Funtabulously Frivolous Friday Five 201

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 201

Question 1

What is the rate of severe permanent TBI in the Asterix comics, 0%, 25%, 50% or 90%?

Reveal the funtabulous answer

0%.

Although over half of head-injury victims had a severe initial impairment of consciousness, no case of death or permanent neurological deficit was found.

The largest group of head-injured characters was constituted by Romans (63.9%), while Gauls caused nearly 90% of the TBIs. A helmet had been worn by 70.5% of victims but had been lost in the vast majority of cases (87.7%). In 83% of cases, TBIs were caused under the influence of a doping agent called “the magic potion”.


Question 2

In the original paper describing GCS scoring, how and where was the painful stimulus applied?

Reveal the funtabulous answer

A pencil to the fingernail


Question 3

Where are you most likely to die?

Reveal the funtabulous answer

Well it depends what country you are in but most likely in hospital (or residential care).

Japan leads with 78% of the population dying in hospital and Albania is the lowest at 11%. NZ 34%, USA 45%, Australia 54% and England 57%.

Only in Chile, South Africa, Serbia, China or Albania might the odds be in your favour to die in your own home. [


Question 4

What is Felty syndrome?

Reveal the funtabulous answer

It is characterized by the triad of RA, splenomegaly, and neutropenia.

The cause of Felty’s syndrome is unknown but is more common in people who have had rheumatoid arthritis for a long time. [Reference]

Dr Augustus Roi Felty was going to study the classics but after hearing a lecture by William Osler decided to study medicine.


Question 5

Where did CRP get its name?

Reveal the funtabulous answer

CRP was so named because it was first identified as a substance in the serum of patients with acute inflammation that reacted with the somatic ‘C’ carbohydrate antigen of the capsule of pneumococcus.

Discovered by Tillett and Francis in 1930, it was initially thought that CRP might be a pathogenic secretion since it was elevated in a variety of illnesses, including cancer. The later discovery of hepatic synthesis demonstrated that it is a native protein.


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Funtabulously Frivolous Friday Five

Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Burnaby Hospital in Vancouver. Loves the misery of alpine climbing and working in austere environments. Supporter of FOAMed, toxicology, tropical medicine, sim and ultrasound

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