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Qualifying Round

Doctor's Dilemma Maryland ACP Scientific Meeting Heat 3 February 09, 2008. Qualifying Round. FINAL. Final Jeopardy. Doctor’s Dilemma. Pulm/Critical Care. My Blood. My Belly. Radiology. Endocrine. Preventive Medicine. 100. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200.

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Qualifying Round

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  1. Doctor's Dilemma Maryland ACP Scientific Meeting Heat 3 February 09, 2008 Qualifying Round FINAL

  2. Final Jeopardy Doctor’s Dilemma Pulm/Critical Care My Blood My Belly Radiology Endocrine Preventive Medicine 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  3. Pul/Critical Care 100Q The optimal tidal volume and plateau pressure strategy in the management of ARDS Topic I 100 Question

  4. Pul/Critical Care 100A What are tidal volume of 6 cc/kg & plateau pressure below 30 mmHg? Go To Single Quizitor Topic I 100 Answer

  5. Pul/Critical Care 200Q This is the outcome of the most recent published study on the effects of corticosteroid in sepsis as published in the NEJM Topic I 200 Question

  6. Pul/Critical Care 200A Hydrocortisone did not improve survival or reversal of shock in patients with septic shock, either overall or inpatients who did not have a response to corticotropin. NEJM 2007;358:111-124 Go To Single Quizitor Topic I 200 Answer

  7. Pul/Critical Care 300Q Name the 3 classes of drugs used in the treatment of Pulmonary HTN Topic I 300 Question

  8. Pul/Critical Care 300A What are High-dose calcium channel blockers Phosphodiesterase-5 inhibitorsProstacyclin analogues? Go To Single Quizitor Topic I 300 Answer

  9. Pul/Critical Care 400Q A young male cigarette smoker has diffuse parenchymal lung disease with large lung volumes, recurrent pneumothorax and irregular cystic lesions on HRCT Topic I 400 Question

  10. Pul/Critical Care 400A What is Langerhan’s Cell granulomatosis/pulmonary histiocytosis-x eosinophilic granuloma? Go To Single Quizitor Topic I 400 Answer

  11. Pul/Critical Care 500Q Topic I 500 Question This equation represents PAO2= FIO2 (PB-PH2O)-PACO2 {FIO2- 1-FIO2/R}

  12. Pul/Critical Care 500A What are COPD exacerbation, cardiogenic pulmonary edema, acute respiratory failure in immunosuppressed patients & early extubation of patients with COPD who require intubation initially? Go To Single Quizitor Topic I 500 Answer

  13. My Blood 100Q • The 2 immunochemistry markers that are deficient in patients with Paroxysmal Nocturnal Hemoglobinuria? Topic II 100 Question

  14. My Blood 100A What are CD55 & CD59? Go To Single Quizitor Topic II 100 Answer

  15. My Blood 200Q • This protein is useful in the management of Idiopathic Thrombocytopenic Purpura (ITP) if patient is unresponsive to corticosteroid. It requires an intact spleen and can only be given to Rh+ patient. Topic II 200 Question

  16. My Blood 200A What is anti D immune globulin? Go To Single Quizitor Topic II 200 Answer

  17. My Blood 300Q The risks of post transplant lymphoproliferative disorder can be estimated by measuring this Topic II 300 Question

  18. My Blood 300A What is EBV DNA load? Go To Single Quizitor Topic II 300 Answer

  19. My Blood 400Q The measurement of this enzyme is essential in the diagnosis of primary polycythemia vera. Mutation of this substance is due to amino acid substitution Topic II 400 Question

  20. My Blood 400A What is JAK 2 (JANUS KINASE 2)? Mutation is a valine to phenylalanine substitution @ position 617 Go To Single Quizitor Topic II 400 Answer

  21. My Blood 500Q • This hematological entity is characterized by the following in an asymptomatic 70-year-old man: IgG monoclonal protein of 2.5g/dL; Bence Jones proteinuria of 0.8g/24 hour & 5% Bone Marrow clonal plasma cells Topic II 500 Question

