DateSingle

JeopardyDouble

JeopardyFinal

Jeopardy

Pain ManagementPain Management

JeopardyJeopardy

100

200

300

400

500

100

200

300

400

500

100

200

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100

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SchedulingConflicts

Methadone &Methadon’t

CrazyCalculations

Side EffectCentral

Potpourri

SINGLE JEOPARDYDouble

JeopardyFinal

Jeopardy

Of Schedule I, II, III, IV, or V, the class to which

hydrocodone-acetaminophen belongs

Topic I 100 Question

III

Topic I 100 AnswerGo To Single

Jeopardy

Number of refills you can (not should) authorize for

Robitussin AC

Topic I 200 Question

11

Topic I 200 AnswerGo To Single

Jeopardy

This Schedule II medication is contraindicated in patients

with renal failure

Topic I 300 Question

Morphine

Topic I 300 AnswerGo To Single

Jeopardy

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

belongs

Topic V 400 Question

I

Topic I 400 AnswerGo To Single

Jeopardy

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

Topic I 500 Question

Emergency prescription (paper rx must be submitted within 7

days)-Hospice patient (Medicare or

state-certified hospice)

Topic I 500 AnswerGo To Single

Jeopardy

One EKG finding which would stop you from

prescribing methadone

Topic II 100 Question

Prolonged QT interval

Topic II 100 AnswerGo 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 II 200 Question

5mg BIDTitrate to TID after a week

Topic II 200 AnswerGo To Single

Jeopardy

One class of pain medications which can cause the same EKG

anomaly as methadone

Topic II 300 Question

TCAs

Topic II 300 AnswerGo To Single

Jeopardy

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

affect

Topic II 400 Question

Both

Topic II 400 AnswerGo 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 II 500 Question

Benzodiazepenes

Topic II 500 AnswerGo To Single

Jeopardy

Topic III 100 Question

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

Incomplete cross-tolerance

Topic III 100 AnswerGo To Single

Jeopardy

Topic III 200 Question

In patients with kidney or liver problems, one of two things you can

adjust to keep them safe

Dose-adjustUse longer dosing intervals

Topic III 200 AnswerGo To Single

Jeopardy

Topic III 300 Question

Of percents or milligrams, the preferred unit for titrating opiates

Percents

Topic III 300 AnswerGo To Single

Jeopardy

Topic III 400 Question

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 III 400 AnswerGo To Single

Jeopardy

Topic III 500 Question

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 III 500 AnswerGo 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 IV 100 Question

