Miscellaneous Health Trivia

1. What kind of hospital is Broadmoor, located in Berkshire?

From Quiz Forensic Psychiatry (in England and Wales) Quiz

Answer: high security

There are three levels of secure hospital/unit: low, medium and high. Broadmoor is one of three high secure hospitals covering England and Wales. The others are Ashworth and Rampton.

From Quiz The Most Unkindest Cut Of All

Answer: Ancient Egypt

The ancient Egyptians practiced circumcision during most periods of their history. There are records of circumcision in Egypt dating back to at least 2500 BC. After they were victorious in battle, the Egyptians would cut off the uncircumcised penises of their enemies and count them - it was an easy way to distinguish enemy corpses from their own. There are numerous reliefs showing the Pharaoh being presented with piles of uncircumcised penises by his troops. One of the most famous can be found in the carvings from the Mortuary Temple of Ramesses III within the Medinet Habu complex on the West Bank of Luxor.

From Quiz Prognosis: Positive!

Answer: Liquid proteins

One of the methods of reducing chronic back pain is spinal fusion surgery. This requires removal of the damaged disc and then fusing the two vertebrae that were on either side of that disc. Metal plates and bone fragments from other parts of the body would be inserted to assist the re-growth process. This operation is both invasive and requires a long period of recuperation. Doctors have narrowed down the proteins within the body that will tell it to heal its own bones and have found a way to artificially reproduce them. This is produced in liquid form into which they will dip some bio-compatible sponge matter, before placing the sponge where they require the bone growth to occur. This then triggers the body to start healing itself and bring forth the bone growth. The positive prognosis for patients is that now they have a surgical option that is less invasive and can reduce the recovery period down from six months to two.

From Quiz Patient Assessment Basics [ 1 ]

Answer: Eye Opening, Verbal Response, Motor Response

The highest possible Glasgow Coma Score is 15, and the lowest possible score is 3. A score of 13, 14 or 15 can indicate a mild head injury, scores of 8 - 12 can indicate a moderate head injury, and a score of less than 8 is generally associated with a severe head injury.

From Quiz And Pain Is All Around

Answer: Headache

There are a lot of types of headache, with an equally big number of possible causes. In a general sense, headaches are classified into primary. These are not caused by underlying conditions, and are usually benign; about 90% of the headaches are of the primary type and secondary, having their origin in a disease, some of them being very serious. Each of these has many ramifications depending on the characteristics of the pain and the underlying cause.

From Quiz Forensic Psychiatry (in England and Wales) Quiz

Answer: M'Naghten

The ruling in the M'Naghten case in the 19th century established criteria for a finding of insanity that still apply in many jurisdictions to this day. It includes either not knowing what you were doing, or not knowing what you were doing was wrong.

From Quiz The Humble Suppository

Answer: A pessary is usually for vaginal use

A pessary has the same function as a suppository, dissolving medicine into a body cavity, but delivers vaginal specific medicine, normally for fungal and bacterial infections which can be quite common, partly due to the proximity of the vagina to the anus and the consequent transfer of germs, and sexually transmitted pathogens. They can also be designed for urethral use in a similar way for male impotence but are now mainly replaced by simpler oral medication. They come in a variety of shapes for both, but that is not specific to either.

From Quiz Prognosis: Positive!

Answer: A method of recording images in the digestive tract

Standard endoscopy involves the insertion of a camera, attached to a tube, twenty feet into a person's small intestine to check for such things as ulcers, tumours and internal bleeding. This has worked well for a number of years but the step forward appears to have arrived straight out of the 1966 movie "Fantastic Voyage" - a camera which is inserted into a pill and swallowed. It is then guided through the small intestine where it is able to look into areas that standard endoscopy cannot. The pill comes with flashing LEDs that illuminate in time with the pictures being taken, usually at a rate of two per second. Using blue tooth technology the images can then be transferred to hard drives.

From Quiz Patient Assessment Basics [ 1 ]

Answer: Right Upper Quadrant (RUQ)

Abdominal pain is a common call for a paramedic, and it's important that you know what goes where inside the abdomen so that you can make an accurate diagnosis. If the patient is complaining of abdominal pain, you will need to assess the abdomen. The abdomen should be examined systematically, and ensure that you examine the painful part last, so that you can compare it to the non-painful parts. Look for swelling, discolouration, skin temperature and rigidity.

From Quiz And Pain Is All Around

Answer: Lower back

Pain in the lower back can have several causes, but it appears more frequently after lifting heavy loads by bending over at the waist. The repetitive strain of the muscles leads to a throbbing pain that leaves you bedridden most of the time, as it makes it very difficult for you to stand up. To prevent this, you should lift any load by squatting, keeping your back as straight as possible, then lift yourself using only your legs while holding the load as close to your torso as possible.

