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Medical Jeopardy Digestive system The process by which bile makes fats and oils ready for digestion by its appropriate enzymes to break it down What is emulsification? This condition represents a form of varicose veins found in a most unusual place What is a hemorrhoid? It is the opening of the esophagus into the stomach Cardiac sphincter The medical name for “Crohn’s Disease” Ulcerative colitis (autoimmune self destruction of one’s alimentary canal) It literally means “liver infection or inflammation” What is hepatitis? It is the diagnosis when someone has gall stones What is cholecystitis? It is the site where bile is stored What is the gall bladder? What presidents Adams, Roosevelt, Bush, Johnson and Johnson all have in common? They all represent a pair of presidents with the same last names It is the color of bile after exposure to light What is yellow?(bile is initially green but in the blood when light goes through the skin, it yellows thus you have jaundice (yellow skin) when bile is clogged up in the gall bladder from gall stones. Jaundiced premature babies have their jaundice bleached by further UV light via sunlamps What Arthur Conan Doyle, Paul McCartney, Lancelot, Geoffrey Chaucer and Alexander Fleming all have in common They are all “Sirs” or Lords of the British empire knighted by the Queen of England for service and loyalty to the crown. It is the gland that produces enzymes that empty into the duodenum What is the pancreas? The liver is wrong because it produces bile which is not an enzyme but a soap like emulsifying agent which prepares the fat for the enzyme Lipase which is not produced in the liver but by the pancreas It covers the trachea when you swallow What is the epiglottis? It is the location of the appendix What is the cecum? What Mary Shelly and Stephen King have in common Both wrote horror stories (Shelly; Frankenstein) His original name was Vlad the Impaler Who was Dracula? This organ is probably vestigal and of no use to humans anymore What is an appendix? Its function is primarily to reabsorb water What is the large intestine? This former NBA Laker was the first celebrity to admit he had AIDS back in 1991 Earvin “Magic” Johnson; his frankness made AIDS openly discussed and a national priority; he’s still alive and virus free based on blood test from new HIV meds It connects the stomach with the jejunum What is the duodenum? The type of doctor one would visit for a rectal problem Who is a proctologist? They are the two main portions of the small intestine What are the ileum and jejunum? The type of doctor you would visit for GERDS A gastroenterologist His former name was “The Rock” Dwayne Johnson In the current film “Olympus is down”, what is Olympus? The White House These brothers made the first sanitary napkins for women, the first first aid kits, the first dental floss and the first band aid Who were the Johnson brothers? (Johnson and Johnson) Name five functions of the liver To make hormones like sex hormones and cortisone To make bile for emulsifying fats To make antibodies To make clotting factors like fibrinogen and prothrombin To store iron To make hemoglobin The graveyard of RBC’s Chief detoxifying organ of the body Stores glucose as glycogen when fasting These actually are the microscopic sites of fat absorbtion in the intestine What are lacteals? These cells produce mucous while these produce hydrochloric acid Goblet cells produce mucous while chief cells produce HCl acid What do parietal cells produce? Three enzymes; a protease, a lipase and an amylase for CH The only native born Texan to ever become president of the U.S. Pres. Lyndon Baines Johnson (both Bush’s were born in Connecticut before they moved here to drill for oil). These are the four things a tongue can sense What are sweet, bitter, salt, sour It means the stomach contents are reaching the esophagus What is acid reflux? (GERDS) GERDS=gastrointestinal reflux disorder or “acid reflux” It describes the action of smooth muscles on the intestines What is peristalsis? How the smooth muscles are arranged in the alimentary canal Inner longitudinal fibers and external annular (ring) fibers This instrument is essential for early diagnosis of colon cancer What is a colonoscope? What early benign lesions in a colonoscopy are called; two names Polyps /adenomas; removed at the time of colonoscopy and they can’t become malignant five to ten yrs later and saves your life! The type of muscle found in the tongue What is skeletal (voluntary muscle)? It controls the release of food in the stomach into the duodenum What is the pyloric sphincter? It is the medication that makes you vomit What is an emetic (ipecac is an example)? It passes directly through the stomach lining and is immediately absorbed into the blood What is alcohol? Also most medications and poisons These provide moistening and even an enzyme to the bolus in the mouth: name all of them What are salivary glands (called the parotid, submandibular and sublingual salivary glands: names tell you where they are located) This is a gland that has an exocrine as well as an endocrine secretion product because it secretes into the blood as well as the digestive tract on the inner surface of the duodenum What is the pancreas? This “King” was born in Tupolo, Who was Elvis Presley? “King of Rock” born in Tupolo, Mississippi Name five sections of the large intestine and (a sixth for two points total!) What is the cecum, ascending, transverse, descending sigmoid colon and rectum? Three types of hernias Inguinal, umbilical and diaphragmatic (AKA hiatal hernia) Name the bones that anchor the teeth What are the mandible and maxilla? The technical name for swallowing What is deglutition? The capital of Tibet is where this breed of dog got its