PEP Halloween Escape Case

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Get all the candy!

PEP halloween escape

go!

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. 🎃👻🍬

escape halloween

1

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Candy obtained

Go house to house!

knock

Alert! Witches nearby!Dare to knock?

Witch's house

Use PAGE 1 of the patient case provided to answer the questions

knock

knock

45

30

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

1/3

60

Nausea and vomiting

Weight loss

What other ROS history question is important to ask?

2/3

Headache

Hemoptysis

Fever

What history finding would best support a diagnosis of pneumonia?

3/3

Arthralgias

continue

Candy obtained

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

Spooktacular!

✔️

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2

Candy obtained

Go to the next house!

knock

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

House of the Wolf

Turn to PAGE 2 of the patient case to answer these questions You will also complete a physical exam on SAM

knock

knock

25.7

22.6

29.3

What is the patient's BMI?

1/3

Wheeze

Rhonchi

Crackles

What adventitious lung sounds were auscultated on SAM?

2/3

Clubbing

Unilateral lag

Positive egophony

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

3/3

continue

Candy obtained

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

Awesome!

✔️

🔒

3

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Candy obtained

Go to the next house!

knock

An electrifying house,are you up for it? ⚡

Frankenstein's House

Turn to PAGE 3 of the patient case to answer these questions

knock

knock

CXR

CT chest with contrast

CT-PA chest

What imaging study would you like to order first?

1/3

Look

Pulmonary angiography

High-resolution CT chest

VQ scan

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

2/3

Chest radiograph of a patient with idiopathic pulmonary fibrosis showing bilateral lower lobe reticular markings (red circles)

Look

Consolidation

Honeycombing

Plaques

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

3/3

Classic subpleural findings

continue

Candy obtained

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

You rock!

✔️

🔒

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4

✔️

Candy obtained

Go to the next house!

knock

A mummy in the house!Shall we?

House of the Mummy

knock

knock

Idiopathic pulmonary fibrosis

Asbestosis

Viral pneumonia

What is the most likely diagnosis?

1/3

No difference

Men

Women

Idiopathic pulmonary fibrosis (IPF) predominatly affects:

2/3

Recurrent URI

Obesity

GERD

What is a potential risk factor for IPF?

3/3

continue

Candy obtained

You've unraveled the mummy's secrets and baggedmore candy.

Fantastic!

✔️

5

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Candy obtained

There is only one house left!

knock

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

Dracula's house

knock

knock

Excellent: >15 year survival

Poor: <5 year survival

Good: 10 year survival

What is the prognosis for IPF?

1/3

Nintedanib (TKI)

Doxycycline (antibiotic)

Lung transplant

What initial treatment option can be considered for mild IPF?

2/3

Supplemental oxygen

Hospice

Low-dose corticosteroid

What other supportive care should be offered?

3/3

continue

Candy obtained

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

You're a legend!

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

You did it!

exit

back

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

Are you sure you want to go out?

try again!

Oh! You have failed...