Picture Quiz Research Articles

SLCIM picture quiz

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SLCIM picture quiz

No abstract available

Picture quiz – answers

No abstract available

Picture quiz in Geriatric Medicine

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The link between self-uncertainty and conspicuous consumption: Tolerance of uncertainty as a moderator.

This study, based on self-affirmation theory, aims to investigate the impact of self-uncertainty on individual consumption behavior. Self-uncertainty was categorized into moral, cognitive, and interpersonal self-uncertainty, and different types of self-uncertainty were manipulated through four experiments, including a moral dilemma, a recall paradigm, and a picture quiz task written by E-Prime software to examine the effects of different types of self-uncertainty on conspicuous consumption and their possible boundary conditions. Our results show that moral, cognitive, and interpersonal self-uncertainty contribute to a stronger tendency to engage in conspicuous consumption. Our results also suggest that tolerance of uncertainty moderates the effect of self-uncertainty on conspicuous consumption, meaning that subjects with a high tolerance of uncertainty are less inclined to engage in conspicuous consumption than those with a low tolerance of uncertainty, even if they have high self-uncertainty. This study may provide an explanation for conspicuous consumption behavior, further validating the theory of compensatory consumption. Additionally, the results from this study also provide a reference for understanding people's decision-making behavior in an uncertain social context and can provide new guidance to control irrational consumption behavior.

Picture quiz – answers

The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.

Picture quiz in respiratory medicine

The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.

Key to Picture Quiz

The Asian Journal of Internal Medicine is the official journal of the Sri Lanka College of Internal Medicine. It is an open access peer-reviewed journal which is currently published bi-annually. AJIM’s mission is to achieve the supreme standards of holistic patient care by dissemination of high quality scientific knowledge related to Internal Medicine in the whole of Asia and Sri Lanka.

Picture quiz – answers

Picture quiz – answers

S3113 Polyp Pictures and Practice: Using Static Images for Teaching Optical Biopsy Competency Is Inadequate

INTRODUCTION: The optical biopsy techniques of Narrow Band Imaging (NBI) International Colorectal Endoscopic classification (NICE) and Workgroup serrated polyps and polyposis classification (WASP) have been demonstrated to be useful in clinical practice. Studies have shown these techniques have reached ASGE PIVI acceptable negative predictive values on real-time endoscopic assessment of diminutive colorectal polyps when compared to histology in the distal left colon. However, a structured teaching program should be used to achieve proficiency in the technique. A typical setting would be during gastroenterology fellowship. We sought to investigate whether a classroom instruction session and two subsequent self-directed learning sessions using static images would be sufficient to teach optical biopsies skills. METHODS: Eight gastroenterology fellows were first given a 5 question online quiz to evaluate baseline skills and attitude on the NICE and WASP techniques. Subsequently, a 50 minute slide presentation was given to the 8 fellows. After the lecture the fellows were again tested on the same day, 2 weeks after the lecture and then at 12 weeks. The fellows were given access to the lecture material before each test. They were quizzed to identify polyp histology using what they learned and asked about their confidence. Statistical analysis was performed using Minitab for paired T-testing analysis. RESULTS: Overall, the eight fellows received a mean score of 62.50 out of 100 and a confidence score of 2.375 out of a possible 5. Immediate, two, and 10 week mean scores were 73.44, 62.50 and 62.50 respectively. The immediate, two, and 10-week confidence scores were 3.286, 2.875 and 2.625 respectively. None of the mean values including comparing to the pre-test levels met P < 0.05 significance. We found no significant change in knowledge or confidence across the duration of our project. CONCLUSION: Our study suggests a still picture didactic session and quiz approaches do not appear to improve knowledge or confidence in optical biopsy skills. The lecture and quiz model may not be the ideal method to teach endoscopy skills. It is of interest to note that the learning activity didn’t improve attitudes toward the endoscopy skill either. Learning videos or using a type of kinetic learning endoscopy simulator maybe a better way to learn the optical biopsy technique. A video based teaching approach or a video simulator should be explored in future evaluations of teaching advanced endoscopy skills such as NICE or WASP.Table 1.: Percent correct at different time points during QI Initiative. Baseline vs immediate recall after didactic session (top left.) Immediate vs two-week recall (top right.) Immediate vs 12-week recall (bottom left.) Baseline vs 12-week recall (bottom right)Table 2.: Trainee confidence level in their ability to predict polyp pathology at different time points during QI Initiative. Baseline vs immediate recall quiz after didactic session (top left.) Immediate vs two-week recall (top right.) Immediate vs 12-week recall (bottom left.) Baseline vs 12-week recall (bottom right)Figure 1.: Boxplot comparing mean score (top) and mean confidence (bottom) during the QI initiative.

