Single Jeopardy Final Jeopardy Developed by Richard Usatine, MD

Addictions Immunizations Cancer For All Cancer For Women Exercise & Nutrition PREVENTION JEOPARDY

Addictions - $100 Topic I100Question What is the number one underlying cause of death & disease in this country?

Addictions - $100 Topic I100Answer Go To Single Jeopardy Smoking or Tobacco

Addictions - $200 4 ways that kids can obtain cigarettes. Topic I200Question

Addictions - $200 Topic I200Answer Go To Single Jeopardy 1.Vending Machines 2.Buying them in stores 3.Getting them from Family & Friends 4.Stealing them.

Addictions - $300 What are 3 serious life threatening physical complications of cocaine use? Topic I300Question

Addictions - $300 Topic I300Answer Go To Single Jeopardy 1.Seizures 2.Cardiac Arrhythmias 3.MI 4.Stroke

Addictions - $400 Topic I400Question 3 ways that alcoholism can lead to Anemia:

Addictions - $400 Topic I400Answer Go To Single Jeopardy 1.GI Bleeding 2.Iron Deficiency from GI bleeding & poor diet 3.Poor diet leads to Folate and/or B12 deficiency 4.Bone Marrow Suppression

Addictions - $500 State at least four A’s of smoking cessation counseling or changing health behaviors. Topic I500Question

Addictions - $500 1.Ask if the patient smokes. 2.Advise to quit smoking. 3.Assess readiness to quit smoking. 4.Assist with behavioral change and medications 5.Arrange follow-up. Topic I500Answer Go To Single Jeopardy

Immunizations - 100Q Topic II100Question 4 Vaccines that are recommended to be administered to children at age 2 months.

Immunizations -100A 1.DTaP 2.IPV 3.Hib 4.Hepatitis B 5.Pneumococcal conjugate vaccine Topic II100Answer Go To Single Jeopardy

Immunizations - 200Q Name 4 groups at high risk of complications of influenza that should receive the flu vaccine yearly based on the recommendations of the Advisory Committee on Immunization Practices (ACIP). Topic II200Question

Immunizations - 200A Advisory Committee on Immunization Practices (ACIP) recommends: 1.all children aged 6–23 months, 2.adults aged > 65 years, 3.pregnant women in their second or third trimester during influenza season, 4.residents of nursing homes 5.adults and children who have chronic disorders of the pulmonary or cardiovascular systems, including asthma; 6.chronic metabolic diseases (including diabetes mellitus), renal dysfunction, hemoglobinopathies, or immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus [HIV] NIP web site Topic II200Answer Go To Single Jeopardy

Immunizations - 300Q Two invasive life threatening diseases prevented by the Hemophilus influenza Type B vaccine. Topic II300Question

Immunizations - 300A 1.Meningitis 2.Epiglottis 3.Periorbital Cellulitis Topic II300Answer Go To Single Jeopardy

Immunizations - 400Q 1.What is the minimum interval recommended between the 2 nd and 3 rd dose of the Hepatitis B vaccine? 2.Is there a maximum interval in which the series should be started over? Topic II400Question

Immunizations - 400A 1.The minimum interval is 8 weeks. 2.There is no maximum interval for any vaccines. There is no reason to start over because of any delay in dose. CDC reference Topic II400Answer Go To Single Jeopardy

Immunizations - 500Q 5 chronic conditions in which the pneumococcal vaccine is indicated. Topic II500Question

Immunizations - 500A Topic II500Answer Go To Single Jeopardy - heart disease- lung disease - sickle cell disease - diabetes - alcoholism – cirrhosis- Hodgkin’s disease - - kidney failure (lymphoma, leukemia) - multiple myeloma- nephrotic syndrome - HIV infection or AIDS- organ transplant - damaged spleen, or no spleen- long-term steroids - certain cancer drugs - radiation therapy

Cancer for All - 100Q Topic III100Question What two substances increases a person’s risk of oral cancer.

Cancer for All - 100A 1.Tobacco 2.Alcohol Topic III100Answer Go To Single Jeopardy

Cancer for All - 200Q Four screening methods for colorectal cancer recommended for use in the general population. Topic III200Question

Cancer for All - 200A 1.DRE 2.FOBT 3.Flexible Sigmoidoscopy 4.Colonoscopy Topic III200Answer Go To Single Jeopardy

Daily Double Make a Wager

Cancer for All - 300Q 3 anatomic regions of the skin at highest risk for the occurrence of nonmelanoma skin cancer (BCC and SCC). Topic III300Question

Cancer for All - 300A 1.Face – especially the nose 2.Hands 3.Arms 4.Back Topic III300Answer Go To Single Jeopardy

Cancer for All - 400Q What are 2 risks of prostate cancer screening with PSA? Topic III400Question

