Thank FFFF it’s Christmas

Draw near, and gather round the wireless for this very Christmas edition of Funtabulous medical trivia.

We celebrate the festive season with a DOUBLE edition of FFFF and an eclectic mix of festive related questions to amuse and bemuse….

Question 1

  • A 2 year old boy presents with acute airway obstruction in March, following a 15 month history of ‘noisy breathing and hoarseness’. A lateral neck X-Ray is performed…What is the most likely aetiology?

christmas foreign body

  • Stridorosi ornamenti chronicus
  • An urgent laryngotracheal bronchoscopy was performed following inhalational induction of anesthesia
  • Using a fiberoptic bronchoscope,visualization of the larynx through a laryngeal mask airway revealed a flat plastic Christmas tree embedded within granulomatous cords causing almost complete obstruction and requiring tracheostomy prior to extraction

xmas foreign body

Question 2

  • Who created the modern image of Santa Claus? In what year?

  • …not Coca Cola
  • Depictions of Santa Claus in illustrations have evolved over the centuries from original descriptions of 1644  [Reference]

Santa Claus through the ages

Question 3

  • The ingestion of which alcohol may result in “snow storm” vision?

  • Methanol
  • Methanol poisoning is associated with 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. However, long term outcomes for patients presenting with complete blindness cannot be predicted [Reference]

Question 4

  • Who wrote “A Christmas Carol”?

  • Charles Dickens

I have endeavoured in this Ghostly little book, to raise the Ghost of an Idea, which shall not put my readers out of humour with themselves, with each other, with the season, or with me. May it haunt their houses pleasantly, and no one wish to lay it.

Their faithful Friend and Servant, C.D.

December, 1843.

Question 5

  • Which genetic condition(s) is/are most often associated with these features?

Elfin features

  • Elfin features are associated with:
    • Williams syndrome
    • Rare neurodevelopmental disorder
    • Caused by a deletion of about 26 genes from the long arm of chromosome 7.
    • It is characterized by a distinctive, “elfin” facial appearance, along with a low nasal bridge; an unusually cheerful demeanor and ease with strangers
  • LITFL judges will also accept: Noonans, Turner, Donohue

Williams syndrome

Question 6

  • What is the name of this seasonal ophthalmological condition? Where in Australia does it most commonly occur?

Festive Eye Condition

  • Christmas Eye
  • The infection creates a superficial ulcer over the conjunctiva and the cornea resulting in a painful stinging sensation and a temporary loss of vision.
  • It is a severe chemical reaction to plant and dust matter.
  • The infection usually only occurs in late November through to January
  • It is most common in the Cooma-Monaro region of NSW [Reference]
  • Also known as Alpine Eye

Question 7

  • Which syndrome characterized by the association of polycystic ovaries and incomplete emptying of the bladder associated with abnormal electromyographic activity?

  • Fowler-Christmas-Chapple syndrome [Reference]

Question 8

  • Which year did “Santa Never Make it to Darwin” and why?

  • 1974
  • Cyclone Tracy

On Christmas Eve of seventy-four
The warning sounded out
For all the broadcast stations
A great storm was near about

The girls and boys asleep in bed
Tomorrow was the day
Their mums and dads all prayed
The mighty storm would turn away

Santa never made it into Darwin
Disaster struck at dawn on Christmas Day
Santa never made it into Darwin
A big wind came and blew the town away

SANTA NEVER MADE IT INTO DARWIN – (Bill Cate) Bill & Boyd – 1975

Question 9

  • By which name is Type IIIb jejunal atresia with agenesis of the dorsal mesentery, more commonly known?

Question 10

  • What is the eponymous name for Factor IX deficiency? Who was the eponymee?

  • Christmas disease or Haemophilia Type B
  • Named after Stephen Christmas (12 February 1947 – 20 December 1993) – the first patient described Haemophilia B in 1952 by a group of British doctors [Reference]

…and remember kids…times are changing

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