SCGH ED Xmas in July Quiz

1. Christmas in July Quiz

2. Write down the Henderson-Hasselbalch equation
Q1
1M

3. Which is/are not strong acid(s)?
HCl Hydrochloric acid
HNO3 Nitric acid
H2SO4 Sulphuric acid
HF Hydrofluoric
HBr Hydrobromic acid
HI Hydroiodic acid
HClO4 Perchloric acid
HCN Hydrocyanic acid
Q2
xM

4. Who is this?
What is his connection to emergency medicine?
Q3
1M
Q4
1M

5. Imminent danger to life or the continued
viability of a vessel
International distress call
MayDay
Q5
1M

6. What’s the connection?
Q5
1M

7. Q5
1M

8. Q7
3M
Name his three principles of field triage
Nommer ce gentelman français
Q6
1M

9. True or False?

10. There are circumstances in which a solution of acid in
water has a negative pH
True or False?
Q8
1M

11. Monoclonal antibodies are monospecific
True or false?
Q9
1M

12. True or False?
Q10
1M

13. Define the term “heterophile antibody”
Q11
1M

14. Diagnosis
Six causes
Q12
7M

15. International System of Units

16. What is the definition of a 100% w/v solution?
In SI units
Q13
1M

17. Do the sums to determine volume
contained in the ampoule
Adrenaline 1 ampoule SCGH ED
ANDRENALINE INJECTION
Each ml contains:
Adrenaline 1 mg (1/1000)
For SC or IM use
Anything odd about the labelling?
Q14
1M
0M

18. The Great War and the British Army Act 1884

20. Execution by firing squad was carried out for all
the following except which one?
1. Murder
2. Desertion
3. Cowardice
4. Quitting post
5. Sleeping at post
6. Striking superior officer
7. Disobedience
8. Plunder
9. Mutiny
10. Casting away arms
Q15
1M

21. How long did it take?
Q16
1M
James Lind publishes his Treatise on the Scurvy
The British Admiralty issues a daily ration of
lemon juice to all sailors

22. ELECTRICITY ELECTRICITY

23. What is alternating about alternating current?
Q17
1M

24. What kills you? The volts or the amps?
Q18
1M

27. Why is 50-60 Hz used when it is known to be the most
dangerous supply frequency for Homo sapiens?
Q19
1M

28. What is Boa’s sign?
Q20
1M

29. Adenosine pause
Name this ECG appearance
0M

31. Adenosine – which is/are properties?
Inhibitory effect on CNS neurones
Enhances potassium conductance
Metabolised in RBCs to inosine and AMP
Acts through A1, A2A, A2B and A3 receptor subtypes
Has anti-inflammatory effects
Thickens thinning hair
Dilates normal coronary arteries
Changes T4 lymphocytes into T8 lymphocytes
Causes bronchospasm
Half life in blood < 10 seconds
Causes flushing in 20% of patients
Q21
xM

32. How does a girl/guy get enough germs to catch
pneumonia?
Q22
1M

33. 0M
What is The 27 Club?

34. Peter Ham Badfinger Suicide hanging
Chris Bell Big Star MVA
Ron McKernan The Grateful Dead GIT bleed
Amy Whitehouse EtOH toxicity
Bon Scott AC/DC EtOH toxicity
Brian Jones The Rolling Stones Drowned in pool
Janis Joplin Heroin OD
Dennis Wilson The Beach Boys EtOH + drowning
Robert Johnson ?Murdered
Jim Morrison The Doors ?Heroin OD
Kurt Cobain Nivarna Suicide
Jimi Hendrix Inhaled vomitus
Which two are not members?
NAME BAND CAUSE OF DEATH
Q23
2M

38. Kary Mullis PhD
Q24 1MNobel laureate for what?
Name this Nobel laureate
0M

40. List the posterior relations of the stomach
Q25
9M

41. You are obliged to operate
Name the layers you cut through to reach the testicle
Q26
xM

42. Zero order First order
Pharmacokinetics

43. To what does the number 0, 1, 2, n, …
refer to in n order kinetics?
Q27
1M

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

45. 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
Q28
xM

47. Christmas in July Quiz
ANSWERS Maximum score = 52

48. 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)
Q1
1M

49. HF - hydrofluoric acid Ka = 6.6 X 10-4
Which is/are not strong acid(s)?
HCl Hydrochloric acid
HNO3 Nitric acid
H2SO4 Sulphuric acid
HF Hydrofluoric
HBr Hydrobromic acid
HI Hydroiodic acid
HClO4 Perchloric acid
HCN Hydrocyanic acid
HCN – Hydrocyanic acid Ka = 6.2 x 10-10
Q2
2M

