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Quiz about Whats The Real Diagnosis
Quiz about Whats The Real Diagnosis

What's The Real Diagnosis? Trivia Quiz


For each of these items I'll briefly outline a situation and give the diagnostic acronym. Choose the correct medical diagnosis.

A multiple-choice quiz by yency. Estimated time: 4 mins.
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Author
yency
Time
4 mins
Type
Multiple Choice
Quiz #
332,761
Updated
Dec 03 21
# Qns
10
Difficulty
Average
Avg Score
8 / 10
Plays
8915
Awards
Top 5% quiz!
Last 3 plays: IW66 (7/10), Guest 108 (9/10), tiye (10/10).
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Question 1 of 10
1. An elderly gentleman notices that he has been experiencing leg pain whenever he walks about two blocks. In addition, his legs have been looking somewhat discolored lately. He sees his Primary Care physician who explains that he has PAD.
What does the acronym PAD represent?
Hint


Question 2 of 10
2. Ms X has been diagnosed with UTI. She claims she has been taking frequent trips to the bathroom recently and has been experiencing a burning sensation each time she passes urine.
What does this diagnosis of UTI represent?
Hint


Question 3 of 10
3. A 21 year old African-American female is brought to the emergency room with the chief complaint of chest and joint pain. On examination she is frail and jaundiced looking. The attending physician claims she has SCD and needs an exchange transfusion.
What does the acronym SCD mean in the context used here?
Hint


Question 4 of 10
4. Mr. Arthur suffers from arthritis. Over the years, he has been taking ibuprofen (Motrin) and aspirin for pain relief. He presents to the emergency room with chief complaint of vomiting stomach contents which looks like coffee grounds. He's diagnosed with PUD.
What does PUD stand for?
Hint


Question 5 of 10
5. Three days ago, Mr Vandrunkenburg, a known alcoholic, was picked up in the streets by paramedics. He reportedly walked into a moving vehicle and sustained multiple fractures. His blood alcohol level was above 400 (which is very high). Today Mr. Vandrunkenburg is shaking uncontrollably and acting bizarre. The Doctor diagnosed DTs.
What is DTs in this context?
Hint


Question 6 of 10
6. For the last month, Mr X has been coughing up small amounts of blood. He claims to have lost over 20 pounds unintentionally and experiences night sweats and chills. A chest x-ray reveals suspicious signs of TB.
What does TB stand for in medicine?
Hint


Question 7 of 10
7. A truck driver is brought to the Emergency Room in severe respiratory distress. He is hypotensive and tachycardic. About a week ago, he had been experiencing swelling, stiffness and pain to his left leg. These symptoms were relieved with a combination of massages and stretch exercises. A CT scan of the chest with intravenous contrast reveals PE.
What is PE in the context of this patient's history?
Hint


Question 8 of 10
8. Fifteen years ago, Kim was diagnosed with chronic kidney disease. Her kidneys have gotten so bad now that her nephrologist thinks she needs dialysis. He claims she now has ESRD.

What is ESRD?
Hint


Question 9 of 10
9. Ms Clean is the secretary of a busy unit. Lately her workmates have been complaining that Ms Clean seems to be more concerned with cleaning her environment than actually doing her secretarial duties. She cleans her desk thrice every morning using three specific cleaning agents. She swears her colleagues are untidy and are trying to kill her with germs. A close friend discloses that Ms Clean suffers from OCD.
What does OCD mean?
Hint


Question 10 of 10
10. Due to the prevailing economic instability at a particular firm, a senior executive was forced to cut spending in his department by 50% and improve output by 25%. While having a meeting with his disgruntled, argumentative subordinates he clutches his chest complaining of severe chest pain. "I can't breathe" he said, "It feels as though an elephant is sitting on my chest." Mr. Executive was rushed to a nearby hospital where he was diagnosed with MI.
What does MI represent in this situation?
Hint



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Most Recent Scores
Nov 20 2024 : IW66: 7/10
Nov 16 2024 : Guest 108: 9/10
Nov 15 2024 : tiye: 10/10
Nov 10 2024 : HemlockJones: 8/10
Nov 04 2024 : atlantabelle: 10/10
Oct 30 2024 : Coromom: 8/10
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quiz
Quiz Answer Key and Fun Facts
1. An elderly gentleman notices that he has been experiencing leg pain whenever he walks about two blocks. In addition, his legs have been looking somewhat discolored lately. He sees his Primary Care physician who explains that he has PAD. What does the acronym PAD represent?