A Puzzling Exam: Kernohan’s Notch Reimaged

•We provide a visual image of the consequeces of massive brainstem shift with oculomotor and peduncle injury.•Acute space occupying lesions may cause ipsilateral hemiparesis – and can be a false localizing sign. Conventional teaching on the neurologic examination suggests findings can be attributed to specific regions – which improves timely diagnosis and treatment, particularly in life threatening situations. Rarely, puzzling patient presentations can wrongly lead to false localization. A 36-year-old man was found comatose. Head CT demonstrated an acute right convexity subdural hematoma, causing a nearly 2 cm midline shift. Initial neurologic examination was confounded by paralytic agents; however, there was a dilated-light fixed right pupil. The patient was taken for a right hemicraniectomy and hematoma evacuation (Fig. 1). Post-operative examination demonstrated right-sided oculomotor palsy and hemiplegia with preserved left-sided strength—consistent with a false localizing sign. An MRI on POD#1 revealed abnormal T2-signal hyperintensity involving the left anterolateral midbrain and cerebral peduncle, indicative of compression of the contralateral crus cerebri against the contralateral tentorial incisura (“notch”). The descending corticospinal tracts travel from the motor cortex through the ipsilateral crus cerebri into the inferior brainstem where they decussate-transmitting motor stimuli to the contralateral hemibody. Correspondingly, right-sided lesions above the decussation produce left-sided deficits. In the present case, the expected deficits would have been in the left hemibody. However, in rare circumstances involving a significant midline shift the contralateral peduncle is injured via compression at the tentorium. The oculomotor at the same side of the hematoma is as expected and either caused by strech of the nerve or direct compression of the uncus. This false localizing sign has been honored by the eponym "Kernohans Notch"..[[1]Kernohan J.W. Woltman H.W. Incisura of the crus due to contralateral brain tumor.Arch NeurPsych. 1929; 21: 274-287https://doi.org/10.1001/archneurpsyc.1929.02210200030004Crossref Scopus (117) Google Scholar] More deserving of the distinction is Groeneveld [[2]Dammers R Volovci V and Kompanje EJOThe History of the Kernohan Notch Revisited.Neurosurgery. 2016; 78: 581-584https://doi.org/10.1227/NEU.0000000000001097Crossref PubMed Scopus (0) Google Scholar] and Schaltenbrand who explained the injury as a knife-like stab (“Messerähnlichen Wirkung”) from the tentorium and possibly petrosal bone. There is a fascination with the Kernohan's notch phenomenon as evidenced by an ongoing flurry of case reports in the literature. Our patient clearly visualizes what has previously only been described in text and provides better proof of its existance. Picture Quiz: A 36 year-old male found down is noted on neurologic examination to have right hemiplegia and right oculomotor nerve palsy, with intact left upper and lower extremity function. Based on the exam, what is the most likely level of the lesion? A. Left motor cortex B. Right basal ganglia C. Left cerebral peduncle D. Right upper medulla Answer on page 336. LPC, AP, RCP, PCR, JLF, and EFW all provided substantial direct medical or surgical care pertaining to the diagnosis and treatment of the patient; LPC, AP, and CSG gathered the data and wrote manuscript/created the figure, PJR obtained formal patient consent and edited the manuscript, JLF and EFW supervised the project and made final manuscript editorial edits and approvals. None. The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. A Puzzling Exam: Kernohan’s Notch ReimagedJournal of Clinical NeuroscienceVol. 80PreviewThe Answer is: C. Left cerebral peduncle. Full-Text PDF

The management of microbial keratitis within Uganda’s primary health system: a situational analysis

