Date Single Jeopardy Double Jeopardy Final Jeopardy Pain Management Jeopardy.

DateSingle

JeopardyDouble

JeopardyFinal

Jeopardy

Pain ManagementPain Management

JeopardyJeopardy

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SchedulingConflicts

Methadone &Methadon’t

CrazyCalculations

Side EffectCentral

Potpourri

SINGLE JEOPARDYDouble

JeopardyFinal

Jeopardy

Of Schedule I, II, III, IV, or V, the class to which

hydrocodone-acetaminophen belongs

Topic I 100 Question

III

Topic I 100 AnswerGo To Single

Jeopardy

Number of refills you can (not should) authorize for

Robitussin AC


11


Jeopardy

This Schedule II medication is contraindicated in patients

with renal failure


Morphine


Jeopardy

Of Schedule I, II, III, IV, or V, the class to which marijuana

belongs

Topic V 400 Question

I


Jeopardy

One situation in which fax or call-in of a Schedule II medication is permitted


Emergency prescription (paper rx must be submitted within 7

days)-Hospice patient (Medicare or

state-certified hospice)


Jeopardy

One EKG finding which would stop you from

prescribing methadone

Topic II 100 Question

Prolonged QT interval

Topic II 100 AnswerGo To Single

Jeopardy

One safe starting dose for methadone in an otherwise healthy non-elderly patient – whether they’ve been on

opiates before or not


5mg BIDTitrate to TID after a week


Jeopardy

One class of pain medications which can cause the same EKG

anomaly as methadone


TCAs


Jeopardy

Of nociceptive, neuropathic, or both, the type of pain which methadone has been shown to

affect


Both


Jeopardy

Methadone, when combined this class of medication, is

responsible for more opiate overdoses in the state of Virginia

than any other


Benzodiazepenes


Jeopardy

Topic III 100 Question

When switching opiates, you may want to undershoot the new dose by 25% for this reason

Incomplete cross-tolerance

Topic III 100 AnswerGo To Single

Jeopardy


In patients with kidney or liver problems, one of two things you can

adjust to keep them safe

Dose-adjustUse longer dosing intervals


Jeopardy


Of percents or milligrams, the preferred unit for titrating opiates

Percents


Jeopardy


Mr. J is a cancer patient on long acting oral morphine 90mg every 12 hrs. He develops

esophageal candidiasis and can’t swallow his meds. His hourly PCA dose would be this much

IV morphine.

2.4 mg


Jeopardy


A 72 yo F with recent compression fracture is taking 8 oxycodone 5mg per day. She does not feel tired or constipated on this regimen. The medicine helps her pain, but wears off after 3 hrs. Convert her to OxyContin.

OxyContin 20 mg BID


Jeopardy

This common GI side effect of opiates merits prophylaxis in almost all patients, especially those who are bedbound or

can’t communicate

Topic IV 100 Question

Constipation

Topic IV 100 AnswerGo To Single

Jeopardy

This hormone is often found to be low in men who have taken opiates long term, sometimes

requiring medication


Testosterone


Jeopardy

Of morphine, codeine, or fentanyl, the opiate least likely to cause pruritis


Fentanyl


Jeopardy

The term that describes decreased effectiveness of pain

relief over time in someone who has been on an opiate


Tolerance


Jeopardy

One opiate-related pain medication with addictive

potential not tracked by the Virginia PMP


Tramadol


Jeopardy

Of adaptive or maladaptive, the characteristic that defines

nociceptive pain


Maladaptive

Topic V 100 AnswerGo To Single

Jeopardy

One adjective used to describe neuropathic pain


BurningSharp

LancinatingTinglingNumb

Lightening-like


Jeopardy

One low back pain red flag which would prompt emergent

referral


Loss of bowel/bladder continence

Saddle parasthesiasLeg weakness


Jeopardy

The CNS symptom which always precedes respiratory

depression in patients on narcotics


Sedation


Jeopardy

One good indication for using opiates in chronic nonmalignant

pain


- Failure of adequate trials and doses of nonopiate therapy

- Contraindications to nonopiate therapy

- Improvement in function on opiates


Jeopardy

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Nutritional Deficiency

DOUBLE JEOPARDYFinal

Jeopardy

Dementia &Delirium

Name that RashPart Deux

Obstetrics Movies

Glossitis, anemia, and neural tube defects

Topic VI 200 Question

Folate

Topic VI 200 AnswerGo To Double

Jeopardy

Easy and excessive bleeding and bruising


Vitamin K


Jeopardy

Hypothyroidism, cretinism, fatigue


Iodine


Jeopardy

Night blindness and xerophthalmia


Vitamin A


Jeopardy

Dermatitis, diarrhea, and dementia


Niacin (vitamin B3)


Jeopardy

Which is the most common cause of dementia:

Topic VII 200 Question

1.) Alzheimer’s disease

2.) Drug-induced dementia

3.) Multi-infarct dementia

Alzheimer’s dementia

Topic VII 200 AnswerGo To Double

Jeopardy

The most important first investigation for patients

suspected to have delirium is:1.) CBC2.) MRI3.) EEG


CBC


Jeopardy

What is the most common treatable condition that is often

confused with Alzheimer’s disease?


Depression


Jeopardy

What is the most important risk factor for developing

Alzheimer’s disease?


Family history of dementia


Jeopardy

This class of medications is the primary treatment for

patient’s with Alzheimer’s disease.


Cholinesterase inhibitors(ie: donepezil, rivastigmine)


Jeopardy

Topic VIII 200 Question

Impetigoand

S. aureus

Topic VIII 200 AnswerGo To Double

Jeopardy

Tinea versicolor(pityriasis versicolor)

andMalassezia furfur


Jeopardy

Herpes zoster (shingles)and

Varicella zoster virus


Jeopardy

Scarlet feverand

Group A strep


Jeopardy

Smallpoxand

Variola virus


Jeopardy

Topic IX 200 Question

What is the recommended weight gain in pregnancy for

“normal weight” women?

(Normal weight = 90 – 135% IBW)

25 – 35 pounds

(Underweight = 28 – 40 pounds)(Overweight = 15 – 25 pounds)

Topic IX 200 AnswerGo To Double

Jeopardy


Which of the following vaccine combinations would

be safe to give a pregnant woman?

1.) Hep B and Varicella

2.) Rubella and Tetanus

3.) Meningococcal and Hep B

Meningococcal and Hep B


Jeopardy


What is the drug of choice for severe hyperemesis

gravidarum?

Metoclopramide


Jeopardy


What shape pelvis is the most common and most functional

for delivery?

Gynecoid

(android, platypelloid, and anthropoid are the other shapes)


Jeopardy


What test can be performed to differentiate fetal from

maternal blood?

Kliehauer-Betke test


Jeopardy

Topic X 200 Question

Patch Adams

Topic X 200 AnswerGo To Double

Jeopardy

M*A*S*H


Jeopardy

Cider House Rules


Jeopardy

One Flew Over the Cuckoo's Nest


Jeopardy

Flatliners


Jeopardy

FINAL JEOPARDY

The Big Picture

If you are treating pain correctly, your patient will

probably report a decrease in pain, but an increase in this

Function

Credits

Produced by Oregon Health Sciences UniversityDepartment of Internal Medicine

Software Template Design by David L. Shenson

Use of this software is free. Please maintain the credits so creditCan be given where it is due.

Comments and suggestions can be made by e-mail to [email protected]

Date Single Jeopardy Double Jeopardy Final Jeopardy Pain Management Jeopardy.

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