Home   |   Donate   |   Industry   |   Print Page   |   Contact Us   |   Your Cart   |   Sign In   |   Join Now
Keyword Search
Try Your Hand at the HPEN Millionaire Quiz
Share |

Try Your Hand at the HPEN Millionaire Quiz

Back by popular demand, a fun spin-off of the TV show was enacted at the 2002 Oley Consumer/Clinician Conference in Buena Park, CA. Highlights from the program are printed below in quiz format. Answers to the questions are in a separate article. A warm thank you to all of the contestants for being such good sports, and to Regis aka Rex Speerhas, RPh, BCNSP, of the Cleveland Clinic.


Contestant #1: Suzanne La Vere Herbst, RN, MA; Vascular Access Device Consultant

$100 Question: When was the first tunneled catheter inserted for long term use?
A. 1944
B. 1957
C. 1969
D. 1975

$500 Question: Which of the following is typically NOT a long term Vascular Access Device (VAD)?
A. Tunneled catheter
B. Implanted port
C. Triple lumen non-tunneled catheter
D. Peripherally inserted central catheter

$1,000 Question: The most common complications associated with VADs are:
A. Nausea and vomiting
B. Ringing in the ears and dry mouth
C. Occlusions and infections
D. Inadvertent removal of the catheter by the patient

$3,000 Question: Approximately what percent of VAD occlusions are non-thrombotic and what percent are thrombotic?
A. 20% non-thrombotic / 80% thrombotic
B. 30% non-thrombotic / 70% thrombotic
C. 40% non-thrombotic / 60% thrombotic
D. 50% non-thrombotic / 50% thrombotic

$6,000 Question: Which of the following is the most common sign of a VAD occlusion?
A. Pain on infusion
B. Fever
C. Swelling in the neck, face or arm
D. Sluggish flow or poor blood return through the catheter

$15,000 Question: Which of the following is a reason for treating VAD occlusions?
A. Ensuring continued ability to infuse and withdraw
B. Lowering the risk of subsequent complications, including infection, venous thrombosis, and pulmonary embolism
C. Preventing a small thrombosis from growing larger and more difficult to treat
D. All of the above

$32,000 Question: You are experiencing a VAD occlusion. After ruling out obvious medical problems, a first choice of treatment is often:
A. Device removal and placement of a new VAD
B. Referral to interventional radiology
C. Intraluminal instillation of a thrombolytic agent
D. Ignore it and try the device later

$64,000 Question: The only drug currently approved by the Food and Drug Administration (FDA) for clearing suspected thrombotic catheter occlusions is:
A. Urokinase
B. Streptokinase
C. Alteplase
D. Heparin

$125,000 Question: A person with venous thrombosis could display which of the following signs and symptoms?
A. Swelling in the face, neck, or arm
B. Superficial collateral veins
C. Numbness or tingling in extremity
D. All the above

$250,000 Question: Signs and symptoms of VAD related infection include:
A. Fever and chills
B. Muscle aches and fatigue
C. Weakness and hypotension
D. All of the above

$500,000 Question: Treatment options for VAD related infection include:
A. Removal and replacement of device
B. Administration of antibiotics
C. Administration of antibiotics and thrombolytics
D. All of the above

$1,000,000 Question: What is Snoopy’s favorite ice cream flavor?
A. Schroeder strawberry
B. Charlie Brown chocolate
C. Peppermint Patty
D. Pigpen peanut butter


Contestant #2: Sheila Messina, RN, MA; Experienced HPN Consumer

$100 Question: You are a new HPN consumer. You have lots of questions but don’t know who to ask. What can you do?
A. Call your doctor
B. Go to your local pharmacy and ask the pharmacist
C. Go on-line and hope to find a helpful website
D. Call your home care provider

$500 Question: Your spouse is on HPN. The noise of the pump drives you nuts. You can’t sleep at night and your work is suffering. What can you do?
A. Talk to your spouse
B. Call your spouse’s physician
C. Sleep in another room
D. Grin and bear it

$1,000 Question: I have to infuse so much fluid each day that it is affecting my social life. What are my choices?
A. Don’t infuse on the night you want to stay out late
B. Increase the rate of the infusion
C. Talk to your physician about reducing the volume
D. Don’t take all your infusion

