Christmas in July Quiz

Write down the Henderson-Hasselbalch equation

Q11M

Which is/are not strong acid(s)?

HCl Hydrochloric acidHNO3 Nitric acidH2SO4 Sulphuric acidHF Hydrofluoric HBr Hydrobromic acidHI Hydroiodic acid HClO4 Perchloric acidHCN Hydrocyanic acid

Q2xM

Who is this?

What is his connection to emergency medicine?

Q31M

Q41M

Imminent danger to life or the continued viability of a vessel

International distress call

MayDayQ51M

What’s the connection?

Q51M

Q51M

Q73M

Name his three principles of field triage

Nommer ce gentelman français

Q61M

True or False?

There are circumstances in which a solution of acid in water has a negative pH

True or False?

Q81M

Monoclonal antibodies are monospecific

True or false?

Q91M

True or False?Q101M

Define the term “heterophile antibody”

Q111M

Diagnosis

Six causes

Q127M

International System of Units

What is the definition of a 100% w/v solution?

In SI units

Q131M

Do the sums to determine volume contained in the ampoule

Adrenaline 1 ampoule SCGH ED

ANDRENALINE INJECTIONEach ml contains:

Adrenaline 1 mg (1/1000)For SC or IM use

Anything odd about the labelling?

Q14 1M

0M

The Great War and the British Army Act 1884

Execution by firing squad was carried out for all the following except which one?

1. Murder2. Desertion3. Cowardice4. Quitting post5. Sleeping at post6. Striking superior officer7. Disobedience8. Plunder9. Mutiny10. Casting away arms

Q151M

How long did it take?Q161M

James Lind publishes his Treatise on the Scurvy

The British Admiralty issues a daily ration of lemon juice to all sailors

ELECTRICITY ELECTRICITY

What is alternating about alternating current?

Q171M

What kills you? The volts or the amps?

Q181M

Why is 50-60 Hz used when it is known to be the most dangerous supply frequency for Homo sapiens?

Q191M

What is Boa’s sign?

Q201M

Adenosine pause

Name this ECG appearance0M

Adenosine – which is/are properties?

Inhibitory effect on CNS neuronesEnhances potassium conductanceMetabolised in RBCs to inosine and AMPActs through A1, A2A, A2B and A3 receptor subtypesHas anti-inflammatory effectsThickens thinning hairDilates normal coronary arteriesChanges T4 lymphocytes into T8 lymphocytesCauses bronchospasmHalf life in blood < 10 secondsCauses flushing in 20% of patients

Q21xM

How does a girl/guy get enough germs to catch pneumonia?

Q221M

0M

What is The 27 Club?

Peter Ham Badfinger Suicide hangingChris Bell Big Star MVARon McKernan The Grateful Dead GIT bleedAmy Whitehouse EtOH toxicityBon Scott AC/DC EtOH toxicityBrian Jones The Rolling Stones Drowned in poolJanis Joplin Heroin ODDennis Wilson The Beach Boys EtOH + drowningRobert Johnson ?MurderedJim Morrison The Doors ?Heroin ODKurt Cobain Nivarna SuicideJimi Hendrix Inhaled vomitus

Which two are not members?

NAME BAND CAUSE OF DEATH

Q232M

Kary Mullis PhD

Q24 1M Nobel laureate for what?

Name this Nobel laureate

0M

List the posterior relations of the stomach

Q259M

You are obliged to operate

Name the layers you cut through to reach the testicle

Q26xM

Zero order First order

Pharmacokinetics

To what does the number 0, 1, 2, n, …refer to in n order kinetics?

Q271M

Sir Roy Meadow

Meadow's Law: 'One sudden infant death is a tragedy, two is suspicious and three is murder, unless proven

otherwise.'

Given the probability of a child dying from SIDS is 1/8500

the probability of two children dying from SIDS is 1/8500 * 1/8500 = 1/73000000

Anything wrong here?If so, what?

1 in 73 million

Q28xM

Christmas in July Quiz

ANSWERS Maximum score = 52

Write down the Henderson-Hasselbalch equation

pH = pKa + log (salt/acid)

pH = 6.1 + log (HCO3-/H2CO3)

pH = 6.1 + log (kidneys/lungs)

pH = 6.1 + log (HCO3-/0.03*pCO2)

Q11M

HF - hydrofluoric acid Ka = 6.6 X 10-4

Which is/are not strong acid(s)?

HCl Hydrochloric acidHNO3 Nitric acidH2SO4 Sulphuric acidHF Hydrofluoric HBr Hydrobromic acidHI Hydroiodic acid HClO4 Perchloric acidHCN Hydrocyanic acid

HCN – Hydrocyanic acid Ka = 6.2 x 10-10

Q22M

Q31M

Grigori Yefimovich Rasputin (1869-1916)

Alexei Romanov

Q41M

Moi aidez

M’aidez

Help me

Q51M

No connection

MayDay

Treat wounded men as soon as possibleRapid transport - ambulances volantes

No prioritisation according to rank and social distinction

Q6&Q74M Field triage

Dominique Jean Larrey (1776-1842)

It is possible for a solution of acid in water to have a negative pH

pH = - log([H+]) = log(1/([H+])

If [H+] = 2M then pH = -log(2) = - 0.30

TRUEQ81M

FALSEQ91M

Predki PF et al. Protein microarrays: a new tool for profiling antibody cross-reactivity. Hum Antibodies 2005;14:7-15.

