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60 SECONDS TO
DIAGNOSE
QUIZ MASTER- DR HARIKRISHNAN
V G
GENERAL RULES
 THERE ARE A TOTAL OF 5 ROUNDS IN THIS
QUIZ, FOLLOWED BY A RAPID FIRE ROUND.
 POINT SCHEME WILL BE DIFFERE...
Rounds - 6
 Round 1 - BASIC RADIOLOGY (6 Questions)
 Round 2 - 12 Questions
 Round 3 – Videos ( 6 Questions)
 Round 4 ...
Round 1 – Basic Radiology
(Thanks to)
Wilhelm Rontgen (1845 – 1923)
The 1st Nobel Prize Winner in Physics
(1901)
Rules
 6 Questions + 1 Audience Question ( most of
them are Interesting Radiographs)
 Each correct answer carries 10 poi...
Q1. Identify the lesion ?
The Answer Is..
ANSWER
 EGG SHELL CALCIFICATION
Q 2. What is this sign known as ?
( Gallium 67 scan)
The Answer Is..
ANSWER
 PANDAS SIGN ( SARCOIDOSIS)
Q 3. This X Ray is seen in ?
The Answer Is..
ANSWER
 β THALASSEMIA
PERIPHERAL SMEAR PICTURE IN
BETA-THALASSEMIA
Q 4.The diagnosis is ?
The Answer Is..
ANSWER
 ENCYSTED PLEURAL EFFUSION
Q5. What is this X Ray feature known as and
the condition in which it is seen ?
(5 points for each) (A Bigger image on nex...
The Answer Is..
ANSWER
 BAMBOO SPINE
 ANKYLOSING SPONDYLITIS
Q6. The Diagnosis is ?
The Answer Is..
ANSWER
Pericardial Effusion (Water Bottle Sign)
Audience question
ANSWER
 PNEUMOTHORAX
ROUND 2
Rules
 12 Questions .
 Each correct answer carries 10 points .
 Pounce / Bounce Format .
 +10/-10 on Pounce .
Q1.
What do you see on the patient’s eye ?
What is he suffering from ?
The Answer Is..
ANSWER
 LISCH NODULE
 NEUROFIBROMATOSIS
Q2.Identify the ECG abnormality .
 A 35 year old female was brought to the ER
with history of attempted suicide. Stomach
...
The Answer Is..
ANSWER
 Ventricular Bigeminy
 Digitalis Poisoning
Q3. What is your diagnosis ?
The Answer Is..
ANSWER
 Staphylococcal Scalded Skin Syndrome (SSSS)
Q4.What is your diagnosis ?
 A 38 year old is admitted to the ENT ward,
with complaints of recurrent sinusitis. Urine
exa...
The Answer Is..
ANSWER
 Granulomatosis with Polyangitis
(Old name - Wegeners
Granulomatosis)
 Immunoflurosesnce: c-ANCA
Q5.What is ur diagnosis ?
The Answer Is..
ANSWER
 ALBRIGHT’S HEREDITARY
OSTEODYSTROHY
 PSEUDO HYPOPARATHYROIDISM
Q6. What is your diagnosis ?
 A 9 year old boy presents with fever, redness
and peeling of the skin on the lips and lymph...
The Answer Is..
ANSWER
 Kawasaki Disease (Mucocutaneous Lymph
Node syndrome)
 Strawberry tongue
Q7. What is your diagnosis ?
The Answer Is..
ANSWER
 WHITE FORELOCK
 WAARDENBURG SYNDROME
Q8.
Which is the missing parameter ?
The condition is ? ( 5 points each)
 A patient with AML is admitted in the
Oncology ...
The Answer Is..
ANSWER
 Parameter : Uric acid
 Tumor lysis Syndrome
Q9.
Identify both the lesions (2.5 points each) .
The condition is ? ( 5 points)
The Answer Is..
ANSWER
 SHAGREEN PATCH AND ASH LEAF
MACULES
 TUBEROUS SCLEROSIS
Q10 . The condition is ?
 Parents of a 6 month old baby became
concerned, when they noticed that their child is
not respo...
The Answer Is..
ANSWER
 Alport syndrome is caused by an inherited
defect in Type IV Collagen .
 Since type IV collagen is found in the e...
Q11.
 A 58 year old patient
is undergoing
chemotherapy for a
solid tumor. 6 months
later he presents with
recurrent seizu...
The Answer Is..
ANSWER
 Ring Enhancement Lesion .
