Christmas Quiz Answers
1. Methanol poisoning
Causes toxic optic neuropathy, blurred vision (snowfield or snow storm vision), dilated pupils, optic disc congestion and can result in permanent blindness
Blurred or snowfield vision in methanol poisoning usually resolves.
Long-term outcomes for patients presenting with complete blindness is unpredictable.
2. Christmas Eye
Infection creates a superficial conjunctival/corneal ulcer à painful stinging sensation & temporary loss of vision.
It is a severe chemical reaction to plant & dust matter.
The infection usually only occurs in late November through to January
Also known as Alpine Eye
3. Stridorosi ornamenti chronicus
An urgent laryngotracheal bronchoscopy was done which showed:
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)
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.
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.”
Another theory is that he could have had Rickets.
6. ‘Pine cone sign’ of neuropathic bladder.
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
a) – Damson
b) – Plum
c) – Redcurrant
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)