$3,000 Question: We are having a conversation about Fosamax and Aredia. We are talking about:
A. Medications used to treat osteoporosis
B. Herbs that promote energy
C. Seasonings for summer salads
D. Medications added to TPN

$6,000 Question: You would like to start an Oley group in your area. How do you get started?
A. Advertise in your local newspaper
B. Put a notice up at the local hospital
C. Call Oley and ask for help starting a group
D. Talk to your friends

$15,000 Question: HPN consumers need to have lab work done regularly because:
A. The doctor wants to know the results
B. It is important to monitor your body’s response to HPN
C. HPN increases your blood supply and you need to have some removed on a regular basis
D. Your home care provider told you so

$32,000 Question: You are very tired of having to explain your medical history each time you see a new health care provider. To avoid this you can:
A. Make a video and show it to the clinician
B. Refuse to give any information
C. Carry an updated medical history with you
D. Recognize that you may not have a choice

$64,000 Question: I have been told that I need an ERCP. This is an examination that:
A. Looks at the rectum using a sigmoidoscope
B. Visualizes the gallbladder through a laproscope
C. Examines the pancreatic duct using a special endoscope
D. None of the above

$125,000 Question: When I tell my doctor how much pain I have after eating I am told there is nothing wrong and it will go away. What can I do?
A. Believe your doctor and do nothing
B. Get a second opinion
C. Start taking OTC pain medications
D. Talk to your best friend

$250,000 Question: If you have a central line and a stoma it is important to care for them separately because:
A. It can get real messy changing them at the same time
B. You can contaminate the central line with material from the stoma
C. No particular reason, it is just done that way
D. Because the visiting nurse told you

$500,000 Question: A major reason you want to smile instead of frown is:
A. It takes more muscles to frown and that can be very tiring
B. Frowning promotes wrinkles
C. It just feels better
D. All of the above

$1,000,000 Question: What is Snoopy’s favorite ice cream flavor?
A. Schroeder strawberry
B. Charlie Brown chocolate
C. Peppermint Patty
D. Pigpen peanut butter


Contestant #3: Craig Peterson, RD, CNSD; HPEN Educator/Researcher; UC Davis Medical Ctr

$100 Question: How many people in the U.S. receive tube feedings each year?
A. Over 5,000
B. Over 10,000
C. Over 100,000
D. Over 1,000,000

$500 Question: When is the optimal time for receiving instruction in tube feeding administration?
A. In the middle of the night, on the phone with your nurse, dietitian, or pharmacist
B. At home, a few days after being discharged from the hospital on tube feedings
C. In the hospital, when tube feedings are initiated
D. No instruction is necessary, the entire process is intuitive

$1,000 Question: What is the best temperature for administering tube feedings?
A. Room temperature
B. Refrigerator temperature
C. Body temperature
D. 37°C

$3,000 Question: What is the proper fluid to use when flushing enteral feeding tubes?
A. Cola
B. Cranberry juice
C. Liquid-Plumr®
D. Water

$6,000 Question: How often should a feeding tube be replaced?
A. When the tube malfunctions
B. Every month
C. Every 3 months
D. Every year

$15,000 Question: Which is the most common cause of feeding tube occlusion?
A. Feeding formula
B. Stomach acid
C. Medications, and medications interacting with formula
D. Gremlins

$32,000 Question: What action should be taken if a gastrostomy tube comes out in the middle of the night?
A. Panic
B. Replace with a tube of the same French size immediately
C. Get a good night’s rest and deal with it in the morning
D. Call your doctor for advice

$64,000 Question: When traveling by airplane, what should be done with a gastrostomy tube balloon?
A. Deflate balloon to 50% of usual volume
B. Deflate balloon entirely
C. Maintain balloon at usual volume
D. Inflate balloon to 20 times its usual volume, allowing you to act as your own personal flotation device, in the event of a water landing

$125,000 Question: At what residual stomach volume should tube feedings be held?
A. There is no specific volume
B. 100 ml or higher
C. Greater than half of the volume of the previous 4 hours of feeding
D. 200 ml or higher

$250,000 Question: A feeding formula is termed “isotonic” if the concentration of particles in solution is:
A. Significantly higher than the concentration of particles in blood
B. Significantly lower than the concentration of particles in blood
C. The same concentration of particles as blood contains
D. The same as that found in fruit juice or soft drinks

