JTC Jeopardy

Acronyms

100

OPQRST

Onset

Palliation/Provocation

Quality

Radiation

Severity

Timing

200

SAMPLE

Signs/Symptoms

Allergies

Medications

Pertinent past Hx

Last oral intake

Events leading to incident

300

DCAPBTLS

Deformaties

Contusions

Abrasions

Punctures/Penatrations

Burns

Tenderness

Lacerations

Swelling

400

The 5 P's of neurovascular assessment

Pain

Palor

Pulse

Paresthesia

Paralysis

500

ABCDE (Dermatology)

Asymmetry

Border

Color

Diameter

Elevation/Evolution

Physical Exams

100

Quantitative values for bradycardia and tachycardia

Bradycardia less than 60 BPM

Tachycardia greater than 100 BPM

200

The sensation of motion when there is no motion or an exaggerated sense of motion in response to motion.

Vertigo

300

The Centor Criteria

Exudate or swelling on tonsils

Tender/Swollen anterior cervical lymph nodes

Temperature greater than 100.4 (low grade also acceptable)

Absence of cough

Age (Modified) 3-14 years old

400

Ottawa Ankle Criteria

Bony TTP along:

Distal 6 cm of Fibula (lateral Malleolus)

Distal 6 cm of Tibia (medial Malleolus)

Base of the 5th metatarsal

Navicular

Inability to bear weight both immediately after injury or in the ER.

500

Orthostatic Hypotension - Positive

Decrease in systolic BP of 20 mmHg or a decrease in diastolic BP of 10 mm Hg within 2-5 minutes of standing when compared with BP from the sitting or supine position.

*An increase in pulse greater than 30 BMP or greater than 120 is indicative of postural tachycardia syndrome. Usually there is no orthostatic hypotension.

Ortho

100

The anterior & posterior drawer tests (knee) evaluate: (specify)

Anterior Drawer - Anterior Cruciate Ligament

Posterior - Posterior Cruciate Ligament

200

Rotator Cuff muscles

Supraspinatus

Infraspinatus

Teres minor

Subscapularis

300

Demonstrate a Tinel's test. What qualifies as a positive finding?

Demonstrate - Percuss over a nerve 

Positive - "pins and needles" sensation or shock like sensation within nerve distribution.

400

Name at least 4 Red Flags for back pain.

Hint: TUNAFISH

T - Trauma

U - unexplained weight loss

N - Neurological Deficit (loss bowel/bladder function,...)

A - Age > 50

F - Fever

I - IV Drug user

S - steroid use (corticosteroid)

H - history of malignancy

500

A patient suffers from a FOOSH injury while skateboarding. The injury occurred within the past 24 hours. He/she has anatomical snuffbox TTP, decreased ROM d/t pain, and mild swelling of the wrist. Pt is NVI distally. Radiographs are taken immediately after clinic evaluation and negative for osseous abnormalities. What is the correct treatment plan and why?

Thumb spica splint/cast for 2 weeks with follow up radiograph. (Small fractures may take up to 2 weeks to show on X-rays)

Activity restrictions

NSAID/Pain relief

Medication

100

What is the correct maximum daily dosing for Ibuprofen?

800mg PO TID with food or milk

200

For what is Loperamide used? 

What is the correct dosing?

What is the maximum daily dose?

Uncomplicated diarrhea.

4 mg PO followed by 2 mg after each loose stool.

Maximum of 16 mg/day.

(Usually comes in 2 mg tabs)

300

What is the dosing directions for Oxymetazoline?

Double points: What condition can improper use cause?

aka Afrin nasal spray - 1 spray in each nostril q 12 hours for no more than 3 days.

*Rhinitis medicamentosa

400

DAILY DOUBLE

What are the 6 R's of medication administration?

Right Patient

Right Medication

Right Dose

Right Time

Right Route

Right Documentation

500

Given the following injectable medications, in what order would you draw them from the vial into a single syringe? Why?

Bupivacaine 0.25%

Lidocaine w/o epi 1%

Triamcinolone (Kenalog 40)

Lidocaine, Bupivacaine, Triamcinolone.

Always draw most benign/shortest acting first.

Misc

100

What do X-rays, CT scans, and MRI's treat?

Nothing!

200

What is a Boxer's Fracture? How is it usually sustained?

Fracture of the 5th, or sometimes 4th, metacarpal.

Typically from punching something.

300

Medical Terminology: What body part/organ is being referred to with the following prefixes?

Hemo-

Hepato-

Oto-

Double points   Cholecysto-

Hemo - Blood         (hemostasis)

Hepato - Liver        (hepatomegaly)

Oto - ear               (otoscope)

Cholecysto - gallbladder (cholecystectomy)

400

What composes the lethal triad in reference to severe trauma?

Hypothermia, Coagulopathy, Acidosis

500

Name 4 cranial nerves

Double points for all of them.

the olfactory nerve (I), the optic nerve (II), 

oculomotor nerve (III), trochlear nerve (IV), 

trigeminal nerve (V), abducens nerve (VI),

facial nerve (VII), vestibulocochlear nerve (VIII), 

glossopharyngeal nerve (IX), vagus nerve (X), 

accessory nerve (XI), and hypoglossal nerve (XII)