 The differential for peripheral or ring
enhancing cerebral lesions includes:
 cerebr...
Q12.What is this skin lesion
known as ? Where is it seen ?
ANSWER
 SCLERODERMA
 SALT AND PEPPER
ROUND 3
“THE EYE DOES NOT
SEE WHAT THE MIND
DOES NOT KNOW..”
RULES
• 20 POINTS FOR THE CORRECT
ANSWER
• NO POUNCING HERE…..!!!
Q1 : What is ur diagnosis ?
The Answer Is..
CHOREA
Q 2 : What is ur diagnosis ?
The Answer Is..
CARDIAC TAMPONADE
Q 3 : What is ur diagnosis ?
The Answer Is..
MELANOSIS COLI
Q 4 : DIAGNOSE
The Answer Is..
LEFT ATRIAL MYXOMA
Q5.What is ur diagnosis ?
The Answer Is..
INTERNUCLEAR
OPHTHALMOPLEGIA
Q 6.What is being shown here?
The Answer Is..
POLYMERASE CHAIN
REACTION
ROUND 4
“THIS IS WHAT MY SCAN
SHOWS…”
• 6 Questions.
• Each correct answer carries 10 points .
• Pounce / Bounce Format .
• +10/-10 on Pounce .
Q 1.
• What is the
investigation shown
here ?
• The condition is ?
The Answer Is..
ANSWER
• PULMONARY ARTERIOGRAPHY
• PULMONARY EMBOLISM
Q2.
The Answer Is..
ANSWER
• INVERTED FIR TREE APPEARANCE :
ANTHRAX
Q 3. What is the condition ? (Indium III
Scan)
The Answer Is..
ANSWER
• Multiple Endocrine
Neoplasia I ( Wermer
Syndrome)
Q4. The Investigation shown here is ?
The Answer Is..
ANSWER
• IVUS (INTRAVENOUS ULTRASOUND).
• VESSEL WALL CALCIFICATION
Q5. Which is the investigation ? The
lesion is ?
The Answer Is..
ANSWER
• DSA/MRA:BERRY ANEURYSM
• (DIGITAL SUBTRACTION
ANGIOGRAPHY/MAGNETIC
RESONANCE ANGIOGRAM)
Q6. The condition is ?
The Answer Is..
Rules
• 6 Questions.
• Open to all the teams .
• 2 clues for a Question.
• 1st clue - The teams can write the answer
& sho...
Q1: 1st Clue
“WHENEVER I EAT
BEETROOT, MY URINE
TURNS PINK!!!!!!!..”
2nd Clue :
• “….I ALSO HAVE A PICA FOR ICE”
ANSWER
• IRON DEFICIENCY
• Beeturia
Q2: 1st Clue
“…I AM HAVING FREQUENT CHEST
INFECTIONS AND PALPITATIONS ON
THE RIGHT SIDE OF MY CHEST..”
2nd Clue :
• “….I HAVE A SCAR ON THE LEFT SIDE
OF MY TUMMY, WHEN MY REMOVED
MY GALLSTONES”
ANSWER
• KARTAGENERS SYNDROME
• BRONCHIECTASIS & SITUS INVERSUS
Q3.1st Clue
“WHENEVER I LAY ON MY RIGHT
SIDE I HAVE TREMOR IN MY HAND,
PALPITATIONS AND SWEATING”
2nd Clue :
“..MY DOCTOR TOLD ME THAT MY
ABDOMEN SCAN WAS ABNORMAL..”
• PHEOCHROMOCYTOMA.
Q4:1st Clue
“DOCTOR, MY TONSILS
HAVE BECOME ORANGE
IN COLOUR”
2nd Clue :
“..I RECENTLY CHECKED MY
CHOLESTEROL AND IT WAS VERY
HIGH..”
ANSWER
• TANGIER DISEASE
Q5:1st Clue
“I WOKE UP TODAY MORNING, WALKED
UP TO WASHBASIN, SPLASHED COLD
WATER ON MY FACE AND BECAME
BLIND!!!!!”
2nd Clue :
“…DOCTORS RECENTLY PUT A
NEEDLE INTO MY SPINE AND SAID
THEY WITHDREW A CLOUDY
FLUID..”
