USask IM Trivia Round 1: Medical Knowledge

Medical History

1

Which famous physician once said, "The good physician treats the disease; the great physician treats the patient who has the disease."

Sir William Osler

2

Though used to treat a variety of ailments in the middle ages, this medical practice is still used today to treat a variety of conditions, including Hemochromatosis, Polycythemia vera, and Porphyrias.

Bloodletting or Therapeutic Phlebotomy

3

What is the name of the Scottish surgeon who was the inspiration for the great literary detective, Sherlock Holmes?

Joseph Bell

4

Edward Jenner developed the Smallpox vaccine after noticing that milkmaids who worked alongside cattle were less susceptible to contracting the infectious disease. 

Blossom the cow was instrumental in helping Jenner discover the vaccine. In which European city can the hide of Blossom the cow currently be found?

London, England.

5

This ancient Roman physician helped to advance the fields of anatomy, physiology, and pathology and would often perform dissections on primates and pigs. He also helped advance Hippocrate's humoral theory involving black bile, yellow bile, blood, and phlegm. What is this Roman's name?

Galen

Medical Botany

1

From which plant is aspirin (acetylsalicylic acid) derived from?

Willow Bark

Salix spp.

2

From which plant is digoxin derived from?

Foxglove

Digitalis lanata

3

From which plant is atropine derived from?

Deadly Nightshade

Atropa belladonna

4

From which plant is colchicine derived from?

Autumn Crocus

Colchicum autumnale

5

From which plant are vincristine and vinblastine derived from?

Any of: Cape Periwinkle, Bright Eyes, Graveyard Plant, Madagascar Periwinkle, Old Maid, Pink Periwinkle, Rose Periwinkle 

Catharanthus roseus 

Kickstart Your Heart

1

You are on call for the CCU when one of the nurses from the unit pages you with an urgent update. One of the patients who had come in hours ago for a STEMI and was previously in sinus rhythm is now showing the following rhythm on their telemetry for the past minute. What rhythm is this?

Monomorphic Ventricular Tachycardia!

2

A patient admitted to CTU and in the 5100 observation unit who previously had sinus rhythm is noted to have developed what appears to be a Second Degree Mobitz Type 1 rhythm on telemetry. They complain of new pre-syncopal symptoms and malaise. You notice their heart rate is approximately 32 bpm. 

Which medication should you consider giving them?

Atropine!

3

A patient is found to have a potassium that is 6.5 mEq/L on repeat blood gas analyses. You notice they have tall, peaked T waves on ECG. You get ready to give the order to shift their potassium with an ampule of D50W, Humulin R, and a repeat test in 3 hours time. What should you give the patient prior to all of this?

Calcium gluconate!

4

You are on your Cardiology block and called to see a patient in the ED complaining of several hours of diaphoresis and palpitations. The patient says they think they had a similar episode like this five years ago and were told by a friend to close their mouth and try to breathe out which fixed the problem. 

They tried doing that again this time, but the symptoms did not go away. You look at the ECG rhythm strip that had been ordered by the ED physician see the following:

Which medication should you consider giving at this time?

Adenosine!

5

You are on your Cardiology rotation and helping one of the fellows to admit a patient in the ED with an NSTEMI. Suddenly your code pager goes off and you hear overhead, "CODE BLUE, 5300 unit, Orthopedic ward, room 5307." As you and the fellow calmly but quickly make your way to the code they start asking if you remember your H and T causes of reversible cardiac arrest. 

You effortlessly list off the H causes. Your Cardiology fellow looks hopeful. Can you remember the Ts?

Tension Pneumothorax

Tamponade (Cardiac)

Toxins

Thrombosis (Pulmonary)

Thrombosis (Cardiac)

Symptoms/Signs to Syndrome

1

Chest Pain

Friction Rub

Pericardial Effusion

2 Months Post MI

Dressler's Syndrome

2

Cutaneous Flushing

Bronchospasm

Diarrhea

Carcinoid Syndrome

3

Nephritis

Sensorineural Hearing Loss

Cataracts

Alport's Syndrome

4

Splenomegaly

Neutropenia

Rheumatoid Arthritis

Felty's Syndrome

5

Bronchiectasis

Situs Inversus

Recurrent Sinusitis

Kartagener's Syndrome

Amazing Ambulatory and more!

1

Can you name five different classes of antihyperglycemics?

Insulin

Biguanides/Metformin

Sulfonylureas

GLP-1 Agonists

DPP-4 Antagonists

Thiazolidinediones

SGLT-2 Inhibitors

2

Infliximab (trade name Remicade) is a monoclonal IgG antibody used in a variety of rheumatological and gastrointestinal conditions. 

What is the mechanism of action of this medication?

TNF-α antagonism

3

A C1 Esterase Inhibitor Deficiency will lead to which allergy and immunology condition?

Hereditary Angioedema

4

This medication is often given in a patch form by Palliative Care physicians to help with secretions.

Scopolamine

5

The Confusion Assessment Method (CAM) is often used in Geriatrics to screen for delirium. To be considered CAM positive, a patient MUST have:

1. Acute onset and fluctuating course AND

2. Inattention AND

3. (Blank) OR

4. (Blank)

Please name one of the blanks.

Disorganized Thinking OR Altered LOC