Background: Microbial keratitis (MK) frequently leads to sight-loss, especially when the infection is severe and/or appropriate treatment is delayed. The primary health system as an entry point plays a central role in facilitating and directing patient access to appropriate care. The purpose of this study was to describe the capacity of primary health centres in Uganda in managing MK. Methods: We carried out a rigorous assessment of primary health centres and mid-cadre training schools in South Western Uganda. Through interviews, checklists and a picture quiz, we assessed capacity and knowledge of MK management. In addition, we interviewed the heads of all the mid-cadre training schools to determine the level of eye health training provided in their curricula. Results: In total, 163 health facilities and 16 training schools were enrolled. Of the health facilities, only 6% had an Ophthalmic Clinical Officer. Only 12% of the health workers could make a diagnosis of MK based on the clinical signs in the picture quiz. Although 35% of the facilities had a microscope, none reported doing corneal scraping. None of the facilities had a stock of the recommended first line treatment options for MK (ciprofloxacin and natamycin eye drops). Among the training schools, 15/16 had an eye health component in the curriculum. However, the majority (56%) of tutors had no formal expertise in eye health. In 14/16 schools, students spent an average of two weeks in an eye unit. Conclusions: Knowledge among health workers and capacity of health facilities in diagnosis and management of MK was low. Training for eye health within mid-cadre training schools was inadequate. More is needed to close these gaps in training and capacity.

The management of microbial keratitis within Uganda's primary health system: a situational analysis.

Background: Microbial keratitis (MK) frequently leads to sight-loss, especially when the infection is severe and/or appropriate treatment is delayed. The primary health system as an entry point plays a central role in facilitating and directing patient access to appropriate care. The purpose of this study was to describe the capacity of primary health centres in Uganda in managing MK. Methods: We carried out a rigorous assessment of primary health centres and mid-cadre training schools in South Western Uganda. Through interviews, checklists and a picture quiz, we assessed capacity and knowledge of MK management. In addition, we interviewed the heads of all the mid-cadre training schools to determine the level of eye health training provided in their curricula. Results: In total, 163 health facilities and 16 training schools were enrolled. Of the health facilities, only 6% had an Ophthalmic Clinical Officer. Only 12% of the health workers could make a diagnosis of MK based on the clinical signs in the picture quiz. Although 35% of the facilities had a microscope, none reported doing corneal scraping. None of the facilities had a stock of the recommended first line treatment options for MK (ciprofloxacin and natamycin eye drops). Among the training schools, 15/16 had an eye health component in the curriculum. However, the majority (56%) of tutors had no formal expertise in eye health. In 14/16 schools, students spent an average of two weeks in an eye unit. Conclusions: Knowledge among health workers and capacity of health facilities in diagnosis and management of MK was low. Training for eye health within mid-cadre training schools was inadequate. More is needed to close these gaps in training and capacity.

Membangun Game Edutainment “Pengenalan Komputer” Menggunakan Shuffle Random (SR) Dan Finite State Machine (FSM) Untuk Anak Tunagrahita Ringan

Research to build an Edutainment Game "Introduction to Computers" for mild retarded children is a study designed for teachers to deliver material to special school students (SLB) with special needs such as children with visual impairment, hearing impairment, mental retardation, intellectual disability, autism and blindness. . In this game the player will be presented with a variety of learning menus about "Computer Devices" and a game menu consisting of a guessing picture quiz to train memory, then there are typing games and labyrinth games to develop motor movements and increase students' responses and interests. Shuffle and Finite State Machine randomization algorithms will be applied in this study, with the aim of arranging the image position to be randomized in the learning menu and typing games as well as randomizing the position of the main characters and enemies in the labyrinth game made in three levels. This is done to improve students' learning and curiosity. The technology applied in this research is intelligent agent (intelligent system) which has a game agent character that will accompany children to learn and play.

Answers to picture quiz

No abstract available

Answers to picture quiz

The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.

Answers to picture quiz

No abstract available

Picture quiz: The role of neuroimaging in dementia

Case 2 An I-fluoropropyl beta-carbomethoxy-3 beta-(4iodophenyl)-tropane (FP-CIT) single photon emission CT (SPECT) image of the brain was obtained in a 72-year-old female patient with cognitive impairment and impaired gait (Figure 2). (a) What is the likely diagnosis? (b) What is the value of this investigation in a patient with known Parkinson’s disease? Case 3 A blood flow SPECT image of the brain was obtained in a 65-year-old patient with cognitive impairment and disinhibition (Figure 3). (a) What are the possible diagnoses? (b) What imaging investigation would distinguish between these?

Picture Quiz Question: A Life-Threatening Cause of Abdominal Pain

A 76 year old man presented to the emergency department with gradual onset abdominal pain over a period of 24 hours and generalised lethargy. The abdominal pain was central with no radiation and was described as an ache by the patient. There was no history of vomiting. He had a 45 pack-year history of smoking. He was noted to have a blood pressure of 150/60 mmHg, pulse of 130 beats per minute, temperature of 36.5oC and saturations of 95% on room air.

Answers to picture quiz

No abstract available