Funtabulously Frivolous Friday Five 195
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF, introducing the Funtabulously Frivolous Friday Five 195
Question 1
What is the JOLT test?
Reveal the funtabulous answer
In patients suspected of having meningitis: the patient is asked to quickly move their head from side to side in a horizontal plane. If there is meningeal irritation, the headache will get worse.
Unfortunately the studies are small and varied with sensitivities ranging from 6-97%. It does appear to be more sensitive than nuchal rigidity, Kernig and Brudziński sign but will not get you out of doing an LP if negative.
- Mofidi M et al. Jolt accentuation and its value as a sign in diagnosis of meningitis in patients with fever and headache. Turk J Emerg Med. 2017 Mar; 17(1): 29–31.
Question 2
There is lots of talk about REBOA but who first tied off the abdominal aorta?
Reveal the funtabulous answer
Sir Astley Paston Cooper (1768 – 1841)
Copper was an English surgeon and pioneer in experimental surgery.
He was the first to tie the abdominal aorta in treating an aneurysm (1817), among various other operations he performed successfully at a time before antiseptic procedures.
Question 3
What came first the Chicken or the Egg?
Reveal the funtabulous answer
The Egg (final answer)
According to the QI second book of general ignorance:
As the geneticist JBS Haldane (1892-1964) remarked ‘The most frequently asked question is: Which came first, the chicken or the egg? The fact that it is still asked proves that many people have never been taught the theory of evolution or that they don’t believe it’ With that in mind – Birds evolved from reptiles, so the first bird must have come out of an egg – laid by a reptile
Question 4
If the patient ‘can’t see, can’t pee or can’t bend the knee,’ what could be wrong with them?
Reveal the funtabulous answer
The classic triad of arthritis, urethritis, and conjunctivitis, most commonly from chlamydia.
Reactive arthritis [archaic eponym: Reiter’s syndrome] systemic, seronegative spondyloarthropathy secondary to a precipitating infection.
Question 5
Which poison killed the Bulgarian dissident writer Georgi Markov?
Reveal the funtabulous answer
Ricin
Injected via an umbrella pellet gun on Thursday, September 7th, 1978 at 1.30pm at the south end of Waterloo Bridge, London
FFFF
Funtabulously Frivolous Friday Five
Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Kelowna hospital, British Columbia. Loves the misery of alpine climbing and working in austere environments (namely tertiary trauma centres). Supporter of FOAMed, lifelong education and trying to find that elusive peak performance.