PEP Halloween Escape Case

PEP halloween escape

start

Get all the candy!

escape halloween

You're all dressed up and have your pumpkin ready for the spookiest night of the year. But there's just one problem...a patient mystery needs to be solved before you can head out into the night. Your mission: navigate through five haunted houses, solve the case questions, and amass a bone-chilling treasure trove of candy. 🎃👻🍬

go!

Go house to house!

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Candy obtained

Witch's house

Alert! Witches nearby! Dare to knock?

knock

1/3

How many pack years of smoking history does the patient have?

knock

knock

30

45

60

2/3

What other ROS history question is important to ask?

Weight loss

Nausea and vomiting

Headache

3/3

What history finding would best support a diagnosis of pneumonia?

Fever

Hemoptysis

Arthralgias

Spooktacular!

You've passed the first test and scored some candy. Keep it up!

continue

Candy obtained

Go to the next house!

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✔️

Candy obtained

House of the Wolf

A wolf is on the loose! Got the guts to knock?

knock

1/3

What is the patient's BMI?

knock

knock

29.3

22.6

25.7

2/3

What adventitious lung sounds are heard in the video above?

Crackles

Rhonchi

Wheeze

3/3

What other physical exam finding would you suspect in your leading differential ?

Positive egophony

Unilateral lag

Clubbing

Awesome!

You've outsmarted the wolf, and your candy bag grows.

continue

Candy obtained

Go to the next house!

🔒

🔒

✔️

✔️

Candy obtained

Frankenstein's House

An electrifying house, are you up for it? ⚡

knock

1/3

What imaging study would you like to order first?

knock

knock

CT-PA chest

CT chest with contrast

CXR

Look

2/3

The CXR demonstrates reticular markings at the bases? What would you like to order next?

VQ scan

High-resolution CT chest

Pulmonary angiography

Look

3/3

The CT shows bibasilar reticular abnormalities with minimal opacities. What is this called?

Plaques

Honeycombing

Consolidation

You rock!

You've unraveled the mysteries of Frankenstein and scored more candy.

continue

Candy obtained

Go to the next house!

🔒

✔️

✔️

✔️

Candy obtained

House of the Mummy

A mummy in the house! Shall we?

knock

1/3

What is the most likely diagnosis?

knock

knock

Viral pneumonia

Asbestosis

Idiopathic pulmonary fibrosis

2/3

Idiopathic pulmonary fibrosis (IPF) predominatly affects:

Women

Men

No difference

3/3

What is a potential risk factor for IPF?

GERD

Obesity

Recurrent URI

Fantastic!

You've unraveled the mummy's secrets and bagged more candy.

continue

Candy obtained

There is only one house left!

✔️

✔️

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Candy obtained

Dracula's house

Last stop, Dracula's House! Do we dare?

knock

1/3

What is the prognosis for IPF?

knock

knock

Poor: <5 year survival

Good: 10 year survival

Excellent: >15 year survival

2/3

What initial treatment option can be considered for mild IPF?

Lung transplant

Doxycycline (antibiotic)

Nintedanib (TKI)

3/3

What other supportive care should be offered?

Low-dose corticosteroid

Hospice

Supplemental oxygen

You're a legend!

You've bested the one and only Dracula, and your candy bag is bursting.

continue

Candy obtained

You did it!

Your journey has been fang-tastically amazing, and your candy haul is out of this world!

Are you sure you want to go out?

If you exit you will return to the start of the game and you will lose your progress

back

exit

Oh! You have failed...

try again!