$500,000 Question: Diluting an isotonic feeding formula will:
A. Improve stomach emptying
B. Improve tolerance to feedings
C. Reduce the risk of contaminating formula
D. Reduce the nutrient content of the formula

$1,000,000 Question: What is Snoopy’s favorite ice cream flavor?
A. Schroeder strawberry
B. Charlie Brown chocolate
C. Peppermint Patty
D. Pigpen peanut butter


Contestant #4: Marvin Ament, MD, Pediatric HPN Specialist, UCLA Medical Ctr

$100 Question: In 1974 the first person to go home on TPN was discharged from the UCLA Medical Center. Who taught her how to care for her Broviac catheter and administer her TPN?
A. Her nutrition support nurse
B. Her pharmacist
C. Her home care nurse
D. Her doctor

$500 Question: The nutrition support team at UCLA has been privileged to care for many children who have been supported by TPN their whole lives. How old is the oldest living person who has been supported by TPN since birth?
A. 10 years old
B. 15 years old
C. 20 years old
D. 25 years old

$1,000 Question: Many individuals have maintained their central venous catheters for very long periods of time. At UCLA, how long has the current record holder had his catheter in place?
A. 6 years
B. 12 years
C. 18 years
D. 24 years

$3,000 Question: Many very young infants have been discharged home on TPN. At UCLA, how young was the youngest?
A. 21 days old
B. 6 weeks old
C. 3 months old
D. 6 months old

$6,000 Question: How was it discovered that aluminum was causing toxic effects to individuals on long term TPN?
A. By rigorous scientific investigation
B. By bone biopsy
C. By kidney biopsy
D. By accident

$15,000 Question: The group at UCLA published early reports on Selenium deficiency. How was Selenium deficiency first recognized?
A. Bone pain
B. Changes in blood levels
C. Changes in hair color and texture
D. Scaling and flaking skin

$32,000 Question: Over the years we have learned that even individuals with very short segments of small bowel can adapt and be weaned off of TPN? How short is the shortest in the UCLA Medical Center experience?
A. 5 cm
B. 10 cm
C. 15 cm
D. 20 cm

$64,000 Question: Is Somatostatin analog recommended in the treatment of short bowel syndrome?
A. Yes, always
B. No, never
C. Sometimes
D. What the heck is Somatostatin?

$125,000 Question: In the early years of TPN, fat emulsions like Intralipid were not readily available. What treatment was prescribed to prevent essential fatty acid deficiencies?
A. Eat 1 small avocado per day
B. Rub 1 tablespoon of safflower oil onto arms and legs each day
C. Take 2 Vitamin E capsules per day
D. Bath in olive oil 3 times per week.

$250,000 Question: We have seen many important advances over the last 30 years in caring for individuals on long term nutrition support. What is one of the most significant?
A. Home delivery of solutions and supplies
B. Portable infusion pumps
C. Maximizing early enteral feedings
D. The addition of glutamine to parenteral and enteral formulas

$500,000 Question: What do we need to know more about in caring for individuals on long term parenteral nutrition?
A. How to prevent catheter related infections
B. How to promote more rapid intestinal adaptation
C. How to prevent liver-related complications
D. All of the above

$1,000,000 Question: What is Snoopy’s favorite ice cream flavor?
A. Schroeder strawberry
B. Charlie Brown chocolate
C. Peppermint Patty
D. Pigpen peanut butter

Find out how you scored: (answers)

more Calendar

2/6/2017 » 2/10/2017
Feeding Tube Awareness Week

2/18/2017 » 2/21/2017
Oley exhibit at A.S.P.E.N.'s Clinical Nutrition Week

This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.

 

Updated in 2015 with a generous grant from Shire, Inc. 

 

This website was updated in 2015 with a generous grant from Shire, Inc. This website is an educational resource. It is not intended to provide medical advice or recommend a course of treatment. You should discuss all issues, ideas, suggestions, etc. with your clinician prior to use. Clinicians in a relevant field have reviewed the medical information; however, the Oley Foundation does not guarantee the accuracy of the information presented, and is not liable if information is incorrect or incomplete. If you have questions please contact Oley staff.
Membership Management Software Powered by YourMembership  ::  Legal