Transcript Doctor`s Dilemma TXACP Round One

Epidemiology
and Biostatistics
Cardiology
Infectious
Disease
Hematology
Women's Health
10
10
10
10
10
20
20
20
20
20
30
30
30
30
30
40
40
40
40
40
50
50
50
50
50
Please go back and select a question.
Rules of the Game
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The question will be read aloud before being displayed on the screen.
You may buzz in prior to the end of the question; however, the hostess/host will stop reading the remainder of the
question.
The value of the question is deducted for an incorrect answer, after which your team is not allowed to buzz in again.
The question will be read again if not finished, from the beginning, and others may buzz in as soon as the system is
reset.
Once a player has buzzed in, they must answer the question in 5 seconds.
The answer must be stated in the form of a question. Example: This is the gold standard for diagnosing pulmonary
embolism. Answer: What is a pulmonary angiogram? A correct answer not stated in the form of a question will be
accepted, however, 100 points will be deducted from the value of the question.
Although we have made every attempt to avoid equivocal or controversial topics, debate over any answers will be
settled by our distinguished professor(s).
Applauding is allowed between questions, however at all other times, the audience must remain quiet.
Any team blurting out an answer without being recognized by the buzzer will lose the number points assigned to that
particular question.
If none of the teams is able to answer, the audience will have their turn
Finally, this competition is for fun and to be used as a learning experience, so good luck!
Play on your mobile device at ddm.acponline.org
Please go back and select a question.
Epidemiology and Biostatistics
10 points
Calculated as proportion of those
with disease with finding divided
by the proportion of those without
disease who have same finding
Question
Epidemiology and Biostatistics
10 points
Positive likelihood ratio
(accept positive LR)
Answer
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Epidemiology and Biostatistics
20 points
Best end-point for
measuring the
effect of a cancer
screening
intervention
Question
Epidemiology and Biostatistics
20 points
Cause specific
mortality
(accept overall
mortality
or mortality)
Answer
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Epidemiology and Biostatistics
30 points
Study 1
Study 2
Study 3
Study 4
Overall
Effect
Term that describes pooling of data
in a systematic review
Question
Epidemiology and Biostatistics
30 points
What is a meta-analysis?
Answer
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Epidemiology and Biostatistics
40 points
Meaning of USPSTF
grade of “D” for a
given service
Question
Epidemiology and Biostatistics
40 points
What is the USPSTF recommends
against the service? (No net
benefit or harms outweigh
benefits.)
Answer
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Epidemiology and Biostatistics
50 points
Name of this
graphical
representation
of study results
used to detect
publication bias
Question
Epidemiology and Biostatistics
50 points
What is a Funnel plot?
Answer
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Recommended
duration of
clopidogrel
treatment after
placement of baremetal stent for
acute coronary
syndrome
Question
Cardiology
10 points
What is 12 months?
Answer
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Cardiology
20 points
Most common form of regular SVT
typically with no visible P wave
Question
Cardiology
20 points
What is atrioventricular nodal
reentry tachycardia (AVNRT)?
Answer
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Cardiology
30 points
Tachycardia associated with an
abrupt halving of the pulse rate
with Valsalva
Question
Cardiology
30 points
What is atrial flutter?
Answer
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Cardiology
40 points
A cannon wave
involves this
part of the
venous wave
form
Question
Cardiology
40 points
What is the “a wave”?
Answer
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Cardiology
50 points
Diagnosis for slow regular rhythm associated
with changing intensity of S1
Question
Cardiology
50 points
What is Atrioventricular
dissociation?
(accept complete heart block, complete AV
block, 3rd degree block)
Answer
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Infectious Disease
10 points
Name of
intracytoplasmic
inclusion associated
with ehrlichiosis
(human granulocytic
anaplasmosis)
Question
Infectious Disease
10 points
What are morulae?
Answer
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Infectious Disease
20 points
Vector of this
tick borne
parasite
Question
Infectious Disease
20 points
What is
Ixodes
scapularis?
Answer
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Infectious Disease
30 points
Etiologic
agent of
cat
scratch
disease
Question
Infectious Disease
30 points
What is
Bartonella
henselae?
Answer
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Infectious Disease
40 points
Diagnosis for
this painless
lesion in
animal-hide
worker?
Question
Infectious Disease
40 points
What is cutaneous anthrax?
Answer
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Infectious Disease
50 points
Genus of the most
dangerous animal
in the world.
Vector of the
disease shown.
Question
Infectious Disease
50 points
What is
Anopheles?
Answer
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Hematology
10 points
Initial test to
diagnose
immunemediated
hemolysis
Question
Hematology
10 points
What is the
Coombs test?
(direct
antiglobulin
test)
Answer
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Hematology
20 points
Diagnosis
associated
with restless
legs syndrome
and this nail
finding
Question
Hematology
20 points
What is iron
deficiency
anemia?
(accept iron
deficiency)
Answer
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Hematology
30 points
Irradiated
blood
prevents this
fatal
transfusionrelated
complication
Question
Hematology
30 points
What is transfusion-associated
Graft vs Host disease (ta-GVHD)?
Answer
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Hematology
40 points
Condition associated
with elevated
homocysteine and
normal
methylmalonic acid
levels
Question
Hematology
40 points
What is folate deficiency?
Answer
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Hematology
50 points
Hemolytic anemia
associated with IgM
antibodies directed
against RBC I/i
antigens?
Question
Hematology
50 points
What is cold
agglutinin
disease?
Answer
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Women's Health
10 points
Syndrome associated
with elevated ratio
of LH to FSH,
elevated
testosterone and
dehydroepiandroste
rone
Question
Women's Health
10 points
What is
polycystic
ovary
syndrome?
Answer
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Women's Health
20 points
Eponym for benign
thrombophlebitis
of the superficial
veins of the
breast
Question
Women's Health
20 points
What is Mondor disease?
Answer
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Women's Health
30 points
Disorder
associated
with primary
amenorrhea
and 45 XO
karyotype
Question
Women's Health
30 points
What is Turner
Syndrome?
Answer
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Women's Health
40 points
Agent causing
sexually
transmitted
vaginitis
Question
Women's Health
40 points
What is
Trichomonas
vaginalis?
(accept
trichomonas)
Answer
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Women's Health
50 points
Vaginitis
associated
with normal
vaginal pH
Question
Women's Health
50 points
What is Candida
vaginitis?
Answer
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Final Dilemma
Thanks Alfred!
Final Dilemma Topic
Final
Name the two antiparasitic
medications discovered by
Youyou Tu, William Campbell,
and Satoshi Õmura, the 2015
medicine and physiology Nobel
Laureates
Final Dilemma Question
Final
Avermectin (Ivermectin) Campbell
and Õmura
Artemisinin Youyou Tu
Final Dilemma Answer
Copyright Notice © 2006-2011
American College of Physicians, Inc.
Author
Patrick C. Alguire, MD, FACP
Questions Submitted by
George E. Crawford, MD, MACP
UTHSCSA
Credits
Name of US
hantavirus
causing severe
respiratory
distress first
noted in four
corners area
What is Muerto Canyon virus —
later changed to Sin Nombre
virus (SNV)
A nosocomial
outbreak of this
respiratory
disease caused
by a coronavirus
killed 31 in Korea
What is Middle East Respiratory
Syndrome?