Board 1 PARMC Jeopardy 4/4/2023

Cardiology

100

Beck's triad

Raised JVD

Muffled heart sounds

Hypotension

200

Name 2 signs associated with acute pericarditis on EKG

Diffuse ST-elevations

P-R depression in lead 2

Spodick's sign

Knuckle sign

300

Cardiac arrest from blunt, sudden chest trauma is known as

Commotio cordis

400

Desired INR range for mechanical mitral heart valves

2.5 - 3.5

500

Cardiac condition associated with sudden cardiac death called potpourri among the Laos and Thai people in Southeast Asia

Brugada syndrome

Gastroenterology

100

Most common cause of esophageal strictures

Long-standing gastroesophageal reflux disease (accept GERD)

200

Stool osmotic gap threshold compatible with secretory diarrhea

<50 mOsm/kg (accept <50)

300

Model for End-Stage Liver Disease (MELD) score identifying patients who will benefit from liver transplantation

MELD score ≥15

400

Frequency of colonoscopy in patients with primary sclerosing cholangitis and inflammatory bowel disease

Annually

500

Diagnostic criteria for Irritable Bowel Disease

ROME IV 

General Medicine

100

Entails discussion of benefits, risks, alternative treatments and probability of success of a procedure

Informed consent

200

USPSTF criteria for lung cancer screening

Age 50 - 80 years, pack year history 20+ years and quit within last 15 years

300

USPSTF criteria for abdominal aortic aneurysm screening

Men with past history of smoking, aged 65 - 75 years

400

Grade A age recommendation for colon cancer screening (USPSTF)

50 years 

500

Normal dose for treatment of DVT/PE

1 mg/kgq12hourly or

1.5 mg/kg/day

Both subcutaneous

Rheumatology

100

Presence of these antibodies in a pregnant mother increases the risk of congenital complete heart block

Anti Ro and Anti La ( anti SSA, anti SSB )

200

Rat bite erosions on x-ray are associated with 

Tophaceous gout

300

Gene associated with allopurinol hypersensitivity syndrome

HLA*B5801

400

Lead intoxication leads to this joint disease

Saturnine gout

500

TNF-1 modulator given as off-label agent for the management of intractable/recurrent gout attacks 

ANAKINRA

History

100

Father of Western Medicine

Hippocrates

200

Plague that was famed to have caused more deaths than injuries from the first world war?

Spanish flu

300

NSAID first isolated in the late 1800s and sold for management 

Aspirin

400

Founding father of the first internal medicine residency program

William Osler

500

Dermatologist who discovered melatonin

Aaron Lerner