October 2022 Medical Jeopardy

Joint Pain "BONE"ANZA

100

Another name for tennis elbow

Lateral elbow tendinopathy (accept lateral epicondylitis)

200

Treatment for a patient with carpal tunnel who presents with weakness, atrophy, and/or active motor denervation on nerve conduction studies

Decompression surgery

300

Cause of lateral hip pain that worsens when lying on the affected side.

Greater  trochanteric pain syndrome (accept trochanteric bursitis)

400

Overuse injury that presents as a lateral knee pain and/or distal lateral thigh that can be localized over the lateral femoral condyle; does not worsen with squatting

Iliotibial band syndrome

500

Insidious onset of anterior hip or groin pain that worsens after sitting for a prolonged period of time and improves with standing.

Femoroacetabular impingement syndrome (accept FAIS)

I'D rather not be RASH

100

A 38yo native from Maine presents to the clinic with fever, myalgias, and arthralgias of 1 week duration. Physical exam shows the following rash.

Lyme disease

200

A 65-year-old woman is evaluated for severe pain on the right side of the upper chest of 1 week's duration and was followed by the appearance of the rash shown.

Herpes zoster

300

A 41-year-old man Florida native is evaluated for the skin rash. He does not have any other symptoms. He denies any travel recently. One week ago, he removed a Lone Star tick from his arm.

Southern tick-associated rash illness (accept STARI)

400

A 38-year-old woman is evaluated for the acute onset of fever, headache, and sore throat that began 5 days ago. Two days ago, a rash developed on her face and then spread to her proximal extremities.

The rash on her leg is shown.

Small pox

500

Name this rash that begins as petechial lesions that can coalesce, form ecchymosis and can become necrotic. It occurs as a severe complication of meningococcal disease.

Purpura fulminans

HOCUS POCUS

100

Name the major blood vessel seen in this image

IVC

200

Assess the volume status.

Volume depleted

300

The finding on the image below when seen in the lung indicates what?

*Do not give the name of the finding but what the finding means. 

Normal air:fluid ratio

400

Name of the anatomical region between the 2 structures shown in the image where fluid can collect.

Morison's pouch (accept hepatorenal recess)

500

Findings in this lung POCUS

Dynamic air bronchograms

I saw the Sign

100

The "figure 3" sign when seen on chest X-ray is classically indicative of this congenital abnormality.

Aortic coarctation

200

This classic sign characterized by formation of blister formation with skin rubbing is indicative of pemphigus vulgaris

Nikolsky sign

300

This sign is characterized by engorgement of the jugular veins with inspiration and may suggest restrictive cardiomyopathy

Kussmaul sign

400

A "crescent sign" that appears as an ecchymotic area below the medial malleolus suggests this diagnosis.

Ruptured popliteal cyst (accept ruptured Baker cyst)

500

This sign is characterized by a shock-like sensation radiating down the spine or limbs with flexion of the neck that occurs with upper cervical cord lesions

Lhermitte sign

Lies, damned lies and statistics

100

Research study design with the strongest level of evidence

RCTs including systematic reviews of RCTs (accept RCTs)

200

How do you calculate number needed to treat?

1/absolute risk reduction

300

Negative likelihood ratio of ___, ____, and ____ decrease the probability of disease by approximately 15%, 30% and 45% respectively. Must provide all values correctly.

0.5, 0.2, 0.1

400

Incorrectly concluding that a statistically significant difference exists between the experimental and control groups is what type of error?

Type I error

500

Boundaries within which exists a high probability (usually 95% by convention) of finding the “true” value.

Confidence Interval