60 seconds prelims

60 SECONDS TO DIAGNOSE

QUIZ MASTER- DR HARIKRISHNAN V G

GENERAL RULES THERE ARE A TOTAL OF 5 ROUNDS IN

THIS QUIZ, FOLLOWED BY A RAPID FIRE ROUND.

POINT SCHEME WILL BE DIFFERENT FOR FEW ROUNDS AND WILL BE DISPLAYED BEFORE WE ENTER INTO THE ROUND.

ONLY ONE ANSWER PER TEAM WILL BE ACCEPTED.

DECISION BY THE QUIZ MASTER WILL BE FINAL.

Rounds - 6 Round 1 - BASIC RADIOLOGY (6

Questions) Round 2 - 12 Questions Round 3 – Videos ( 6 Questions) Round 4 - 6 Questions Round 5 – Fly or Fall (6 Questions ) Round 6 - Rapid Fire (10 Questions to

each team)

Round 1 – Basic Radiology

(Thanks to)

Wilhelm Rontgen (1845 – 1923) The 1st Nobel Prize Winner in Physics (1901)

Rules 6 Questions + 1 Audience Question

( most of them are Interesting Radiographs)

Each correct answer carries 10 points . Pounce / Bounce Format . +10/-10 on Pounce .

Q1. Identify the lesion ?

The Answer Is..

ANSWER EGG SHELL CALCIFICATION

Q 2. What is this sign known as ?( Gallium 67 scan)

The Answer Is..

ANSWER PANDAS SIGN ( SARCOIDOSIS)

Q 3. This X Ray is seen in ?

The Answer Is..

ANSWER β THALASSEMIA

PERIPHERAL SMEAR PICTURE INBETA-THALASSEMIA

Q 4.The diagnosis is ?

The Answer Is..

ANSWER ENCYSTED PLEURAL EFFUSION

Q5. What is this X Ray feature known as and the condition in

which it is seen ?(5 points for each) (A Bigger image

on next slide)

The Answer Is..

ANSWER BAMBOO SPINE ANKYLOSING SPONDYLITIS

Q6. The Diagnosis is ?

The Answer Is..

ANSWERPericardial Effusion (Water Bottle Sign)

Audience question

ANSWER PNEUMOTHORAX

ROUND 2

Rules 12 Questions . Each correct answer carries 10 points . Pounce / Bounce Format . +10/-10 on Pounce .

Q1. What do you see on the patient’s eye ? What is he suffering from ?

The Answer Is..

ANSWER LISCH NODULE NEUROFIBROMATOSIS

Q2.Identify the ECG abnormality . A 35 year old female was brought to the

ER with history of attempted suicide. Stomach wash does not reveal any recognizable toxin.

ECG taken in the ER is as follows

The Answer Is..

ANSWER Ventricular Bigeminy

Digitalis Poisoning

Q3. What is your diagnosis ?

The Answer Is..

ANSWER Staphylococcal Scalded Skin Syndrome

(SSSS)

Q4.What is your diagnosis ?

A 38 year old is admitted to the ENT ward, with complaints of recurrent sinusitis. Urine examination showed RBC casts. A Diagnostic test was done.

The Answer Is..

ANSWER Granulomatosis with

Polyangitis (Old name - Wegeners Granulomatosis)

Immunoflurosesnce: c-ANCA

Q5.What is ur diagnosis ?

The Answer Is..

ANSWER ALBRIGHT’S HEREDITARY

OSTEODYSTROHY

PSEUDO HYPOPARATHYROIDISM

Q6. What is your diagnosis ?

A 9 year old boy presents with fever, redness and peeling of the skin on the lips and lymph node enlargement.

The Answer Is..

ANSWER Kawasaki Disease (Mucocutaneous

Lymph Node syndrome)

Strawberry tongue

Q7. What is your diagnosis ?

The Answer Is..

ANSWER

WHITE FORELOCK

WAARDENBURG SYNDROME

Q8. Which is the missing parameter ? The condition is ? ( 5 points each) A patient with AML is admitted in the

Oncology Ward. 3 days after admission, his urine output starts falling. Blood biochemistry shows the following values:

PARAMETER VALUEK 6.8 meq/L

Ca 6meq/LPhosphate 12meq/L

??? ???

The Answer Is..

ANSWER Parameter : Uric acid

Tumor lysis Syndrome

Q9.Identify both the lesions (2.5 points

each) .The condition is ? ( 5 points)

The Answer Is..

ANSWER SHAGREEN PATCH AND ASH LEAF

MACULES

TUBEROUS SCLEROSIS

Q10 . The condition is ? Parents of a 6 month old baby became

concerned, when they noticed that their child is not responding to their sound.

Ophthalmologic examination showed the following finding – (Image next slide)

The Answer Is..

ANSWER Alport syndrome is caused by an

inherited defect in Type IV Collagen .

Since type IV collagen is found in the ears, eyes, and kidneys, this explains why Alport syndrome affects different seemingly unrelated parts of the body (ears, eyes, kidneys, etc.).

Q11.

A 58 year old patient is undergoing chemotherapy for a solid tumor. 6 months later he presents with recurrent seizures. Brain Imaging is as shown:

The Answer Is..