Answer: Peripheral artery disease

PAD commonly results from a build up of fatty plaques in the peripheral vessels. This causes narrowing of the lumen of the arteries, hence a reduction in blood flow to the legs or other areas involved. Walking makes the muscles in the legs do more work with a resultant increase in the demand for oxygen and nutrients.

The partially occluded arteries are unable to meet this increased demand and leg pain occurs. The pain goes away with rest and returns with activity. Other signs of PAD include diminished leg pulses, darkening or discoloration of the legs, poor hair growth and a shiny appearance of the legs.
2. Ms X has been diagnosed with UTI. She claims she has been taking frequent trips to the bathroom recently and has been experiencing a burning sensation each time she passes urine. What does this diagnosis of UTI represent?

Answer: Urinary tract infection

UTI is a collective term which refers to infection occurring anywhere along the urinary tract which include kidney, ureter, urinary bladder or urethra. Bladder infection, which is more common, is referred to as cystitis whereas infection of the kidney for example, is called pyelonephritis. UTI is more common in women than in men partly due to the close proximity of the urethral opening to the anus and vagina, as well as the shortness of the urethra in the female, in comparison to the urethra in the male.

As a man advances in age however, if he develops hypertrophy of the prostate gland, his incidence of UTI increases due to retention of urine and stasis which allows for proliferation of bacteria.
3. A 21 year old African-American female is brought to the emergency room with the chief complaint of chest and joint pain. On examination she is frail and jaundiced looking. The attending physician claims she has SCD and needs an exchange transfusion. What does the acronym SCD mean in the context used here?

Answer: Sickle Cell disease

The incidence of SCD is higher in African Americans than in other ethnic groups. It is an inherited condition affecting red blood cells in which the hemoglobin in the red blood cell is abnormal. This causes the cells to become sickle shaped under certain conditions. Sickled cells have a difficult time passing through tiny blood vessels.

This leads to diminished blood supply and damage to organs being supplied by the blocked vessels. The life span of the blood cells is also shortened considerably. Anemia, jaundice and pain are common features of this disease.
4. Mr. Arthur suffers from arthritis. Over the years, he has been taking ibuprofen (Motrin) and aspirin for pain relief. He presents to the emergency room with chief complaint of vomiting stomach contents which looks like coffee grounds. He's diagnosed with PUD. What does PUD stand for?

Answer: Peptic ulcer disease

Peptic ulcers are sores found in the stomach, upper intestine (duodenum), or esophagus. Although mostly caused by an infection with helicobacter pylori (H. Pylori), they can be caused by use of non-steroidal anti inflammatory drugs (NSAIDS). Examples of these drugs include ibuprofen, aspirin and aleve.
Symptoms of PUD include heartburn, epigastric pain, bloating, nausea and vomiting. Blood from the stomach has been mixed with gastric juices so the vomit appears like coffee grounds.
5. Three days ago, Mr Vandrunkenburg, a known alcoholic, was picked up in the streets by paramedics. He reportedly walked into a moving vehicle and sustained multiple fractures. His blood alcohol level was above 400 (which is very high). Today Mr. Vandrunkenburg is shaking uncontrollably and acting bizarre. The Doctor diagnosed DTs. What is DTs in this context?

Answer: Delirium tremens

Delirium tremens is commonly caused by alcohol withdrawal. Symptoms include delirium, confusion, hallucination, fever, hypertension, and tachycardia. It is a serious condition and hospitalization is needed for close monitoring and treatment.
6. For the last month, Mr X has been coughing up small amounts of blood. He claims to have lost over 20 pounds unintentionally and experiences night sweats and chills. A chest x-ray reveals suspicious signs of TB. What does TB stand for in medicine?

