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JeopardyDouble
JeopardyFinal
Jeopardy
Pain ManagementPain Management
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SchedulingConflicts
Methadone &Methadon’t
CrazyCalculations
Side EffectCentral
Potpourri
SINGLE JEOPARDYDouble
JeopardyFinal
Jeopardy
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Of Schedule I, II, III, IV, or V, the class to which
hydrocodone-acetaminophen belongs
Topic I 100 Question
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III
Topic I 100 AnswerGo To Single
Jeopardy
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Number of refills you can (not should) authorize for
Robitussin AC
Topic I 200 Question
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11
Topic I 200 AnswerGo To Single
Jeopardy
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This Schedule II medication is contraindicated in patients
with renal failure
Topic I 300 Question
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Morphine
Topic I 300 AnswerGo To Single
Jeopardy
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Of Schedule I, II, III, IV, or V, the class to which marijuana
belongs
Topic V 400 Question
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I
Topic I 400 AnswerGo To Single
Jeopardy
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One situation in which fax or call-in of a Schedule II medication is permitted
Topic I 500 Question
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Emergency prescription (paper rx must be submitted within 7
days)-Hospice patient (Medicare or
state-certified hospice)
Topic I 500 AnswerGo To Single
Jeopardy
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One EKG finding which would stop you from
prescribing methadone
Topic II 100 Question
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Prolonged QT interval
Topic II 100 AnswerGo To Single
Jeopardy
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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
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5mg BIDTitrate to TID after a week
Topic II 200 AnswerGo To Single
Jeopardy
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One class of pain medications which can cause the same EKG
anomaly as methadone
Topic II 300 Question
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TCAs
Topic II 300 AnswerGo To Single
Jeopardy
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Of nociceptive, neuropathic, or both, the type of pain which methadone has been shown to
affect
Topic II 400 Question
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Both
Topic II 400 AnswerGo To Single
Jeopardy
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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
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Benzodiazepenes
Topic II 500 AnswerGo To Single
Jeopardy
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Topic III 100 Question
When switching opiates, you may want to undershoot the new dose by 25% for this reason
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Incomplete cross-tolerance
Topic III 100 AnswerGo To Single
Jeopardy
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Topic III 200 Question
In patients with kidney or liver problems, one of two things you can
adjust to keep them safe
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Dose-adjustUse longer dosing intervals
Topic III 200 AnswerGo To Single
Jeopardy
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Topic III 300 Question
Of percents or milligrams, the preferred unit for titrating opiates
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Percents
Topic III 300 AnswerGo To Single
Jeopardy
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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.
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2.4 mg
Topic III 400 AnswerGo To Single
Jeopardy
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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.
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OxyContin 20 mg BID
Topic III 500 AnswerGo To Single
Jeopardy
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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
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Constipation
Topic IV 100 AnswerGo To Single
Jeopardy
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This hormone is often found to be low in men who have taken opiates long term, sometimes
requiring medication
Topic IV 200 Question
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Testosterone
Topic IV 200 AnswerGo To Single
Jeopardy
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Of morphine, codeine, or fentanyl, the opiate least likely to cause pruritis
Topic IV 300 Question
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Fentanyl
Topic IV 300 AnswerGo To Single
Jeopardy
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The term that describes decreased effectiveness of pain
relief over time in someone who has been on an opiate
Topic IV 400 Question
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Tolerance
Topic IV 400 AnswerGo To Single
Jeopardy
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One opiate-related pain medication with addictive
potential not tracked by the Virginia PMP
Topic IV 500 Question
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Tramadol
Topic IV 500 AnswerGo To Single
Jeopardy
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Of adaptive or maladaptive, the characteristic that defines
nociceptive pain
Topic V 100 Question
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Maladaptive
Topic V 100 AnswerGo To Single
Jeopardy
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One adjective used to describe neuropathic pain
Topic V 200 Question
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BurningSharp
LancinatingTinglingNumb
Lightening-like
Topic V 200 AnswerGo To Single
Jeopardy
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One low back pain red flag which would prompt emergent
referral
Topic V 300 Question
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Loss of bowel/bladder continence
Saddle parasthesiasLeg weakness
Topic V 300 AnswerGo To Single
Jeopardy
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The CNS symptom which always precedes respiratory
depression in patients on narcotics
Topic V 300 Question
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Sedation
Topic V 400 AnswerGo To Single
Jeopardy
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One good indication for using opiates in chronic nonmalignant
pain
Topic V 500 Question