  22. My Blood 500A What is Monoclonal Gammopathy of Unknown Significance? Go To Single Quizitor Topic II 500 Answer

  23. My Belly 100Q The finding of this antibody alone in the serum indicates prior HBV vaccination Topic III 100 Question

  24. My Belly 100A What is hepatitis B surface antibody (HbsAb)? Go To Single Quizitor Topic III 100 Answer

  25. My Belly 200Q This pharmacotherapy have been found to reduce mortality in patients with alcoholic hepatitis whose Maddrey discrimination function is >32 Topic III 200 Question

  26. My Belly 200A What is Corticosteroid? (DF = 4.6 [PTpatient − PTcontrol] + serum bilirubin [mg/dL]). A DF score of >32 identifies patients with a 50% mortality rate within 30 days. Go To Single Quizitor Topic III 200 Answer

  27. My Belly 300Q Radiographic findings of submucosal hemorrhage and edema (thumbprinting) of the colon is seen in this condition. Topic III 300 Question

  28. My Belly 300A What is mesenteric ischemia? Go To Single Quizitor Topic III 300 Answer

  29. My Belly 400Q The treatment of ulcerative colitis with high grade dysplasia Topic III 400 Question

  30. My Belly 400A What is Procto-colectomy? Go To Single Quizitor Topic III 400 Answer

  31. My Belly 500Q The implicated microorganism in a patient with hemochromatosis who develops acute abdominal pain, diarrhea and low grade fever. Microscopic exam of the stool shows WBCs and RBCs. Topic III 500 Question

  32. My Belly 500A What is Yersinia enterocolitica? Go To Single Quizitor Topic III 500 Answer

  33. Radiology 100Q This diagnosis is compatible with the bone changes in this xray Topic IV 100 Question

  34. Radiology 100A What is coarctation of the aorta? (xray shows rib notching) Go To Single Quizitor Topic IV 100 Answer

  35. Radiology 200Q Identify the pathology Topic IV 200 Question

  36. Radiology 200A Go To Single Quizitor Topic IV 200 Answer What is meningioma?

  37. Radiology 300Q • A 64 year old asymptomatic woman had a routine x-ray which showed a benign pathology which was further worked up by CT. What is the diagnosis, based on these imaging findings? Topic IV 300 Question

  38. Radiology 300A What is Morgagni’s Hernia? Go To Single Quizitor Topic IV 300 Answer

  39. Radiology 400Q • The diagnosis in this 66-year-old man with Stage IV heart failure with h/o old pulmonary TB. Topic IV 400 Question

  40. Radiology 400A What is Constrictive Pericarditis? Go To Single Quizitor Topic IV 400 Answer

  41. Radiology 500Q A 21-year-old female with IVDA , HIV with CD4 count of 400 cells per cubic millimeter presenting with fever, chest pain, hemoptysis and a murmur on physical examination. Topic IV 500 Question

  42. Radiology 500A What are multiple septic emboli or multiple pulmonary bacterial abscesses due to tricuspid endocarditis? Go To Single Quizitor Topic IV 500 Answer

  43. Endocrine 100Q The three most common endocrine conditions that can cause carpal tunnel syndrome Topic V 100 Question

  44. Endocrine 100A What are acromegaly, diabetes mellitus & hypothyroidism? Go To Single Quizitor Topic V 100 Answer

  45. Endocrine 200Q • This long-acting, intravenous nitrogen-containing biphosphonate is indicated for the treatment of hypercalcemia of Malignancy Topic V 200 Question

  46. Endocrine 200A • What is zoledronate? Go To Single Quizitor Topic V 200 Answer

  47. Endocrine 300Q • This anabolic agent is recommended for women with severe osteoporosis or osteoporosis unresponsive to conventional antiresorptive agents Topic V 300 Question

  48. Endocrine 300A • What is teriparatide (recombinant injectable human PTH) Go To Single Quizitor Topic V 300 Answer

  49. Endocrine 400Q Most likely diagnosis in this man who presents with hypoglycemia. C-peptide level parallels insulin level; urinary/plasma sulfonylurea is negative; proinsulin level is more than 20%. Topic V 400 Question

  50. Endocrine 400A What is Insulinoma? Go To Single Quizitor Topic V 400 Answer

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