Answer: tuberculosis

Tuberculosis is an infectious disease which is commonly caused by the bacterium mycobacterium tuberculosis. Although it commonly affects the lungs, a person can have tuberculosis in other body parts such as the bone, kidney or brain. Tuberculosis is an air borne disease, therefore, if a person who has tuberculosis of the lungs coughs or sneezes, the germs enters the air and can be inhaled by others.
7. A truck driver is brought to the Emergency Room in severe respiratory distress. He is hypotensive and tachycardic. About a week ago, he had been experiencing swelling, stiffness and pain to his left leg. These symptoms were relieved with a combination of massages and stretch exercises. A CT scan of the chest with intravenous contrast reveals PE. What is PE in the context of this patient's history?

Answer: Pulmonary embolism

A PE is a condition whereby one or more of the blood vessels supplying the lungs with blood becomes blocked. Although the embolism may be composed of a clump of bacteria, fat, or amniotic fluid, it's commonly caused by a clot which has travelled in the blood stream to the right side of the heart, which empties into the pulmonary artery.

In the situation outlined, it's possible that the client had a deep vein thrombus which became dislodged and travelled to the lungs. Truck drivers are susceptible to development of DVT because they sit for long hours. Signs of PE include sudden onset of shortness of breath, rapid heart rate, low blood pressure, sweating and dizziness.
8. Fifteen years ago, Kim was diagnosed with chronic kidney disease. Her kidneys have gotten so bad now that her nephrologist thinks she needs dialysis. He claims she now has ESRD. What is ESRD?

Answer: End-stage renal disease

The correct response is End-stage renal disease. While waiting for a kidney transplant, these clients are treated by dialysis. A common type of dialysis is hemodialysis, whereby the blood is filtered by a machine, excess fluid is removed and the blood returned.

It's usually done thrice weekly. The abbreviation ESRD-DD-MWF, for example, may indicate that a person has End-stage renal disease, is dialysis dependent and has a schedule of Monday, Wednesday, and Friday. T-T-S refers to the Tuesday Thursday and Saturday.
9. Ms Clean is the secretary of a busy unit. Lately her workmates have been complaining that Ms Clean seems to be more concerned with cleaning her environment than actually doing her secretarial duties. She cleans her desk thrice every morning using three specific cleaning agents. She swears her colleagues are untidy and are trying to kill her with germs. A close friend discloses that Ms Clean suffers from OCD. What does OCD mean?

Answer: Obsessive Compulsive Disorder

OCD is an anxiety disorder characterized by thoughts and fears that drive a person to engage in rituals and repetitive behaviors. The unreasonable thoughts and fears constitute obsession, while the repetitive behaviors are the compulsion aspect.
10. Due to the prevailing economic instability at a particular firm, a senior executive was forced to cut spending in his department by 50% and improve output by 25%. While having a meeting with his disgruntled, argumentative subordinates he clutches his chest complaining of severe chest pain. "I can't breathe" he said, "It feels as though an elephant is sitting on my chest." Mr. Executive was rushed to a nearby hospital where he was diagnosed with MI. What does MI represent in this situation?

Answer: Myocardial infarction

"Typically" a person experiencing a myocardial infarction (heart attack), complains of a characteristic chest pain which may radiate to the shoulder, arm, neck or jaw. The pain/discomfort may be described as indigestion or heart burn by some people, while others may describe it as crushing, squeezing, aching or severe pressure. Not every one experience these classic signs. About 20% of people with MI present "atypically" for example, women, elderly people and diabetics.

A woman for instance, may have vague chest discomfort, back, shoulder or neck ache, shortness of breath and nausea and vomiting.

As such, women tend not to seek medical care early and are twice as likely to die from a heart attack than men. Elderly people and may present with altered mental status, fainting and epigastric pain.
Source: Author yency

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