ANSWER
• MULTIPLE SCLEROSIS
Q6:1st Clue
“FOR THE PAST 2 MONTHS MY VOICE
HAS BECOME HOARSER AND MY
FRIENDS SHUN ME DUE TO BODY
ODOUR”
2nd Clue :
“…MY HANDS TOO HAVE BECOME
LARGER AND RESEMBLES
SPADES…”
ANSWER
• ACROMEGALY
AUDIENCE QN
1st Clue :
“I,M 21 YEAR OLD FEMALE
STUDYING FOR ENGINEERING.
I OFTEN GET PALPITATION
WHILE IN COLLEGE, BUT I GET
RELIEVED ...
2nd Clue :
“…I’VE BEEN TO THE CASUALTY
SEVERAL TIMES. THERE DOCTORS
RUB MY NECK INSTEAD OF GIVING
ME INJECTIONS..”
PAROXYSMAL SUPRAVENTRICULAR
TACHYCARDIA
RAPID FIRE
• 10 Questions to each team .
• 10 points to each correct answer .
• What you have only 60 seconds …..
Q:Identify
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60 seconds prelims

  1. 1. 60 SECONDS TO DIAGNOSE QUIZ MASTER- DR HARIKRISHNAN V G
  2. 2. GENERAL RULES  THERE ARE A TOTAL OF 5 ROUNDS IN THIS QUIZ, FOLLOWED BY A RAPID FIRE ROUND.  POINT SCHEME WILL BE DIFFERENT FOR FEW ROUNDS AND WILL BE DISPLAYED BEFORE WE ENTER INTO THE ROUND.  ONLY ONE ANSWER PER TEAM WILL BE ACCEPTED.  DECISION BY THE QUIZ MASTER WILL BE FINAL.
  3. 3. Rounds - 6  Round 1 - BASIC RADIOLOGY (6 Questions)  Round 2 - 12 Questions  Round 3 – Videos ( 6 Questions)  Round 4 - 6 Questions  Round 5 – Fly or Fall (6 Questions )  Round 6 - Rapid Fire (10 Questions to each team)
  4. 4. Round 1 – Basic Radiology
  5. 5. (Thanks to) Wilhelm Rontgen (1845 – 1923) The 1st Nobel Prize Winner in Physics (1901)
  6. 6. Rules  6 Questions + 1 Audience Question ( most of them are Interesting Radiographs)  Each correct answer carries 10 points .  Pounce / Bounce Format .  +10/-10 on Pounce .
  7. 7. Q1. Identify the lesion ?
  8. 8. The Answer Is..
  9. 9. ANSWER  EGG SHELL CALCIFICATION
  10. 10. Q 2. What is this sign known as ? ( Gallium 67 scan)
  11. 11. The Answer Is..
  12. 12. ANSWER  PANDAS SIGN ( SARCOIDOSIS)
  13. 13. Q 3. This X Ray is seen in ?
  14. 14. The Answer Is..
  15. 15. ANSWER  β THALASSEMIA
  16. 16. PERIPHERAL SMEAR PICTURE IN BETA-THALASSEMIA
  17. 17. Q 4.The diagnosis is ?
  18. 18. The Answer Is..
  19. 19. ANSWER  ENCYSTED PLEURAL EFFUSION
  20. 20. Q5. What is this X Ray feature known as and the condition in which it is seen ? (5 points for each) (A Bigger image on next slide)
  21. 21. The Answer Is..
  22. 22. ANSWER  BAMBOO SPINE  ANKYLOSING SPONDYLITIS
  23. 23. Q6. The Diagnosis is ?
  24. 24. The Answer Is..
  25. 25. ANSWER Pericardial Effusion (Water Bottle Sign)
  26. 26. Audience question
  27. 27. ANSWER  PNEUMOTHORAX
  28. 28. ROUND 2
  29. 29. Rules  12 Questions .  Each correct answer carries 10 points .  Pounce / Bounce Format .  +10/-10 on Pounce .
  30. 30. Q1. What do you see on the patient’s eye ? What is he suffering from ?
  31. 31. The Answer Is..
  32. 32. ANSWER  LISCH NODULE  NEUROFIBROMATOSIS
  33. 33. Q2.Identify the ECG abnormality .  A 35 year old female was brought to the ER with history of attempted suicide. Stomach wash does not reveal any recognizable toxin.  ECG taken in the ER is as follows
  34. 34. The Answer Is..
  35. 35. ANSWER  Ventricular Bigeminy  Digitalis Poisoning
  36. 36. Q3. What is your diagnosis ?
  37. 37. The Answer Is..