ANSWER Ring Enhancement

Lesion . The differential for peripheral or ring

enhancing cerebral lesions includes: cerebral abscess metastasis

Q12.What is this skin lesion known as ? Where is it seen ?

ANSWER SCLERODERMA

SALT AND PEPPER

ROUND 3

“THE EYE DOES NOT SEE WHAT THE MIND DOES NOT KNOW..”

RULES

• 20 POINTS FOR THE CORRECT ANSWER

• NO POUNCING HERE…..!!!

Q1 : What is ur diagnosis ?

The Answer Is..

CHOREA

Q 2 : What is ur diagnosis ?

The Answer Is..

CARDIAC TAMPONADE

Q 3 : What is ur diagnosis ?

The Answer Is..

MELANOSIS COLI

Q 4 : DIAGNOSE

The Answer Is..

LEFT ATRIAL MYXOMA

Q5.What is ur diagnosis ?

The Answer Is..

INTERNUCLEAROPHTHALMOPLEGIA

Q 6.What is being shown here?

The Answer Is..

POLYMERASE CHAIN REACTION

ROUND 4

“THIS IS WHAT MY SCAN SHOWS…”

• 6 Questions.• Each correct answer carries 10 points .• Pounce / Bounce Format .• +10/-10 on Pounce .

Q 1. • What is the

investigation shown here ?

• The condition is ?

The Answer Is..

ANSWER• PULMONARY ARTERIOGRAPHY • PULMONARY EMBOLISM

Q2.

The Answer Is..

ANSWER• INVERTED FIR TREE APPEARANCE :

ANTHRAX

Q 3. What is the condition ? (Indium III Scan)

The Answer Is..

ANSWER• Multiple Endocrine

Neoplasia I ( Wermer Syndrome)

Q4. The Investigation shown here is ?

The Answer Is..

ANSWER• IVUS (INTRAVENOUS ULTRASOUND).• VESSEL WALL CALCIFICATION

Q5. Which is the investigation ? The lesion is ?

The Answer Is..

ANSWER• DSA/MRA:BERRY ANEURYSM• (DIGITAL SUBTRACTION

ANGIOGRAPHY/MAGNETIC RESONANCE ANGIOGRAM)

Q6. The condition is ?

The Answer Is..

Rules

• 6 Questions.• Open to all the teams .• 2 clues for a Question.• 1st clue - The teams can write the answer

& show the QM ( +30 /-10)• 2nd Clue - The teams can write the answer

& show the QM ( +20/-15)• Multiple attempts allowed .

Q1: 1st Clue

“WHENEVER I EAT BEETROOT, MY URINE

TURNS PINK!!!!!!!..”

2nd Clue :

• “….I ALSO HAVE A PICA FOR ICE”

ANSWER• IRON DEFICIENCY • Beeturia

Q2: 1st Clue

“…I AM HAVING FREQUENT CHEST INFECTIONS AND PALPITATIONS ON

THE RIGHT SIDE OF MY CHEST..”

2nd Clue :

• “….I HAVE A SCAR ON THE LEFT SIDE OF MY TUMMY, WHEN MY REMOVED MY GALLSTONES”

ANSWER• KARTAGENERS SYNDROME• BRONCHIECTASIS & SITUS INVERSUS

Q3.1st Clue

“WHENEVER I LAY ON MY RIGHT SIDE I HAVE TREMOR IN MY HAND,

PALPITATIONS AND SWEATING”

2nd Clue :

“..MY DOCTOR TOLD ME THAT MY ABDOMEN SCAN WAS ABNORMAL..”

• PHEOCHROMOCYTOMA.

Q4:1st Clue

“DOCTOR, MY TONSILS HAVE BECOME ORANGE

IN COLOUR”

2nd Clue :

“..I RECENTLY CHECKED MY CHOLESTEROL AND IT WAS VERY HIGH..”

ANSWER• TANGIER DISEASE

Q5:1st Clue

“I WOKE UP TODAY MORNING, WALKED UP TO WASHBASIN, SPLASHED COLD

WATER ON MY FACE AND BECAME BLIND!!!!!”

2nd Clue :

“…DOCTORS RECENTLY PUT A NEEDLE INTO MY SPINE AND SAID THEY WITHDREW A CLOUDY FLUID..”

ANSWER• MULTIPLE SCLEROSIS

Q6:1st Clue

“FOR THE PAST 2 MONTHS MY VOICE HAS BECOME HOARSER AND MY FRIENDS SHUN ME DUE TO BODY

ODOUR”

2nd Clue :

“…MY HANDS TOO HAVE BECOME LARGER AND RESEMBLES SPADES…”

ANSWER• ACROMEGALY

AUDIENCE QN

1st Clue :

“I,M 21 YEAR OLD FEMALE STUDYING FOR ENGINEERING.

I OFTEN GET PALPITATION WHILE IN COLLEGE, BUT I GET RELIEVED WHEN I VOMIT BY

MYSELF”

2nd Clue :

“…I’VE BEEN TO THE CASUALTY SEVERAL TIMES. THERE DOCTORS RUB MY NECK INSTEAD OF GIVING ME INJECTIONS..”

PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA

RAPID FIRE

• 10 Questions to each team .• 10 points to each correct answer .• What you have only 60 seconds …..

Q:Identify