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- 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
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200
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Nutritional Deficiency
DOUBLE JEOPARDYFinal
Jeopardy
Dementia &Delirium
Name that RashPart Deux
Obstetrics Movies
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Glossitis, anemia, and neural tube defects
Topic VI 200 Question
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Folate
Topic VI 200 AnswerGo To Double
Jeopardy
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Easy and excessive bleeding and bruising
Topic VI 400 Question
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Vitamin K
Topic VI 400 AnswerGo To Double
Jeopardy
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Hypothyroidism, cretinism, fatigue
Topic VI 600 Question
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Iodine
Topic VI 600 AnswerGo To Double
Jeopardy
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Night blindness and xerophthalmia
Topic VI 800 Question
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Vitamin A
Topic VI 800 AnswerGo To Double
Jeopardy
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Dermatitis, diarrhea, and dementia
Topic VI 1000 Question
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Niacin (vitamin B3)
Topic VI 1000 AnswerGo To Double
Jeopardy
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Which is the most common cause of dementia:
Topic VII 200 Question
1.) Alzheimer’s disease
2.) Drug-induced dementia
3.) Multi-infarct dementia
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Alzheimer’s dementia
Topic VII 200 AnswerGo To Double
Jeopardy
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The most important first investigation for patients
suspected to have delirium is:1.) CBC2.) MRI3.) EEG
Topic VII 400 Question
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CBC
Topic VII 400 AnswerGo To Double
Jeopardy
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What is the most common treatable condition that is often
confused with Alzheimer’s disease?
Topic VII 600 Question
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Depression
Topic VII 600 AnswerGo To Double
Jeopardy
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What is the most important risk factor for developing
Alzheimer’s disease?
Topic VII 800 Question
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Family history of dementia
Topic VII 800 AnswerGo To Double
Jeopardy
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This class of medications is the primary treatment for
patient’s with Alzheimer’s disease.
Topic VII 1000 Question
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Cholinesterase inhibitors(ie: donepezil, rivastigmine)
Topic VII 1000 AnswerGo To Double
Jeopardy
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Topic VIII 200 Question
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Impetigoand
S. aureus
Topic VIII 200 AnswerGo To Double
Jeopardy
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Topic VIII 400 Question
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Tinea versicolor(pityriasis versicolor)
andMalassezia furfur
Topic VIII 400 AnswerGo To Double
Jeopardy
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Topic VIII 600 Question
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Herpes zoster (shingles)and
Varicella zoster virus
Topic VIII 600 AnswerGo To Double
Jeopardy
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Topic VIII 800 Question
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Scarlet feverand
Group A strep
Topic VIII 800 AnswerGo To Double
Jeopardy
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Topic VIII 1000 Question
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Smallpoxand
Variola virus
Topic VIII 1000 AnswerGo To Double
Jeopardy
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Topic IX 200 Question
What is the recommended weight gain in pregnancy for
“normal weight” women?
(Normal weight = 90 – 135% IBW)
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25 – 35 pounds
(Underweight = 28 – 40 pounds)(Overweight = 15 – 25 pounds)
Topic IX 200 AnswerGo To Double
Jeopardy
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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
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Meningococcal and Hep B
Topic IX 400 AnswerGo To Double
Jeopardy
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Topic IX 600 Question
What is the drug of choice for severe hyperemesis
gravidarum?
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Metoclopramide
Topic IX 600 AnswerGo To Double
Jeopardy
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Topic IX 800 Question
What shape pelvis is the most common and most functional
for delivery?
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Gynecoid
(android, platypelloid, and anthropoid are the other shapes)
Topic IX 800 AnswerGo To Double
Jeopardy
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Topic IX 1000 Question
What test can be performed to differentiate fetal from
maternal blood?
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Kliehauer-Betke test
Topic IX 1000 AnswerGo To Double
Jeopardy
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Topic X 200 Question
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Patch Adams
Topic X 200 AnswerGo To Double
Jeopardy
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Topic X 400 Question
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M*A*S*H
Topic X 400 AnswerGo To Double
Jeopardy
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Topic X 600 Question
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Cider House Rules
Topic X 600 AnswerGo To Double
Jeopardy
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Topic X 800 Question
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One Flew Over the Cuckoo's Nest
Topic X 800 AnswerGo To Double
Jeopardy
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Topic X 1000 Question
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Flatliners
Topic X 1000 AnswerGo To Double
Jeopardy
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FINAL JEOPARDY
The Big Picture
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If you are treating pain correctly, your patient will
probably report a decrease in pain, but an increase in this
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Function
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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 [email protected]