From Quiz Healing Across the World and Through the Ages

Answer: Meridians

In traditional Chinese medicine (TCM), meridians are pathways involved in the flow of energy necessary for the maintenance of good health. Most, but not all, acupuncture points lie along these purported pathways, and acupuncture needles are inserted at these points to correct presumed disharmony or imbalance of energies such as qi (life energy), yin and yang. Scientific research has failed to find evidence for the existence of these meridians and yet many millions of people in China and elsewhere in the world use CTM each year.

From Quiz Forensic Psychiatry (in England and Wales) Quiz

Answer: long-acting injectible medication

Depot medication is used very often in forensic psychiatry, as it ensures that the patient is definitely getting their medication. It is usually given every two or three weeks.

From Quiz The Most Unkindest Cut Of All

Answer: Greek

Circumcision was widespread in the Middle East and northern Africa until Alexander the Great conquered the area. The Greeks viewed the practice of circumcision as barbaric and loathsome, a view shared by the Romans. Jews faced such prejudice that many chose to undergo a long an painful procedure called epispasm, which restored the foreskin, at least to some extent.

From Quiz The Humble Suppository

Answer: Glycerin

Glycerin is a natural and effective laxative, and also used for other treatments including throat lozenges. It is made from glycerol, an alcohol hydrocarbon joined with sugar, and gelatin. Using stronger irritants directly in the gut would be too stressful to the digestive system.

From Quiz Patient Assessment Basics [ 1 ]

Answer: 3

When I was a young paramedic, we were taught that there are three stages to shock, and these were defined as compensated shock, decompensated (or uncompensated) shock, and irreversible shock. In compensated shock, the patient may be lethargic or confused, and their pulse rate will be slightly elevated. In decompensated shock the patient may be confused or even unconscious, and their pulse rate will be markedly elevated. In irreversible shock, the patient will have a slow pulse rate and be in a coma. Now that I'm an old paramedic, these divisions have recently been further broken down, and you may see four or five different stages of shock listed in some texts.

From Quiz Healing Across the World and Through the Ages

Answer: 19th

Homeopathy is a system of healing created in the late 18th century by the German physician Samuel Hahnemann. He believed that a substance that caused an illness in a previously well person could be used to cure that same illness in someone suffering from it. The main tenets of the approach are that like cures like and that dilution increases potency in the treatment of diseases caused by agents that he called 'miasms'. Homeopathy staged a significant comeback in the 1970s, perhaps because it was compatible with the beliefs of the New Age movement. Modern science denounces it as 'quackery' and 'fraud'.

From Quiz Forensic Psychiatry (in England and Wales) Quiz

Answer: law

Forensic comes from the Latin word forum, which was in Roman times a public gathering equivalent to a court. So forensic psychiatry is that branch of psychiatry dealing with the interface between mental health issues and legal issues (most often the assessment and treatment of mentally disordered offenders).

From Quiz The Humble Suppository

Answer: An enema is liquid, a suppository is solid

It is very important for a user to know the actual difference between an enema and a suppository, as if the doctor prescribes one or the other you need to know what to expect. Unlike suppositories nearly all enemas are used as laxatives and are only used rectally. Normally the enema liquid is meant to be held in for a short time to deliver its full effect. It is also helpful to have an enema administered by another person, ideally with some training, rather than have to do it directly until you are totally familiar with the procedure.

From Quiz The Dark Arts - Cutting Body Parts

Answer: Oh, no. Not my ears!

Auriculectomy is the surgical removal of the ear.

From Quiz I'm Not Feeling Very Well

Answer: His genitalia

Koro is also known as genital retraction and is a culture-specific syndrome. In this disorder the patient believes his genitalia are shrinking into his body and will disappear forever. This syndrome can be a mass hysteria problem with recorded incidents of group panic in both Africa and Asia. This syndrome is sometimes associated with occult beliefs or drug usage. Koro has been described since ancient times, in many cultures, and by many names. While this is usually a disorder exhibited in males, females are also susceptible. They will exhibit beliefs that their breasts and genitalia are retracting into their body. Home remedies to prevent perceived loss of these body parts have included shoe string, fishing line, fishing hooks and needles. One of the more recent incidents occurred in Singapore in 1967.

From Quiz The Most Unkindest Cut Of All

Answer: Hadrian

Hadrian (ruled 117 - 138 AD) passed a law forbidding the castration of male slaves, and it included a ban on circumcision, indicating that in the Roman mind, at least, the two practices were somehow related. Many ancient historians cite this law as one of the main reasons for the Bar Kokhba revolt, a Jewish rebellion against Roman rule that lasted from 132 to 136. The ban remained in effect until 140, when Hadrian's successor, Antoninus Pius, allowed Jews to circumcise their sons, but not their slaves or servants.

