Internal Medicine
Jeopardy Game
Ziad Mattar, M.D.
Chief Medical Resident
University of Toledo
Single
Quiz
Double
Quiz
Date
Final
Quiz
Single Quiz
Diarrhea
GERD
Urgent
Matters
Gallery
Action &
Reaction
100
100
100
100
100
200
200
200
200
200
300
300
300
300
300
400
400
400
400
400
500
500
500
500
500
Double
Quiz
Final
Quiz
I 100Q
The nail findings of severe iron
deficiency anemia
Topic I
100
Question
Go To Single
Quiz
I 200Q
This radiographic finding of
submucosal hemorrhage and
edema in the colon is seen in cases
of this condition
Topic I
200
Question
Go To Single
Quiz
I 300Q
This organism, acquired through
ingestion of contaminated beef may
cause bloody diarrhea and HUS
Topic I
300
Question
Go To Single
Quiz
I 400Q
This organism causes a chronic
diarrhea in AIDS patients with
weight loss, abdominal cramps fever
and peripheral eosinophilia
Topic I
400
Question
Go To Single
Quiz
I 500Q
An elevated fecal osmotic gap
suggests this type of diarrheal disease
Topic I
500
Question
Go To Single
Quiz
II 100Q
This fundoplication operation is a
surgical approach for the treatment
of GERD
Topic II
100
Question
Go To Single
Quiz
II 200Q
Barrett’s esophagus is associated
with this type of cell metaplasia
Topic II
200
Question
Go To Single
Quiz
II 300Q
Name 3 extra-esophageal
manifestations of GERD
Topic II
300
Question
Go To Single
Quiz
II 400Q
A mucosal ring found at the gastroesophageal junction and may cause
dysphagia
Topic II
400
Question
Go To Single
Quiz
II 500Q
A 63 yo pt c/o dysphagia for solid food that
gradually progress to include liquids.
Barium swallow shows stricture in the
esophagus. Management?
a) A trial of Omeprazole c) EGD for biopsy
b) NG tube for feeding
Topic II
500
Question
d) EGD for dilatation
Go To Single
Quiz
III 100Q
What is the fecal osmotic gap?
Na- 39 mmol/L
K- 96 mmol/L
Topic III 100
Question
Go To Single
Quiz
III 200Q
The appropriate treatment for a
patient with ulcerative colitis and
high-grade dysplasia
Topic III 200
Question
Go To Single
Quiz
III 300Q
Patient with T-cell mediated
inflammatory reaction to gluten who
presents with itching may have this
associated dermatologic condition
Topic III 300
Question
Go To Single
Quiz
III 400Q
A 43 yo alcoholic c/o large bowel volume
diarrhea and weight loss. Xylose tolerance
test shows low urine xylose. What is next
best test?
a) Barium enema
c) Small bowel biopsy
b) Small bowel series d) CT scan pancreas
Topic III 400
Question
Go To Single
Quiz
III 500Q
A 42 yo pt with lactose intolerance c/o large vol
diarrhea. Stool fat is 40gm/24hrs. Xylose test
shows blood level of 40 mg% after 1 hr and 5
hrs urine excretion of 8gm. What will you do?
a) Small bowel biopsy
c) Restrict lactose
b) Plain abdominal film d) Give lactase tablets
Topic III 500
Question
Go To Single
Quiz
IV 100Q
Patient septic
and frank blood
per rectum.
Diagnosis?
Topic IV 100
Question
Go To Single
Quiz
IV 200Q
Peripheral smear
Diagnosis? finding in lead
poisoning
Topic IV 200
Question
Go To Single
Quiz
IV 300Q
What is the initial
treatment of this
condition?
Topic IV 300
Question
Go To Single
Quiz
IV 400Q
Name of bug
Topic IV 400
Question
Go To Single
Quiz
IV 500Q
Diagnosis?
Topic IV 500
Question
Go To Single
Quiz
V 100Q
Epigastric pain in patient with bloating and
watery diarrhea – 6 times/day. Cause?
a) Giardia
b) Campylobacter Jejuni
c) Shigella
d) Yersinia
Topic V
100
Question
Go To Single
Quiz
V 200Q
Non-bloody diarrhea, epigastric pain and
eosinophilia occur in in a sales executive
returning from Peru. Flagyl is tried but it
did not help. MCV is low. Diagnosis?
a) E.Coli
c) Yersinia
b) Giardia
d) Strongyloides
Topic V
200
Question
Go To Single
Quiz
V 300Q
A 33 yo pt gets watery diarrhea after a trip to
Mexico. Stools smear reveals presence of
leukocytes and curved organisms. Which is
the causative organism?
a) Giardia
c) Campylobacter Jejuni
b) Toxigenic E. Coli d) Vibrio Cholerae
Topic V
300
Question
Go To Single
Quiz
V 400Q
A 34 yo F develops bloody diarrhea
followed by sepsis and nodules on her
legs. What is the cause of this disease?
a) Vibrio Vulnificus
c) Salmonella
b) Shigella
d) Yersinia
Topic V
400
Question
Go To Single
Quiz
V 500Q
A 26 yo F presents with 36 hrs non-bloody
diarrhea. She admits swimming in seawater
in New Orleans while on vacation on
vacation. What is the cause?
a) Giardia
c) Toxigenic E. Coli
b) V. Para-hemolyticus d) Hurricane Katrina
Topic V
500
Question
Go To Single
Quiz
Double Quiz
Liver or
Do you
Know?