  38. 38. ANSWER  Staphylococcal Scalded Skin Syndrome (SSSS)
  39. 39. Q4.What is your diagnosis ?  A 38 year old is admitted to the ENT ward, with complaints of recurrent sinusitis. Urine examination showed RBC casts. A Diagnostic test was done.
  40. 40. The Answer Is..
  41. 41. ANSWER  Granulomatosis with Polyangitis (Old name - Wegeners Granulomatosis)  Immunoflurosesnce: c-ANCA
  42. 42. Q5.What is ur diagnosis ?
  43. 43. The Answer Is..
  44. 44. ANSWER  ALBRIGHT’S HEREDITARY OSTEODYSTROHY  PSEUDO HYPOPARATHYROIDISM
  45. 45. Q6. What is your diagnosis ?  A 9 year old boy presents with fever, redness and peeling of the skin on the lips and lymph node enlargement.
  46. 46. The Answer Is..
  47. 47. ANSWER  Kawasaki Disease (Mucocutaneous Lymph Node syndrome)  Strawberry tongue
  48. 48. Q7. What is your diagnosis ?
  49. 49. The Answer Is..
  50. 50. ANSWER  WHITE FORELOCK  WAARDENBURG SYNDROME
  51. 51. Q8. Which is the missing parameter ? The condition is ? ( 5 points each)  A patient with AML is admitted in the Oncology Ward. 3 days after admission, his urine output starts falling. Blood biochemistry shows the following values: PARAMETER VALUE K 6.8 meq/L Ca 6meq/L Phosphate 12meq/L ??? ???
  52. 52. The Answer Is..
  53. 53. ANSWER  Parameter : Uric acid  Tumor lysis Syndrome
  54. 54. Q9. Identify both the lesions (2.5 points each) . The condition is ? ( 5 points)
  55. 55. The Answer Is..
  56. 56. ANSWER  SHAGREEN PATCH AND ASH LEAF MACULES  TUBEROUS SCLEROSIS
  57. 57. Q10 . The condition is ?  Parents of a 6 month old baby became concerned, when they noticed that their child is not responding to their sound.  Ophthalmologic examination showed the following finding – (Image next slide)
  58. 58. The Answer Is..
  59. 59. ANSWER  Alport syndrome is caused by an inherited defect in Type IV Collagen .  Since type IV collagen is found in the ears, eyes, and kidneys, this explains why Alport syndrome affects different seemingly unrelated parts of the body (ears, eyes, kidneys, etc.).
  60. 60. Q11.  A 58 year old patient is undergoing chemotherapy for a solid tumor. 6 months later he presents with recurrent seizures. Brain Imaging is as shown:
  61. 61. The Answer Is..
  62. 62. ANSWER  Ring Enhancement Lesion .  The differential for peripheral or ring enhancing cerebral lesions includes:  cerebral abscess  metastasis
  63. 63. Q12.What is this skin lesion known as ? Where is it seen ?
  64. 64. ANSWER  SCLERODERMA  SALT AND PEPPER
  65. 65. ROUND 3 “THE EYE DOES NOT SEE WHAT THE MIND DOES NOT KNOW..”
  66. 66. RULES • 20 POINTS FOR THE CORRECT ANSWER • NO POUNCING HERE…..!!!
  67. 67. Q1 : What is ur diagnosis ?
  68. 68. The Answer Is..
  69. 69. CHOREA
  70. 70. Q 2 : What is ur diagnosis ?
  71. 71. The Answer Is..
  72. 72. CARDIAC TAMPONADE
  73. 73. Q 3 : What is ur diagnosis ?
  74. 74. The Answer Is..
  75. 75. MELANOSIS COLI
  76. 76. Q 4 : DIAGNOSE
  77. 77. The Answer Is..
  78. 78. LEFT ATRIAL MYXOMA
  79. 79. Q5.What is ur diagnosis ?
  80. 80. The Answer Is..
  81. 81. INTERNUCLEAR OPHTHALMOPLEGIA
  82. 82. Q 6.What is being shown here?
  83. 83. The Answer Is..
  84. 84. POLYMERASE CHAIN REACTION
  85. 85. ROUND 4 “THIS IS WHAT MY SCAN SHOWS…”
  86. 86. • 6 Questions. • Each correct answer carries 10 points . • Pounce / Bounce Format . • +10/-10 on Pounce .
  87. 87. Q 1. • What is the investigation shown here ? • The condition is ?
  88. 88. The Answer Is..
