Want to Be a Millionaire?

A fun spin-off of the original TV favorite was enacted at the Oley Consumer/Clinician Conference in Milwaukee. We’ve taken the highlights of the game show and put them in a quiz format for you. Answers to the questions are provided on page XX. Videotapes of this and other sessions are available from the Oley videotape library. Many thanks to the contestants and to Regis, aka Rex Speerhas, RPh, BCNSP, of the Cleveland Clinic.

Contestant #1: Valerie Knasinski, RN, Infectious Disease, University of WI

$100 Question: What is the most common "bug" found in line infections?

A. Staph epidermis
B. Staph aureus
C. Gram Negative organisms
D. Candida/Yeast

$200 Question: Which situation provides a cleaner environment?

A. Automobile
B. Home
C. Hospital
D. Front lawn

$300 Question: What is the most obvious precaution in keeping sepsis at bay?

A. Keep your house clean and tidy
B. Spray Lysol regularly
C. Wash your hands again and again
D. Stay out of elevators

$500 Question: What is the average dollar estimate per patient per episode of infection?

A. $5.96 - $7.98
B. $5,000 - $32,000
C. $320 - $500
D. $1,000 - $3,000

$1,000 Question: PVP/Iodine: What do we know?

A. PVP has a higher rate of blood culture contamination than tincture of iodine by 2 fold
B. Once dry has no residual antibacterial effect
C. Ointment has no clinical value
D. All of the above

$2,000 Question: Chlorhexidine: What do we know?

A. No data to support its safety
B. Has high incidence of allergic reaction
C. 30 years of experience support its safety
D. 5000 documented outbreaks of Serratia in 4% CHG without alcohol

$4,000 Question: One of the most difficult challenges to overcome in the pediatric enteral nutrition arena is?

A. Tolerating formulas
B. Constipation
C. Dental cavities
D. Providing fiber intake

$8,000 Question: What device is shown to have the least incidence of infection?

A. PORT-A-CATH̉
B. HICKMAN̉ catheter
C. PICC
D. GROSHONG̉ catheter

$16,000 Question: What is the best documented skin decontaminant?

A. Every technique that comes down the highway
B. PVP/Iodine
C. Chlorhexidine
D. What your currently using if you haven’t had an infection!

$32,000 Question: Name two conditions that put people at risk for infection

A. Substance abuse and malnutition
B. Sex and marathon running
C. Eating in restaurants and from street vendors/fairs
D. Height and weight

$64,000 Question: Name four challenges facing young adults on homePEN when transitioning to independence

A. Cooking, cleaning, laundry, shopping
B. Balancing energy, finances, schoolwork/work and relationships
C. Choosing a college/job, finding friends, funding schooling, identifying resources
D. All of the above

$125,000 Question: Who invented "White Out"?

A. Wilbur Smith
B. Michael Nesmith’s mother
C. James Gillette
D. J.P. Smith & A.L. Corona

 

Contestant #2: Darlene Kelly, MD, PhD, Director, Mayo Clinic HPN Program, Rochester, MN

$100 Question: HPEN consumers should:

A. Travel and vacation as tolerated
B. Not travel beyond their city limits
C. Take safaris into African sites without running water
D. Not drive cars

$200 Question: When flying with homePEN supplies

A. Check all supplies with baggage
B. Check only your pump and tubing with baggage
C. Carry several day’s worth of infusion materials/equipment onto the plane
D. Buy an extra ticket and keep it all in the seat next to you

$300 Question: To take a cruise with HPEN, consumers should:

A. Check with the cruise company, before booking, to assure that they can accommodate HPEN needs
B. Book a suite so you will have enough room for supplies and me!
C. Carry a portable refrigerator to plug into your room power supply
D. Pull a dingy behind the cruise ship to carry supplies

$500 Question: When traveling to another country, an HPEN consumer should:

A. Hide your supplies in your luggage hoping that they will not be discovered
B. Travel with a letter from your physician regarding HPEN
C. Contact health authorities in the US/Canada to tell them you will carry HPEN supplies
D. Ask another passenger to carry part of your supplies through customs

$1,000 Question: When traveling by car, deal with HPEN supplies by:

