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Jeopardy Rules

Jeopardy Rules. The team member “buzzing in” will answer Discussion is allowed only with final jeopardy All responses must be phrased as questions Wrong questions will be penalized the value of the question The judge’s decisions and ad hoc rules, however pigheaded and uninformed, are final

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Jeopardy Rules

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  1. Jeopardy Rules • The team member “buzzing in” will answer • Discussion is allowed only with final jeopardy • All responses must be phrased as questions • Wrong questions will be penalized the value of the question • The judge’s decisions and ad hoc rules, however pigheaded and uninformed, are final • Gratuitous abuse of the judge will be penalized

  2. Jeopardy Choose a category. You will be given the answer. You must give the correct question. Click to begin.

  3. Choose a point value. Choose a point value. Click here for Final Jeopardy

  4. Vomitings & Diarrhea That’s Sweet! Picture Potpourri It’s All In Your Head My Stomach Aches 10 Point 10 Point 10 Point 10 Point 10 Point 20 Points 20 Points 20 Points 20 Points 20 Points 30 Points 30 Points 30 Points 30 Points 30 Points 40 Points 40 Points 40 Points 40 Points 40 Points 50 Points 50 Points 50 Points 50 Points 50 Points

  5. This is the first line therapy for management of most children with AGE

  6. What is ORT - Oral rehydration therapy (at 30ml/kg/hr)

  7. These are the 2 most common viral etiologies for gastroenterities in children

  8. What are Rotavirus and Adenovirus

  9. Bilious emesis in a child is suspicious for this condition (Hint: Describe where the anatomical lesion is)

  10. What is Obstruction, distal to ampulla of vater

  11. This bacterial cause of gastroenteritis is commonly known to be associated with febrile seizures

  12. What is Shigella

  13. These are the 4 signs that are most helpful in predicting dehydration

  14. What are 1. CR>2s 2. Absent tears 3. Dry mucous membranes 4. General appearance(ill appearance)

  15. This is the leading cause of mortality in children with diabetes

  16. What is DKA (Cerebral edema is the leading cause of mortality in DKA)

  17. This is the % deficit assumed in patients with DKA

  18. What is 10% (100 mL/kg)

  19. Hypoglycemia in neonates is managed by giving this solution (Hint: Name the solution and volume)

  20. What is D10W @ 5 to 10 mL/kg bolus, administered IV or IO (0.5 to 1 g/kg/dose)

  21. Metabolic emergencies in infants often present with nonspecific features that may mimic more common conditions like sepsis. These are the 3 most common signs & symptoms found in metabolic emergencies

  22. What are Vomiting, altered mental status, and poor feeding

  23. A type 1 diabetic presents in DKA Her labs are: Glucose - 650mg/dl, and Na - 131meq/l This is her corrected sodium…

  24. What is 140 meq/L (Correct reported sodium by adding 1.6 meq/L for every 100mg/dl of serum glucose over normal)

  25. This disease usually presents in infancy with delayed passage of meconium or chronic constipation, but can be missed and present later in childhood

  26. What is Hirschsprung Disease

  27. This neonate presented with bilious vomiting Describe the X ray, and name the genetic condition most commonly associated with this anomaly

  28. What is -Double bubble sign (Duodenal atresia) -Trisomy 21 (Nearly 40%)

  29. This is an abdominal sonogram of a 4 month old infant with vomitings Describe the finding, and name the diagnosis

  30. What is Target sign or donut appearance; This is typical of Intussusception

  31. This adolescent presented with an oval lesion as shown along with a more generalized rash Name one differential diagnosis and treatment

  32. What is Secondary Syphilis Symptomatic treatment

  33. This lesion was noticed on the thigh of a toddler who presented with a seizure Name the lesion and the condition associated with this lesion

  34. What is Ash leaf macule (a well demarcated hypopigmentedmacule) Tuberous sclerosis

  35. A 4 year old girl having a GTC seizure, has not responded to 2 doses of Ativan. This is your next step… (ABC’s, oxygen, d-stick and IV access/labs have been done).

  36. What is Load with Fosphenytoin (@15-20mg PE/kg IV)

  37. These are the 3 characteristics associated with complex febrile seizures

  38. What are -Focal seizures -Duration >15 minutes -Two or more seizures in a 24 hour period

  39. A 3 year old with a 3 day h/o vomiting and diarrhea has a GTC seizure. Temp: 103 F D-stick & shock panel: normal Describe her diagnosis and management

  40. What is Simple febrile seizure No additional work-up needed

  41. A 10 year old with a 7 month h/o throbbing headaches, associated with nausea and photophobia has a normal neurological exam This is what you would do next… (Hint: Mom has a h/o headaches)

  42. What is Treat for migraine headache No imaging necessary

  43. The most common cause of headaches in children is _(a)_, but keep in mind these _(b)_ worrying symptoms which should prompt further work-up (name at least 7)

  44. headaches on awakening or disrupting sleep new onset (< 6months) changes in behavior, personality, or school performance change in characteristics of headache vision disturbances (by hx or exam) abnormal neuro exam unusual locations (occipital) younger age (< 6 yo), neck stiffness exacerbated by changes in posture, coughing, or sneezing endocrine changes (precocious puberty, abnormal growth) • What is • viral illness • (b) Features suggesting secondary pathology:

  45. A 3 week old male infant presents with vomiting for several days Labs: Na 131, K 2.5, Cl 82, HCO3 31, Glucose 48, VBG: pH=7.52 Name the most likely diagnosis

  46. What is Pyloric stenosis (Hypokalemichypochloremic metabolic alkalosis)

  47. A 3 year old male with a 2 day h/o intermittent abdominal pain & vomiting, and the following rash This is the most likely diagnosis

  48. What is HSP (HenochSchonleinPurpura)

  49. A 3 week old male with a 4 hour h/o progressively bilious vomiting, fussiness, and abdominal distension. The stool guaiac is positive Name the diagnostic study of choice

  50. What is Upper GI series

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