Christmas Quiz Answers
ANSWERS
1. Methanol poisoning
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Causes toxic optic neuropathy, blurred vision (snowfield or snow storm vision), dilated pupils, optic disc congestion and can result in permanent blindness
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Blurred or snowfield vision in methanol poisoning usually resolves.
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Long-term outcomes for patients presenting with complete blindness is unpredictable.
2. Christmas Eye
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Infection creates a superficial conjunctival/corneal ulcer à painful stinging sensation & temporary loss of vision.
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It is a severe chemical reaction to plant & dust matter.
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The infection usually only occurs in late November through to January
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Also known as Alpine Eye
3. Stridorosi ornamenti chronicus
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An urgent laryngotracheal bronchoscopy was done which showed:
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A flat plastic Christmas tree embedded within the granulomatous cords causing complete obstruction à tracheostomy prior to extraction.
4. Named after Stephen Christmas
(12 February 1947 – 20 December 1993)
The first patient described as having Haemophilia B in 1952 by a group of British doctors.
5. Tiny Tim had renal tubular acidosis (type I)
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RTA type 1 – characterized by growth failure & if left untreated à osteomalacia & pathological fractures, hypokalaemic muscle weakness, periodic paralysis, nephrocalcinosis à renal failure à death.
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It was treatable during Dickens’ lifetime.
Thus the following quotation from the Ghost of Christmas Present says Tiny Tim would die “only if the present remains unchanged.”
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Another theory is that he could have had Rickets.
6. ‘Pine cone sign’ of neuropathic bladder.
7. Brainstem
8. Consumption of holly berries à D&V, drowsiness, coma. Death is rare.
Bonus answer: 20 berries may be a lethal dose.
9. 85 calories
10. Gingerbread
11. Intussusception
a) – Damson
b) – Plum
c) – Redcurrant
12.
a) Dr Benjamin Spock
b) Dr Hilary Cass (Ex-President of RCPCH)
c) Dr Jane Collins (Chief Executive of GOSH)
d) Prof. Neena Modi (Current President of RCPCH)