A. Freezing TPN or EN formula and placing on car seat in the sun
B. Keeping supplies unrefrigerated in the trunk as it is the coolest place in the car
C. Carry TPN in a portable electric cooler or on ice in an ice chest
D. Put all supplies in the back window

$2,000 Question: To keep yourself juiced up while traveling, you should:

A. Have a case of Minute Maid on hand
B. Check the oil and gas, and keep the engine tuned up
C. Pack baby wipes to keep your skin moist
D. Take plenty of bags of hydration fluids/oral rehydration solution

$4,000 Question: While out of town in the hotel, what’s the best option for doing HICKMAN̉ catheter/feeding tube site care??

A. On the bed
B. In the bathroom
C. On the table after cleaning it
D. On the floor

$8,000 Question: When traveling, how should you approach site care?

A. Don’t do it. Today’s hotels are dirty
B. Do it half as often as usual, it’s your vacation
C. Take proper supplies and stick to your normal regimen
D. Grab a washcloth and soap, and wipe your site down

$16,000 Question: If you are traveling and the supplies for your HPEN do not arrive:

A. Maintain hydration either by infusing hydration fluids IV, orally or via feeding tube, until you receive your supplies from your home care company
B. Update your will
C. Drink plenty of regular carbonated beverages for the interim
D. Contact a home care company where you are visiting to obtain a supply immediately

$32,000 Question: If you develop a fever when you are away from home on a trip:

A. Ignore it, it will go away
B. Contact a physician for an assessment
C. Arrange to have your catheter/feeding tube removed immediately
D. Hop on the nearest plane home

$64,000 Question: I should notify my home health care provider of my travel plans:

A. The week I leave
B. From the airport
C. At least 6 weeks ahead for international travel and 2 weeks ahead for travel within the U.S.
D. When I reach my destination

$125,000 Question: When you arrive in another country (including some U.S. territories), who is responsible for negotiating the release of my medication and supplies through customs?

A. You
B. My home health care provider
C. The airline
D. My physician

$250,000 Question: There are special limitations on bringing prescriptions into:

A. No countries
B. Only third world countries
C. A variety of countries and U.S. territories
D. All countries

$500,000 Question: Import certificates, required in certain countries to bring in medical supplies, should be requested and obtained:

A. At the airport baggage counter
B. From a custom’s official in the country
C. Weeks before travel, possibly with the help of the country’s embassy
D. From an immigration official at your home airport

$1,000,000 Question: What activity did Babar and family go on holiday for?

A. Swimming
B. Snorkeling
C. Skiing
D. Hiking

Contestant #3: Michael Shapiro, MD, Director, Motility Lab, Mayo Clinic, Scottsdale, AZ

$100 Question: What organs are affected by disorders of motility?

A. All organs
B. Lymph system
C. Digestive system
D. Liver and pancreas

$200 Question: How does achalasia affect eating and drinking?

A. It causes esophageal blockage
B. It creates a blockage in the colon
C. It doesn’t affect eating
D. It creates a thickening in the small bowel

$300 Question: How does gastroparesis affect eating and drinking?

A. Food and drink empty poorly from the stomach
B. You eat more because of stomach enlargement
C. You cannot swallow
D. It doesn’t

$500 Question: What is the best diet for motility disorders?

A. High fiber
B. Low residue
C. High fat
D. Lactose free

$1,000 Question: Why is lactose intolerance a possible problem in pseudo-obstruction?

A. Milk doesn’t empty from the stomach
B. Milk tastes bad
C. Lactose intolerance causes constipation
D. Lactose digests poorly because of a possible lactase deficiency

$2,000 Question: Why does bacterial overgrowth occur in motility disorders?

A. Bacteria have more opportunity to feed
B. Bacteria thrive in warm, moist places
C. Bacteria accumulate because of stasis
D. Bacteria multiply because of undigested food

$4,000 Question: Why does diarrhea occur in motility disorders?

A. It doesn’t
B. Poor digestion of fat
C. Increased bowel contractions to clear bacteria
D. Faulty bowel breaks in the intestine

$8,000 Question: Why is a low residue diet important in treating motility disorders?