Electrical
Rhythm
I Am
200
200
200
200
200
400
400
400
400
400
600
600
600
600
600
800
800
800
800
800
1000
1000
1000
1000
1000
Treatment
Viral
Final
Quiz
VI 200Q
Topic VI 200
Question
Go To Double
Quiz
VI 400Q
Topic VI 400
Question
Go To Double
Quiz
VI 600Q
Topic VI 600
Question
Go To Double
Quiz
VI 800Q
Topic VI 800
Question
Go To Double
Quiz
VI 1000Q
Topic VI 1000
Question
Go To Double
Quiz
VII 200Q
Which of the following does NOT
cause painful mouth ulcer:
a) Aphtous Ulcer
b) Behcet’s
c) Reiter’s sundrome
d) Pemphigus Vulgaris
Topic VII 200
Question
VII 400Q
What is the gold standard
test for fat malabsorption?
Topic VII 400
Question
Go To Double
Quiz
VII 600Q
Which of the following sets of blood test
is compatible with Celiac disease?
Condition Serum Ca Phosphorus
Alk Phos
PTH
A
B
low
Low
high
Low
high
High
high
high
C
nl
nl
very high
nl
Topic VII 600
Question
Go To Double
Quiz
VII 800Q
Chest pain occurs after retching and vomiting.
X-ray of chest shows left pleural effusion.
Next Step?
a) Gastrografin study
b) CPK
c) Endoscopy
d) CT scan chest
Topic VII 800
Question
Go To Double
Quiz
VII 1000Q
A 41 yo patient with duodenal ulcer treated for
H.Pylori gastritis, however he returns with
same symptoms. Which of the following would
best indicate repeat infection with H. Pylori?
a) Breath urease test
b) Gastric contents for H. Pylori culture
c) IgG serological test for H. Pylori
d) Duodenal aspirate for H. Pylori
Topic VII 1000
Question
Go To Double
Quiz
VIII 200Q
A 41 yo pt with Crohn’s disease develops
perianal fistula. Which of the following
will most likely to heal it?
a) Metronidazole
b) Methotrexate
c) Steroids
d) Surgery
Topic VIII 200
Question
Go To Double
Quiz
VIII 400Q
Which of the following drugs used in
Crohn’s disease is steroids-sparing?
a) Metronidazole
b) 6-MP
c) Sulfasalazine
d) 5-ASA
Topic VIII 400
Question
Go To Double
Quiz
VIII 600Q
Recurrent oxalate renal stones occur in a patient
with Crohn’s disease. What is the cause of
renal stones?
a) Increased oxalate absorption
b) Decreased oxalate excretion by the kidneys
c) Decreased absorption of Na oxalate from the colon
d) Increased Ca intake
Topic VIII 600
Question
Go To Double
Quiz
VIII 800Q
A hospitalized patient, while on ABX, gets diarrhea
that is positive for C. difficile. Flagyl is started and
the diarrhea goes away in 3 days. Flagyl is
continued for 7 days and patient discharged. Two
days later, he gets diarrhea again. What is the step?
a) PO Flagyl
c) PO Vanco
b) IV Flagyl
d) PO Cholestyramine
Topic VIII 800
Question
Go To Double
Quiz
VIII 1000Q
A 34 yo F presents c/o bloody diarrhea
with RLQ tenderness and painful leg
nodules. What is your possible diagnosis?
Topic VIII 1000
Question
Go To Double
Quiz
IX 200Q
Which test in Hepatitis B indicates maximum
infectivity?
a) HBc Ab
b) HBs Ag
c) HBe Ag
d) HBs Ab
Topic IX 200
Question
Go To Double
Quiz
IX 400Q
A patient with history of hepatitis
develops periarteritis nodosa. Which
hepatitis was it?
Topic IX 400
Question
Go To Double
Quiz
IX 600Q
A 31 yo F comes with anorexia and modestly
elevated AST and ALT but miLdly elevated
Alk Phos. Hep A, B and C are negative. What
is your next step?
a) Anti-smooth muscle Ab
c) ERCP
b) Anti-mitochondrial Ab
d) EGD
Topic IX 600
Question
Go To Double
Quiz
IX 800Q
A 53 yo pt is actively bleeding from esophageal
varices. What is the next step?
a) Endoscopic sclerotherapy
b) Endoscopic band ligation
c) Octreotide and Somatostation infusion and
enoscopic therapy
d) TIPS
Topic IX 800
Question
Go To Double
Quiz
IX 1000Q
A patient develops arthralgia and purpuric lesions
on the legs. There is a past history of hepatitis.
What hepatitis was it?
Topic IX 1000
Question
Go To Double
Quiz
Congratulations
Congratulations
Congratulations