Constipation

Topic IV 100 AnswerGo To Single

Jeopardy

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

requiring medication

Topic IV 200 Question

Testosterone

Topic IV 200 AnswerGo To Single

Jeopardy

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

Topic IV 300 Question

Fentanyl

Topic IV 300 AnswerGo To Single

Jeopardy

The term that describes decreased effectiveness of pain

relief over time in someone who has been on an opiate

Topic IV 400 Question

Tolerance

Topic IV 400 AnswerGo To Single

Jeopardy

One opiate-related pain medication with addictive

potential not tracked by the Virginia PMP

Topic IV 500 Question

Tramadol

Topic IV 500 AnswerGo To Single

Jeopardy

Of adaptive or maladaptive, the characteristic that defines

nociceptive pain

Topic V 100 Question

Maladaptive

Topic V 100 AnswerGo To Single

Jeopardy

One adjective used to describe neuropathic pain

Topic V 200 Question

BurningSharp

LancinatingTinglingNumb

Lightening-like

Topic V 200 AnswerGo To Single

Jeopardy

One low back pain red flag which would prompt emergent

referral

Topic V 300 Question

Loss of bowel/bladder continence

Saddle parasthesiasLeg weakness

Topic V 300 AnswerGo To Single

Jeopardy

The CNS symptom which always precedes respiratory

depression in patients on narcotics

Topic V 300 Question

Sedation

Topic V 400 AnswerGo To Single

Jeopardy

One good indication for using opiates in chronic nonmalignant

pain

Topic V 500 Question

- Failure of adequate trials and doses of nonopiate therapy

- Contraindications to nonopiate therapy

- Improvement in function on opiates

Topic V 500 AnswerGo To Single

Jeopardy

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 JEOPARDYFinal

Jeopardy

Dementia &Delirium

Name that RashPart Deux

Obstetrics Movies

Glossitis, anemia, and neural tube defects

Topic VI 200 Question

Folate

Topic VI 200 AnswerGo To Double

Jeopardy

Easy and excessive bleeding and bruising

Topic VI 400 Question

Vitamin K

Topic VI 400 AnswerGo To Double

Jeopardy

Hypothyroidism, cretinism, fatigue

Topic VI 600 Question

Iodine

Topic VI 600 AnswerGo To Double

Jeopardy

Night blindness and xerophthalmia

Topic VI 800 Question

Vitamin A

Topic VI 800 AnswerGo To Double

Jeopardy

Dermatitis, diarrhea, and dementia

Topic VI 1000 Question

Niacin (vitamin B3)

Topic VI 1000 AnswerGo To Double

Jeopardy

Which is the most common cause of dementia:

Topic VII 200 Question

1.) Alzheimer’s disease

2.) Drug-induced dementia

3.) Multi-infarct dementia

Alzheimer’s dementia

Topic VII 200 AnswerGo To Double

Jeopardy

The most important first investigation for patients

suspected to have delirium is:1.) CBC2.) MRI3.) EEG

Topic VII 400 Question

CBC

Topic VII 400 AnswerGo To Double

Jeopardy

What is the most common treatable condition that is often

confused with Alzheimer’s disease?

Topic VII 600 Question

Depression

Topic VII 600 AnswerGo To Double

Jeopardy

What is the most important risk factor for developing

Alzheimer’s disease?

Topic VII 800 Question

Family history of dementia

Topic VII 800 AnswerGo To Double

Jeopardy

This class of medications is the primary treatment for

patient’s with Alzheimer’s disease.

Topic VII 1000 Question

Cholinesterase inhibitors(ie: donepezil, rivastigmine)

Topic VII 1000 AnswerGo To Double

Jeopardy

Topic VIII 200 Question

Impetigoand

S. aureus

Topic VIII 200 AnswerGo To Double

Jeopardy

Topic VIII 400 Question

Tinea versicolor(pityriasis versicolor)

andMalassezia furfur

Topic VIII 400 AnswerGo To Double

Jeopardy

Topic VIII 600 Question

Herpes zoster (shingles)and

Varicella zoster virus

Topic VIII 600 AnswerGo To Double

Jeopardy

Topic VIII 800 Question

Scarlet feverand

Group A strep

Topic VIII 800 AnswerGo To Double

Jeopardy

Topic VIII 1000 Question

Smallpoxand

Variola virus

Topic VIII 1000 AnswerGo To Double

Jeopardy

Topic IX 200 Question

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 IX 200 AnswerGo To Double

Jeopardy

Topic IX 400 Question

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 IX 400 AnswerGo To Double

Jeopardy

Topic IX 600 Question

What is the drug of choice for severe hyperemesis

gravidarum?

Metoclopramide

Topic IX 600 AnswerGo To Double

Jeopardy

Topic IX 800 Question

What shape pelvis is the most common and most functional

for delivery?

Gynecoid

(android, platypelloid, and anthropoid are the other shapes)

Topic IX 800 AnswerGo To Double

Jeopardy

Topic IX 1000 Question

What test can be performed to differentiate fetal from

maternal blood?

Kliehauer-Betke test

Topic IX 1000 AnswerGo To Double

Jeopardy

Topic X 200 Question

Patch Adams

Topic X 200 AnswerGo To Double

Jeopardy

Topic X 400 Question

M*A*S*H

Topic X 400 AnswerGo To Double

Jeopardy

Topic X 600 Question

Cider House Rules

Topic X 600 AnswerGo To Double

Jeopardy

Topic X 800 Question

One Flew Over the Cuckoo's Nest

Topic X 800 AnswerGo To Double

Jeopardy

Topic X 1000 Question

Flatliners

Topic X 1000 AnswerGo 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

Credits

Produced by Oregon Health Sciences UniversityDepartment of Internal Medicine

Software Template Design by David L. Shenson

Use of this software is free. Please maintain the credits so creditCan be given where it is due.

Comments and suggestions can be made by e-mail to dshenson@concentric.net