From Quiz The Humble Suppository

Answer: Leakage

Although absorption is not always as reliable through the rectal wall as oral delivery, the simple logistic nature of putting something in the anus is things normally come out rather than go in. This means all rectal medication can either be expelled soon after insertion, especially for people with any type of muscular weakness such as a prolapse, and then may also leak partially as they dissolve for the same reasons. They are not at all difficult to use once you've got the hang of it, although they can occasionally cause allergic or similar reactions to people sensitive to certain ingredients.

From Quiz What's Wrong With Them?

Answer: Chicken Pox

Chicken pox is a common childhood illness that rarely has severe complications, although you feel pretty ill while you have it. Once you've had it you are normally immune, although the virus can remain in the body leading to outbreaks of shingles in later life.

From Quiz The Dark Arts - Cutting Body Parts

Answer: His testicles

A vasectomy is a procedure in which a man's vas deferens are severed. It is used for male sterilization.

From Quiz I'm Not Feeling Very Well

Answer: Cow

In this psychological disorder the sufferer believes that he is a bovine, usually a cow or an ox. The exact cause of the disorder is not known but may be related to schizophrenia or bi-polar disorders. The subject may crawl around on all fours, eat grass, and defecate on themselves. This is usually a chronic disorder and treatment is usually pharmacological in nature. One of the earliest mentions of this disorder is in the Biblical book of Daniel. King Nebuchadnezzar was described as eating grass like an ox and the disorder was described as progressively degenerative.

From Quiz Prognosis: Positive!

Answer: Weight loss

Bariatric surgery was introduced to combat obesity by reducing the size of the stomach. Initially this meant removing a portion of the stomach or redirecting the small intestines toward a small stomach pouch. The leap forward has been the use or insertion of a laparoscopic band (lap band) rather the removal of body parts. Lap banding involves the insertion of a silicone band through some small incisions in the abdomen which is then tightened to limit the amount of food that can pass through. You could say that it's now a cinch to lose weight. (Yes I know it's a terrible pun but it is fully intended). The positive prognosis is a less invasive form of surgery with a much faster recovery time. However, bariatric surgery does not come without its share of risks. The most common are gastric dumping syndrome (vomiting, bloating, diarrhoea), incisional hernia and infections and the sudden loss of weight may bring forward gallstones or the increased lithogenicity of bile. In an effort to head off any correction notes, I agree that the moderating of blood pressure may be an indirect benefit of this surgery, however, weight loss remains as the primary driver of the operation.

From Quiz Patient Assessment Basics [ 1 ]

Answer: Burns

The Rule of Nines is used to calculate the Total Body Surface Area (TBSA) involved in burns injuries. Another way to do this is to imagine the burnt areas in comparison to the size of the patient's own palm. Each area the same size as their palm is roughly equivalent to 1% of their TBSA.

From Quiz Healing Across the World and Through the Ages

Answer: South Africa

A sangoma is a traditional Zulu healer or diviner who employs music, dance, the interpretation of dreams and the throwing of bones to discover evil and diagnose disease. The tradition is based upon the belief that ancestors in the afterlife guide and protect the living through the medium of the sangoma who works himself into a trance that allows an ancestor to take temporary possession of his body and provide the required cure. Sangomas work in a sacred healing hut or indumba, where their ancestors are believed to reside.

From Quiz Forensic Psychiatry (in England and Wales) Quiz

Answer: an antipsychotic injection

Clopixol Acuphase is a form of antipsychotic injection that works more quickly than a depot injection and so is used in severe psychosis where there is a need for more rapid action (for example if the person is very behaviourally disturbed).

From Quiz The Humble Suppository

Answer: Local treatment for a body cavity

All are good and genuine reasons for using a suppository, but the commonest is for direct medical treatment required in the rectum or vagina. As well as not having to travel the entire length of the alimentary canal to get there from oral use, the medicine will also not be broken down in any way in the stomach, which is why some others are injected rather than taken orally. Pessaries in the vagina are the commonest use of direct medication as the various antibiotics and similar treatments can be easily delivered and contained and dissolve exactly where they are needed and not absorbed in the entire body as well as would oral agents. Of course some children will not take their medicine, so it can be taken as a suppository to make sure it goes in and stays in, and is also often used in animals for the same reasons. For example when a dog has epilepsy a diazepam enema is a common treatment for a seizure where the owner can deliver it to quickly calm it down. But this is a far rarer application than laxative or antibiotic delivery. Certain medicines can also irritate the stomach and may cause vomiting, so can be administered by suppository instead. But many patients on general 'nil by mouth' orders for whatever reason are given intravenous drips for many requirements rather than suppositories.

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Last Updated Nov 16 2024 5:44 AM

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