Cancer for All - 400A 1.False positive test needing rectal ultrasound and biopsies. 2.Finding cancer and risking complications of treatment (impotence, incontinence) without knowing if treatment will improve the person’s outcome. 3.False negative and reassuring the patient that he has no cancer when he in fact has undetected cancer. Topic III400Answer Go To Single Jeopardy

Cancer for All - 500Q What are 3 characteristics of a good screening test for cancer? Topic III500Question

Cancer for All - 500A 1.High Sensitivity to pick up the cancer at a stage when something can be done about it. 2.High specificity so that there are not a lot of false positives. 3.There exists an intervention to improve the survival of the person based on the early detection of the cancer. Topic III500Answer Go To Single Jeopardy

Cancer for Women - 100Q What is the quadrant of the breast in which breast cancer is most likely to develop? What is this most likely reason for this? Topic IV100Question

Cancer for Women - 100A Upper Outer Quadrant There is more breast tissue there. Topic IV100Answer Go To Single Jeopardy

Cancer for Women - 200Q What is the appropriate next step when a woman over age 35 has a breast lump, a negative mammogram and a non- diagnostic ultrasound. Topic IV200Question

Cancer for Women - 200A Obtain tissue for cytology or pathology using: -FNA (cytology) -Core Needle biopsy (histology) -Excisional biopsy Topic IV200Answer Go To Single Jeopardy

Cancer for Women - 300Q The area of the cervix in which cancer is most likely to develop and the name of the junction that is within this area. Topic IV300Question

Cancer for Women - 300A What is the transformation zone or transitional zone? The squamocolumnar junction (SCJ) is one part of this area. Topic IV300Answer Go To Single Jeopardy

Cancer for Women - 400Q A 30 yo woman has a very positive family history for breast and ovarian cancer on her father’s side but none on her mother’s side. What screening test should you discuss with this woman? Topic IV400Question

Cancer for Women - 400A Discuss the benefits and risks of obtaining a blood test for BRCA1 and BRCA2 gene mutations. Topic IV400Answer Go To Single Jeopardy

Cancer for Women - 500Q The type of cells that must be included on a Pap Smear slide for the cytologist to call it an adequate specimen. Topic IV500Question

Cancer for Women - 500A What are endocervical or columnar cells? Topic IV500Answer Go To Single Jeopardy

Exercise & Nutrition -100Q A high fat diet will put you at risk for these two cancers. Topic V100Question

Exercise & Nutrition - 100A What is.. 1.Colon cancer 2.Breast cancer Topic V100Answer Go To Single Jeopardy

Exercise & Nutrition - 200Q Six accepted risk factors for cardiovascular disease. Topic V200Question

Exercise & Nutrition - 200A What are… 1.HTN 2.Smoking 3.Positive Family History 4.High LDL or TC 5.Low HDL 6.Diabetes 7.Obesity 8.Sedentary Lifestyle Topic V200Answer Go To Single Jeopardy

Exercise & Nutrition - 300Q Three valuable components of an exercise prescription. Topic V300Question

Exercise & Nutrition - 300A What is.. 1.Type of exercise 2.When to exercise 3.Frequency 4.Duration 5.How to overcome barriers Topic V300Answer Go To Single Jeopardy

Exercise & Nutrition - 400Q Six health benefits of exercise. Topic V400Question

Exercise & Nutrition - 400A 1.Weight loss to treat obesity 2.Decrease cholesterol 3.Increase HDL. 4.Decrease BP in HTN. 5.Improve control of diabetes. 6.Prevent cardiovascular disease. 7.Prevent osteoporosis. 8.Stress reduction 9.Increase muscle strength and balance to prevent falls and other injuries Topic V400Answer Go To Single Jeopardy

Exercise & Nutrition - 500Q 3 PART 1.The Maximum predicted heart rate for a 20 year old man. 2.How you calculate it. 3.How you calculate target heart rate for aerobic exercise for persons of different fitness levels. Topic V500Question

Exercise & Nutrition - 500A 220 – 20 = % of 200 = Topic V500Answer Go To Single Jeopardy

FINAL JEOPARDY

Define Primary, Secondary, and Tertiary Prevention.

FINAL JEOPARDY ANSWER Primary (preventing disease - often lifestyle related) –Diet, exercise, smoking cessation, immunizations Secondary (early diagnosis by screening) –Pap smears, mammograms Tertiary (preventing the complications of an existing chronic disease) –Eye and foot exams for persons with diabetes

BONUS Question A type of bias that will artificially appear to show prolonged survival in cancer patients screened for early disease. (not selection bias)

Lead Time Bias Diagnosis by Cancer screen in 1994 Usual time of diagnosis via symptoms in 1998 Lead Time 4 years Death in 2008 Not changed By intervention True Survival = 10 years