51. Q3
1M
Grigori Yefimovich Rasputin (1869-1916)

52. Alexei Romanov
Q4
1M

53. Moi aidez
M’aidez
Help me
Q5
1M
No connection
MayDay

54. Treat wounded men as soon as possible
Rapid transport - ambulances volantes
No prioritisation according to rank and social distinction
Q6&Q7
4M Field triage
Dominique Jean Larrey (1776-1842)

55. 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
TRUE
Q8
1M

56. FALSEQ9
1M

57. Predki PF et al. Protein microarrays: a new tool for profiling antibody cross-
reactivity. Hum Antibodies 2005;14:7-15.
Q9
1M

58. 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

59. True or False?
Q10
1M

62. Heterophile antibody
Antibody in one animal species that reacts with
an antigen from another animal species
Q11
1M

63. Diagnosis
Six causes
Q12
7M

64. GYNECOMASTIA:
Genetic Gender disorder (Klinefelter)
Young boy (pubertal)*
Neonate*
Estrogen
Cirrhosis/ Cimetidine/ Ca Channel blockers
Old age*
Marijuana
Alcoholism
Spironolactone
Tumors (Testicular & adrenal)
Isoniazid/ Inhibition of testosterone
Antineoplastics (Alkylating Agents)/ Antifungal(ketoconazole)
· * Asterisk indicates physiologic cause.
Show Details / Rate It
Q12
7M

66. 100% w/v solution = 1 kg solute in 1 litre
In SI units
Q13
1M

67. 100% solution = 1000 g in 1000 ml
1 g in 1 ml = 1000 mg in 1 ml
Divide by 100  1% solution
1% 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
ANSWER
Q14
1M

68. Execution by firing squad was carried out for all the following
except one
1. Murder
2. Desertion
3. Cowardice
4. Quitting post
5. Sleeping at post
6. Striking superior officer
7. Disobedience
8. Plunder
9. Mutiny
10. Casting away arms
Q15
1M

69. How long did it take?
Q16
1M
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

70. What is alternating about alternating current?
Q17
1M
It’s direction

71. What kills you?
The amps
Q18
1M

72. Why is 50-60 Hz used when it is known to be the most
dangerous supply frequency for Homo sapiens?
Q19
1M

73. Boa’s sign
Hyperaesthesia below the right scapula
Is less than 7% sensitive for acute cholecystitis
Ismar Isidor Boas (1858-1938), German
gastroenterologist
Q20
1M

74. Adenosine – all true
Inhibitory effect on CNS neurones
Enhances potassium conductance
Metabolised in RBCs to inosine and AMP
Acts through A1, A2A, A2B and A3 receptor subtypes
Has anti-inflammatory effects
Thickens thinning hair
Dilates normal coronary arteries
Changes T4 lymphocytes into T8 lymphocytes
Causes bronchospasm
Half life in blood < 10 seconds
Causes flushing in 20% of patients
Q21
11M

75. How does a girl/guy get enough germs to catch
pneumonia?
Q22
1M

77. What do you get when you kiss a guy/girl
You get enough germs to catch pneumonia
After you do, he'll never phone you
I'll never fall in love again, I'll never fall in love again
I'll Never Fall In Love Again
Burt Bacharach, Hal David
(1968)
Q22
1M

78. Peter Ham Badfinger Suicide hanging
Chris Bell Big Star MVA
Ron McKernan The Grateful Dead GIT bleed
Amy Whitehouse EtOH toxicity
Bon Scott (33) AC/DC EtOH toxicity
Brian Jones The Rolling Stones Drowned in pool
Janis Joplin Heroin OD
Dennis Wilson (39) The Beach Boys EtOH + drowning
Robert Johnson ?Murdered
Jim Morrison The Doors ?Heroin OD
Kurt Cobain Nivarna Suicide
Jimi Hendrix Inhaled vomitus
Which two are not members?
NAME BAND CAUSE OF DEATH
Q23
2M

81. Q24
1M

82. List the posterior relations of the stomach
Lesser sac
Diaphragm
Spleen
Left suprarenal gland
Upper part of left kidney
Splenic artery
Body of the pancreas
Transverse meoscolon
Transverse colon
Q25
9M

83. Skin
Dartos muscle
External spermatic fascia (from
external oblique muscle)
Cremaster muscle and fascia (from
internal oblique muscle)
Internal spermatic fascia (from
tranversalis fascia)
Tunica vaginalis (parietal layer)
Q26
6M

84. n order kinetics?
Q27
1M
Sum of the indices in the rate equation

85. 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
Q28
1M

86. “On the word of no one”
The Royal Society Coat of Arms and Motto
Including gurus

87. Joyeux noël en juillet