1. Date Single Jeopardy Double Jeopardy Final Jeopardy Pain Management Jeopardy

2. 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 Scheduling Conflicts Methadone & Methadon’t Crazy Calculations Side Effect Central Potpourri SINGLE JEOPARDY Double Jeopardy Final Jeopardy

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

4. III Topic I100Answer Go To Single Jeopardy

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

6. 11 Topic I200Answer Go To Single Jeopardy

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

8. Morphine Topic I300Answer Go To Single Jeopardy

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

10. I Topic I400Answer Go To Single Jeopardy

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

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

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

14. Prolonged QT interval Topic II100Answer Go To Single Jeopardy

15. One safe starting dose for methadone in an otherwise healthy non-elderly patient – whether they’ve been on opiates before or not Topic II200Question

16. 5mg BID Titrate to TID after a week Topic II200Answer Go To Single Jeopardy

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

18. TCAs Topic II300Answer Go To Single Jeopardy

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

20. Both Topic II400Answer Go To Single Jeopardy

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

22. Benzodiazepenes Topic II500Answer Go To Single Jeopardy

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

24. Incomplete cross-tolerance Topic III100Answer Go To Single Jeopardy

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

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

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

28. Percents Topic III300Answer Go To Single Jeopardy

29. 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.

30. 2.4 mg Topic III400Answer Go To Single Jeopardy

31. 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.

32. OxyContin 20 mg BID Topic III500Answer Go To Single Jeopardy

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

34. Constipation Topic IV100Answer Go To Single Jeopardy

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

36. Testosterone Topic IV200Answer Go To Single Jeopardy

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

38. Fentanyl Topic IV300Answer Go To Single Jeopardy

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

40. Tolerance Topic IV400Answer Go To Single Jeopardy

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

42. Tramadol Topic IV500Answer Go To Single Jeopardy

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

44. Maladaptive Topic V100Answer Go To Single Jeopardy

45. One adjective used to describe neuropathic pain Topic V200Question

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

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

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

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

50. Sedation Topic V400Answer Go To Single Jeopardy

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

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

53. 200 400 600 800 1000 200 400 600 800 1000 200 400 600 800 1000 200 400 600 800 1000 200 400 600 800 1000 Nutritional Deficiency DOUBLE JEOPARDY Final Jeopardy Dementia & Delirium Name that Rash Part Deux ObstetricsMovies

54. Glossitis, anemia, and neural tube defects Topic VI200Question

55. Folate Topic VI200Answer Go To Double Jeopardy

56. Easy and excessive bleeding and bruising Topic VI400Question

57. Vitamin K Topic VI400Answer Go To Double Jeopardy

58. Hypothyroidism, cretinism, fatigue Topic VI600Question

59. Iodine Topic VI600Answer Go To Double Jeopardy

60. Night blindness and xerophthalmia Topic VI800Question

61. Vitamin A Topic VI800Answer Go To Double Jeopardy

62. Dermatitis, diarrhea, and dementia Topic VI1000Question

63. Niacin (vitamin B3) Topic VI1000Answer Go To Double Jeopardy

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

65. Alzheimer’s dementia Topic VII200Answer Go To Double Jeopardy

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

67. CBC Topic VII400Answer Go To Double Jeopardy

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

69. Depression Topic VII600Answer Go To Double Jeopardy

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

71. Family history of dementia Topic VII800Answer Go To Double Jeopardy

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

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

74. Topic VIII200Question

75. Impetigo and S. aureus Topic VIII200Answer Go To Double Jeopardy

76. Topic VIII400Question

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

78. Topic VIII600Question

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

80. Topic VIII800Question

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

82. Topic VIII1000Question

83. Smallpox and Variola virus Topic VIII1000Answer Go To Double Jeopardy

84. Topic IX200Question What is the recommended weight gain in pregnancy for “normal weight” women? (Normal weight = 90 – 135% IBW)

85. 25 – 35 pounds (Underweight = 28 – 40 pounds) (Overweight = 15 – 25 pounds) Topic IX200Answer Go To Double Jeopardy

86. 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

87. Meningococcal and Hep B Topic IX400Answer Go To Double Jeopardy

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

89. Metoclopramide Topic IX600Answer Go To Double Jeopardy

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

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

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

93. Kliehauer-Betke test Topic IX1000Answer Go To Double Jeopardy

94. Topic X200Question

95. Patch Adams Topic X200Answer Go To Double Jeopardy

96. Topic X400Question

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

98. Topic X600Question

99. Cider House Rules Topic X600Answer Go To Double Jeopardy

100. Topic X800Question

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

102. Topic X1000Question

103. Flatliners Topic X1000Answer Go To Double Jeopardy

104. FINAL JEOPARDY The Big Picture

105. If you are treating pain correctly, your patient will probably report a decrease in pain, but an increase in this

106. Function

107. Credits Produced by Oregon Health Sciences University Department of Internal Medicine Software Template Design by David L. Shenson Use of this software is free. Please maintain the credits so credit Can be given where it is due. Comments and suggestions can be made by e-mail to dshenson@concentric.net