Q91M

Anti-p24 (HIV-1) monoclonal antibody

Kramer A et al. Molecular basis for the binding promiscuity of an anti-p24 (HIV-1) monoclonal antibody. Cell 1997;91:799-809.

Q9 1M

True or False?Q101M

Heterophile antibody

Antibody in one animal species that reacts with an antigen from another animal species

Q111M

Diagnosis

Six causes

Q127M

GYNECOMASTIA:Genetic Gender disorder (Klinefelter)Young boy (pubertal)*Neonate*EstrogenCirrhosis/ Cimetidine/ Ca Channel blockers Old age*MarijuanaAlcoholismSpironolactoneTumors (Testicular & adrenal)Isoniazid/ Inhibition of testosteroneAntineoplastics (Alkylating Agents)/ Antifungal(ketoconazole)· * Asterisk indicates physiologic cause.Show Details / Rate It 

Q127M

100% w/v solution = 1 kg solute in 1 litre

In SI units

Q131M

100% solution = 1000 g in 1000 ml1 g in 1 ml = 1000 mg in 1 ml

Divide by 100 1% solution1% solution = 10 mg/ml

RULE percent X 10 = mg/ml

Adrenaline 1/1000 = 0.1%0.1% X 10 = 1 mg/ml

∴ Volume = 1 ml

ANSWERQ141M

Execution by firing squad was carried out for all the followingexcept one

1. Murder2. Desertion3. Cowardice4. Quitting post5. Sleeping at post6. Striking superior officer7. Disobedience8. Plunder9. Mutiny10. Casting away arms

Q151M

How long did it take?Q161M

1753 James Lind publishes Treatise on the Scurvy

1795 The British Admiralty issues a daily ration of lemon juice to all sailors

The answer is: 42

What is alternating about alternating current?

Q171M

It’s direction

What kills you?The amps

Q181M

Why is 50-60 Hz used when it is known to be the most dangerous supply frequency for Homo sapiens?

Q191M

Boa’s sign

Hyperaesthesia below the right scapula

Is less than 7% sensitive for acute cholecystitis

Ismar Isidor Boas (1858-1938), German gastroenterologist

Q201M

Adenosine – all true

Inhibitory effect on CNS neuronesEnhances potassium conductanceMetabolised in RBCs to inosine and AMPActs through A1, A2A, A2B and A3 receptor subtypesHas anti-inflammatory effectsThickens thinning hairDilates normal coronary arteriesChanges T4 lymphocytes into T8 lymphocytesCauses bronchospasmHalf life in blood < 10 secondsCauses flushing in 20% of patients

Q2111M

How does a girl/guy get enough germs to catch pneumonia?

Q221M

What do you get when you kiss a guy/girlYou get enough germs to catch pneumonia

After you do, he'll never phone youI'll never fall in love again, I'll never fall in love again

I'll Never Fall In Love AgainBurt Bacharach, Hal David

(1968)

Q221M

Peter Ham Badfinger Suicide hangingChris Bell Big Star MVARon McKernan The Grateful Dead GIT bleedAmy Whitehouse EtOH toxicityBon Scott (33) AC/DC EtOH toxicityBrian Jones The Rolling Stones Drowned in poolJanis Joplin Heroin ODDennis Wilson (39) The Beach Boys EtOH + drowningRobert Johnson ?MurderedJim Morrison The Doors ?Heroin ODKurt Cobain Nivarna SuicideJimi Hendrix Inhaled vomitus

Which two are not members?

NAME BAND CAUSE OF DEATH

Q232M

Q241M

List the posterior relations of the stomach

Lesser sacDiaphragmSpleenLeft suprarenal glandUpper part of left kidneySplenic arteryBody of the pancreasTransverse meoscolonTransverse colon

Q259M

SkinDartos muscleExternal spermatic fascia (from external oblique muscle)Cremaster muscle and fascia (from internal oblique muscle)Internal spermatic fascia (from tranversalis fascia)Tunica vaginalis (parietal layer)

Q266M

n order kinetics?

Q271M

Sum of the indices in the rate equation

Sir Roy Meadow

Sally Clark, Angela Cannings and Donna Anthony

Clark was convicted in 1999 of the murder of her two baby sons, largely on the basis

of Meadow's evidence

Not independent events

1 in 73 million

Q281M

“On the word of no one”

The Royal Society Coat of Arms and Motto

Including gurus

Joyeux noël en juillet