  89. 89. ANSWER • PULMONARY ARTERIOGRAPHY • PULMONARY EMBOLISM
  90. 90. Q2.
  91. 91. The Answer Is..
  92. 92. ANSWER • INVERTED FIR TREE APPEARANCE : ANTHRAX
  93. 93. Q 3. What is the condition ? (Indium III Scan)
  94. 94. The Answer Is..
  95. 95. ANSWER • Multiple Endocrine Neoplasia I ( Wermer Syndrome)
  96. 96. Q4. The Investigation shown here is ?
  97. 97. The Answer Is..
  98. 98. ANSWER • IVUS (INTRAVENOUS ULTRASOUND). • VESSEL WALL CALCIFICATION
  99. 99. Q5. Which is the investigation ? The lesion is ?
  100. 100. The Answer Is..
  101. 101. ANSWER • DSA/MRA:BERRY ANEURYSM • (DIGITAL SUBTRACTION ANGIOGRAPHY/MAGNETIC RESONANCE ANGIOGRAM)
  102. 102. Q6. The condition is ?
  103. 103. The Answer Is..
  104. 104. Rules • 6 Questions. • Open to all the teams . • 2 clues for a Question. • 1st clue - The teams can write the answer & show the QM ( +30 /-10) • 2nd Clue - The teams can write the answer & show the QM ( +20/-15) • Multiple attempts allowed .
  105. 105. Q1: 1st Clue “WHENEVER I EAT BEETROOT, MY URINE TURNS PINK!!!!!!!..”
  106. 106. 2nd Clue : • “….I ALSO HAVE A PICA FOR ICE”
  107. 107. ANSWER • IRON DEFICIENCY • Beeturia
  108. 108. Q2: 1st Clue “…I AM HAVING FREQUENT CHEST INFECTIONS AND PALPITATIONS ON THE RIGHT SIDE OF MY CHEST..”
  109. 109. 2nd Clue : • “….I HAVE A SCAR ON THE LEFT SIDE OF MY TUMMY, WHEN MY REMOVED MY GALLSTONES”
  110. 110. ANSWER • KARTAGENERS SYNDROME • BRONCHIECTASIS & SITUS INVERSUS
  111. 111. Q3.1st Clue “WHENEVER I LAY ON MY RIGHT SIDE I HAVE TREMOR IN MY HAND, PALPITATIONS AND SWEATING”
  112. 112. 2nd Clue : “..MY DOCTOR TOLD ME THAT MY ABDOMEN SCAN WAS ABNORMAL..”
  113. 113. • PHEOCHROMOCYTOMA.
  114. 114. Q4:1st Clue “DOCTOR, MY TONSILS HAVE BECOME ORANGE IN COLOUR”
  115. 115. 2nd Clue : “..I RECENTLY CHECKED MY CHOLESTEROL AND IT WAS VERY HIGH..”
  116. 116. ANSWER • TANGIER DISEASE
  117. 117. Q5:1st Clue “I WOKE UP TODAY MORNING, WALKED UP TO WASHBASIN, SPLASHED COLD WATER ON MY FACE AND BECAME BLIND!!!!!”
  118. 118. 2nd Clue : “…DOCTORS RECENTLY PUT A NEEDLE INTO MY SPINE AND SAID THEY WITHDREW A CLOUDY FLUID..”
  119. 119. ANSWER • MULTIPLE SCLEROSIS
  120. 120. Q6:1st Clue “FOR THE PAST 2 MONTHS MY VOICE HAS BECOME HOARSER AND MY FRIENDS SHUN ME DUE TO BODY ODOUR”
  121. 121. 2nd Clue : “…MY HANDS TOO HAVE BECOME LARGER AND RESEMBLES SPADES…”
  122. 122. ANSWER • ACROMEGALY
  123. 123. AUDIENCE QN
  124. 124. 1st Clue : “I,M 21 YEAR OLD FEMALE STUDYING FOR ENGINEERING. I OFTEN GET PALPITATION WHILE IN COLLEGE, BUT I GET RELIEVED WHEN I VOMIT BY MYSELF”
  125. 125. 2nd Clue : “…I’VE BEEN TO THE CASUALTY SEVERAL TIMES. THERE DOCTORS RUB MY NECK INSTEAD OF GIVING ME INJECTIONS..”
  126. 126. PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA
  127. 127. RAPID FIRE
  128. 128. • 10 Questions to each team . • 10 points to each correct answer . • What you have only 60 seconds …..
  129. 129. Q:Identify

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