Date Single Jeopardy Double Jeopardy Final Jeopardy Pain Management Jeopardy

Scheduling Conflicts Methadone & Methadon’t Crazy Calculations Side Effect Central Potpourri SINGLE JEOPARDY Double Jeopardy Final Jeopardy

Of Schedule I, II, III, IV, or V, the class to which hydrocodone-acetaminophen belongs Topic I100Question

III Topic I100Answer Go To Single Jeopardy

Number of refills you can (not should) authorize for Robitussin AC Topic I200Question

11 Topic I200Answer Go To Single Jeopardy

This Schedule II medication is contraindicated in patients with renal failure Topic I300Question

Morphine Topic I300Answer Go To Single Jeopardy

Of Schedule I, II, III, IV, or V, the class to which marijuana belongs Topic V400Question

I Topic I400Answer Go To Single Jeopardy

One situation in which fax or call-in of a Schedule II medication is permitted Topic I500Question

Emergency prescription (paper rx must be submitted within 7 days) -Hospice patient (Medicare or state-certified hospice) Topic I500Answer Go To Single Jeopardy

One EKG finding which would stop you from prescribing methadone Topic II100Question

Prolonged QT interval Topic II100Answer Go 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 Topic II200Question

5mg BID Titrate to TID after a week Topic II200Answer Go To Single Jeopardy

One class of pain medications which can cause the same EKG anomaly as methadone Topic II300Question

TCAs Topic II300Answer Go To Single Jeopardy

Of nociceptive, neuropathic, or both, the type of pain which methadone has been shown to affect Topic II400Question

Both Topic II400Answer Go To Single Jeopardy

Methadone, when combined this class of medication, is responsible for more opiate overdoses in the state of Virginia than any other Topic II500Question

Benzodiazepenes Topic II500Answer Go To Single Jeopardy

Topic III100Question When switching opiates, you may want to undershoot the new dose by 25% for this reason

Incomplete cross-tolerance Topic III100Answer Go To Single Jeopardy

Topic III200Question In patients with kidney or liver problems, one of two things you can adjust to keep them safe

Dose-adjust Use longer dosing intervals Topic III200Answer Go To Single Jeopardy

Topic III300Question Of percents or milligrams, the preferred unit for titrating opiates

Percents Topic III300Answer Go To Single Jeopardy

Topic III400Question 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 Topic III400Answer Go To Single Jeopardy

Topic III500Question 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 Topic III500Answer Go To Single Jeopardy

This common GI side effect of opiates merits prophylaxis in almost all patients, especially those who are bedbound or can’t communicate Topic IV100Question

Constipation Topic IV100Answer Go To Single Jeopardy

This hormone is often found to be low in men who have taken opiates long term, sometimes requiring medication Topic IV200Question

Testosterone Topic IV200Answer Go To Single Jeopardy

Of morphine, codeine, or fentanyl, the opiate least likely to cause pruritis Topic IV300Question

Fentanyl Topic IV300Answer Go To Single Jeopardy

The term that describes decreased effectiveness of pain relief over time in someone who has been on an opiate Topic IV400Question

Tolerance Topic IV400Answer Go To Single Jeopardy

One opiate-related pain medication with addictive potential not tracked by the Virginia PMP Topic IV500Question

Tramadol Topic IV500Answer Go To Single Jeopardy

Of adaptive or maladaptive, the characteristic that defines nociceptive pain Topic V100Question

Maladaptive Topic V100Answer Go To Single Jeopardy

One adjective used to describe neuropathic pain Topic V200Question

Burning Sharp Lancinating Tingling Numb Lightening-like Topic V200Answer Go To Single Jeopardy

One low back pain red flag which would prompt emergent referral Topic V300Question

Loss of bowel/bladder continence Saddle parasthesias Leg weakness Topic V300Answer Go To Single Jeopardy

The CNS symptom which always precedes respiratory depression in patients on narcotics Topic V300Question

Sedation Topic V400Answer Go To Single Jeopardy

One good indication for using opiates in chronic nonmalignant pain Topic V500Question

- Failure of adequate trials and doses of nonopiate therapy - Contraindications to nonopiate therapy - Improvement in function on opiates Topic V500Answer Go To Single Jeopardy

Nutritional Deficiency DOUBLE JEOPARDY Final Jeopardy Dementia & Delirium Name that Rash Part Deux ObstetricsMovies

Glossitis, anemia, and neural tube defects Topic VI200Question

Folate Topic VI200Answer Go To Double Jeopardy

Easy and excessive bleeding and bruising Topic VI400Question

Vitamin K Topic VI400Answer Go To Double Jeopardy

Hypothyroidism, cretinism, fatigue Topic VI600Question

Iodine Topic VI600Answer Go To Double Jeopardy

Night blindness and xerophthalmia Topic VI800Question

Vitamin A Topic VI800Answer Go To Double Jeopardy

Dermatitis, diarrhea, and dementia Topic VI1000Question

Niacin (vitamin B3) Topic VI1000Answer Go To Double Jeopardy

Which is the most common cause of dementia: Topic VII200Question 1.) Alzheimer’s disease 2.) Drug-induced dementia 3.) Multi-infarct dementia

Alzheimer’s dementia Topic VII200Answer Go To Double Jeopardy

The most important first investigation for patients suspected to have delirium is: 1.) CBC 2.) MRI 3.) EEG Topic VII400Question

CBC Topic VII400Answer Go To Double Jeopardy

What is the most common treatable condition that is often confused with Alzheimer’s disease? Topic VII600Question

Depression Topic VII600Answer Go To Double Jeopardy

What is the most important risk factor for developing Alzheimer’s disease? Topic VII800Question

Family history of dementia Topic VII800Answer Go To Double Jeopardy

This class of medications is the primary treatment for patient’s with Alzheimer’s disease. Topic VII1000Question

Cholinesterase inhibitors (ie: donepezil, rivastigmine) Topic VII1000Answer Go To Double Jeopardy

Topic VIII200Question

Impetigo and S. aureus Topic VIII200Answer Go To Double Jeopardy

Topic VIII400Question

Tinea versicolor (pityriasis versicolor) and Malassezia furfur Topic VIII400Answer Go To Double Jeopardy

Topic VIII600Question

Herpes zoster (shingles) and Varicella zoster virus Topic VIII600Answer Go To Double Jeopardy

Topic VIII800Question

Scarlet fever and Group A strep Topic VIII800Answer Go To Double Jeopardy

Topic VIII1000Question

Smallpox and Variola virus Topic VIII1000Answer Go To Double Jeopardy

Topic IX200Question 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 IX200Answer Go To Double Jeopardy

Topic IX400Question 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 Topic IX400Answer Go To Double Jeopardy

Topic IX600Question What is the drug of choice for severe hyperemesis gravidarum?

Metoclopramide Topic IX600Answer Go To Double Jeopardy

Topic IX800Question What shape pelvis is the most common and most functional for delivery?

Gynecoid (android, platypelloid, and anthropoid are the other shapes) Topic IX800Answer Go To Double Jeopardy

Topic IX1000Question What test can be performed to differentiate fetal from maternal blood?

Kliehauer-Betke test Topic IX1000Answer Go To Double Jeopardy

Topic X200Question

Patch Adams Topic X200Answer Go To Double Jeopardy

Topic X400Question

M*A*S*H Topic X400Answer Go To Double Jeopardy

Topic X600Question

Cider House Rules Topic X600Answer Go To Double Jeopardy

Topic X800Question

One Flew Over the Cuckoo's Nest Topic X800Answer Go To Double Jeopardy

Topic X1000Question

Flatliners Topic X1000Answer Go To Double 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

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