A. It is poorly tolerated
B. It empties better from the stomach
C. It prevents bacterial overgrowth
D. It causes bezoars

$16,000 Question: Why does fat malabsorption occur?

A. Bacteria eat up all the fat
B. Bacterial overgrowth in the colon
C. Bile acids are broken down
D. It doesn’t

$32,000 Question: What is a venting ostomy?

A. Tube to deliver nutrients
B. New method to give TPN
C. Test to measure motility
D. Tube to decompress distended bowel

$64,000 Question: What does diabetes have to do with motility disorders?

A. Diabetes can cause gastroparesis
B. Gastroparesis can cause diabetes
C. Nothing
D. It causes muscle injury to the bowel

$125,000 Question: What are some recent advances in the management of motility disorders?

A. Gastric pacing
B. Growth hormone
C. Introduction of Nexium
D. Cisapride

$250,000 Question: Why does B12 deficiency occur in pseudo-obstruction?

A. It doesn’t
B. Bacterial overgrowth
C. Fat binds B12
D. Colon bacteria eat up the B12

$500,000 Question: What is not on the McCall list of "What Women Love?"

A. Being surprised with red roses
B. Driving alone and singing
C. Getting a full eight hours of sleep
D. Diet candy and bean sprouts

 

Contestant #4: Ezra Steiger, MD, Head, Surgical Nutrition, Cleveland Clinic, Cleveland, OH

$100 Question: What is the most common source of trace elements for the human body?

A. Hardware store
B. Internet
C. Nutrition intake
D. Chicago Times

$200 Question: Which of the following trace elements is routinely added to parenteral nutrition

A. Vanadium
B. Chromium
C. Molybdenum
D. Big Mac

$300 Question: Which of the following is not a trace element?

A. Iron
B. Magnesium
C. Selenium
D. Zinc

$500 Question: Which of the following elements should be measured using whole blood?

A. Zinc
B. Copper
C. Chromium
D. Manganese

$1,000 Question: In patients who cannot eat, which of the following trace element levels is more likely to be elevated?

A. Selenium
B. Iron
C. Manganese
D. Zinc

$2,000 Question: Which of the following trace elements is not found in an MTE-4 injection?

A. Copper
B. Chromium
C. Manganese
D. Selenium

$4,000 Question: Which of the following trace elements is found in an MTE-6 injection?

A. Molybdenum
B. Vanadium
C. Iron
D. Iodine

$8,000 Question: Weakness and microcytic anemia are signs and symptoms of a possible deficiency of which trace element?

A. Vanadium
B. Molybdenum
C. Iron
D. Selenium

$16,000 Question: Impaired glucose tolerance is seen with a deficiency of which trace element?

A. Chromium
B. Copper
C. Zinc
D. Molybdenum

$32,000 Question: Which of the following trace elements is eliminated via the urine and intestines, and GI losses may account for up to 25% of daily losses?

A. Chromium
B. Zinc
C. Copper
D. Iron

$64,000 Question: Liver cholestasis, Parkinson-like movement disorders, and neurologic sequelae are potential toxicities of which of the following trace elements?

A. Copper
B. Zinc
C. Chromium
D. Manganese

$125,000 Question: Potentially fatal cardiomyopathy can occur in long-term TPN patients that do not get which trace elements?

A. Iron
B. Selenium
C. Chromium
D. Zinc

$250,000 Question: Skin lesions that are papular, pustular, eczematoid, acneiform, and/or seborrheic can be seen in the deficiency state of which trace element?

A. Copper
B. Chromium
C. Selenium
D. Zinc

$500,000 Question: Neutropenia and iron-deficiency anemia are signs associated with the deficiency of which of the following trace elements?

A. Zinc
B. Chromium
C. Manganese
D. Copper

$1,000,000 Question: What is the alcohol content of Miller Draft?

A. 4.2%
B. 4.5%
C. 5.0%
D. 5.1%

HICKMAN̉, BROVIAC̉ and GROSHONG̉ are registered trademarks of C.R. Bard, Inc and its related company, BCR, Inc.

PORT-A-CATH̉ is a registered trademark of Smiths Medical MD, Inc.