kozarek

16. Within 48 hours of presentation
This is based on a systemic review of 11 trials
which showed early refeeding (< 48 hours)
compared to delayed feeding had no increase
in adverse events.
Link here.

17. Answer
What are the diagnostic criteria for COPD
using spirometry?
PFTs – Dr. Horan

18. FEV1/FVC < 0.7
FEV1 < 80% predicted
Incompletely reversible after inhaled
bronchodilator

19. Answer
On a CXR ordered to check placement of a
nasogastric tube placed for decompression,
where should the NG tip and side port be
anatomically located?
Lines, Tubes, and CXR – Dr. Smith

20. Both the tip and side port should be located
below the GE juntion

21. Answer
An 18 year old patient diagnosed with HIV
should be vaccinated for Pneumococcal
pneumonia on what timeline and with which
Pneumococcal vaccine?
HIV – Dr. Malhotra

22. Any HIV infected person older than 2 years old
should be vaccinated against Pneumococcus.
PCV-13 first
PPSV-23 at least 8 weeks later
PPSV-23 booster 5 years after initial dose
UpToDate Reference

23. Answer
Iron is absorbed in the [Blank], so patients
with celiac dx, inflammatory bowel dx or
surgical resection can experience iron
malabsorption.

24. Proximal Small Bowel

25. Answer
For pt with CKD, erythropoiesis stimulating
agents should be initiated for Hg < 10, but Hg
concentrations should not exceed [Blank]

26. 11.5

27. Answer
Patients with HCM have an annual incidence
of death of [Blank]%, predominantly related
to arrhythmia and heart failure.

28. 1 – 2%

29. Answer
Genetic testing is recommended in [Blank] if a
sarcomeric mutation is identified in the index
case of HCM.

30. First Degree Family Members

31. Answer
First-line treatment for symptomatic PVCs is
[Blank] or [Blank]

32. B-blocker / CCB

33. Answer
% of King County residents were born outside
of the United States (+/- 10%)

34. 21.2%

35. Answer
% of Seattle citizens identify as gay, lesbian or
bisexual. (+/- 10%)

36. 12.9

37. Answer
Starting your visit
Make the list
Plan the visit
Restate the agenda
Concluding the visit – plan for next visit
These are all apsects of what?

38. Agenda Setting

39. Answer
Medication with the highest published
success rate for weight loss

40. Phenteramine / Topiramate (Qsymia)

41. Answer
BMI that is classified as Class III Obesity

42. >= 40 kg/m2

43. Answer
Individual with Sjogren's has B type sx. What
are you most worried about?

44. Lymphoma
Patients with Sjögren syndrome have up to a
44-fold higher risk of developing lymphoma

45. Answer
41M with recurrent fevers, diffuse arthralgias,
lymphadenopathy, elevated inflammatory
markers, leukocytosis and ferritin 20K!!! Most
likely dx?

46. Adult-onset Still dx

47. Answer
56M w/ CHF p/w cardiogenic shock (dyspnea,
confusion, elevated CVP, low SBP and e/o end
organ dysfunction [AKI]). In addition to
diuresis, what is an appropriate medication to
start?

48. Dobutamine

49. Answer
37M with dyspnea on exertion is found to
have severe mitral stenosis. What is the
appropriate management?

50. Percutaneous Mitral Balloon Valvuloplasty
(MVR is only done when PBMV is unavailable
or contraindicated or valve morphology is
unfavorable.)

51. Answer
67M with 24h of worst HA of his life that
came on like thunderclap. CT head w/o
contrast is normal. What is the best next test?

52. Lumbar Puncture
(need evaluate the cerebrospinal fluid for
erythrocytes or xanthochromia)