name Llasa Apsa The technical name for chewing What is mastication? The microscopic finger-like projections of the small intestine that absorb protein and carbohydrates What are villi? The folds and creases in the stomach lining What are rugae? The first African American to win the world heavyweight boxing championship of the world (1908) Jack Johnson It stores iron so you don’t have to eat it every day What is the liver? (or you could simply eat this organ a lot) Two clotting factors produced by the liver What are fibrinogen and prothrombin? Stimulation of the stomach’s activity is controlled by which nervous system? What is the parasympathetic nervous system? Which neurotransmitter would stimulate the stomach’s activity? Acetylcholine Two drugs which block the acid producing cells of the stomach lining pepcid, prilosec and prevacid) all help block acid production preventing ulcerations and reflux disease What would the effect be of a drug which blocks Gastrin production? It’s a diet pill I.e. Alli OTC drug which blocks the stomach hormone from starting the digestion cycle so no digestion, no gaining weight This Inspector is famous for tracking the thief of a one of a kind pink diamond Inspector Clouseau seeking the Pink Panther jewel A patient complains that every time they eat a fatty meal they get excruciating pains in their upper right quadrant. The likely cause of this is a medical condition called, in medical terms only! Cholecystitis A post partum female complains of post partum rectal pain. A likely cause of this is Hemorrhoids (varicose rectal veins) A baby is born with an enlarging, prominent umbilicus. The doctor might become concerned because this condition might be developing. What is an umbilical hernia? A liver disease associated with medical workers and drug addicts using syringes What is hepatitis B (serum hepatitis) A liver disease associated with children and their feces being ingested Hepatitis A (self limiting hepatitis, highly contagious by contact in any way including sharing bottles and kissing) A liver disease associated with fibrosis (scarring) of the liver Cirrhosis usually the result of alcoholism Statistically, the most common cause of gastric ulcerations What is stress? A type of hernia associated more with men causing bowels to descend into their scrotoms What is an inguinal hernia? The surgeon accidentally knicks the appendix of the patient during surgery. The feared consequence of this is this What is peritonitis? The type of drug best suited to treating constipation What is a laxative? (Ex-Lax) The exocrine pancreas produces these three types of enzymes What are lipase, protease and amylase? The hormone in the stomach’s lining which stimulates the lining to produce hydrochloric acid What is gastrin? The only enzyme found in the saliva What is salivary amylase for carbohydrate digestion? The names of the three pairs of salivary glands What are the parotid, sublingual and submandibular glands? A child born without these would probably have type one diabetes What are the isles of Langerhans? The endocrine pancreas secretes this transport protein directly into the blood What is insulin?(serves to transport glucose out of your blood and into your cells for metabolism to break it down for energy) Diabetics can’t do this so their blood is hyperglycemic all the time Despite the patient eating absolutely no cholesterol, the doctor complained that the patient’s blood cholesterol was too high. This is explained by the following: The liver produces cholesterol which is inherited and essential to the production of certain hormones Name four substances you couldn’t produce without cholesterol in your liver producing them Estrogen, progesterone, testosterone and cortisone An inflammation of the lining of the intestine by bacteria or stress is called this in medical terms What is enteritis? Gastroenteritis if the stomach is involved It means, a herniation of the intestinal tube making it bulge and collect irritating food products What is diverticulitis? Montezuma’s revenge is a common name for this medical condition What is diarrhea? Three symptoms of chronic diarrhea? What are hyperthermia, dehydration and loss of potassium causing muscle aches/weakness even an arrhythmia of the heart This a an essential part of one’s diet to stimulate and exercise one’s intestines and reduce the risk of cancer and constipation What is fiber (indigestible foodstuffs) and you should have 25 grams a day or eat the corn flakes box itself (lol) Crohn’s disease is an autoimmune variation of this disorder What is ulcerative colitis? It is the name of the process of sequentially contracting and relaxing the smooth muscle of the alimentary canal to move the chyme along distally What is peristalsis? It means “pain on swallowing” What is dysphagia? It is used to promote a bowel movement by the instilling of a soapy solution in the rectum What is an enema? Gallstones are most commonly made of this material Cholesterol and calcium The patient most likely to develop cholecystitis? Fat, female, forty, fertile The type of hepatitis associated with shellfish and day care centers Hepatitis A: self limiting type, clearly symptomatic with malaise, jaundice, but with a good immune system, recovery in weeks or months. The hepatitis that is the silent killer of doctors and rock stars because it’s spread by needles in heroin usage and handling trauma victims’ and hemorrhages in surgery/ER, etc. Hepatitis C; no vaccine yet, no symptoms, can be spread by blood or sex. On the rise, you’ll need a liver transplant once symptoms develop for liver already very damaged. FASTEST GROWING STD IN THE WORLD; MAKES AIDS LOOK NUMBERICALLY MINOR Three characteristics of Hepatitis B Vaccine available and required for all school children and healthcare workers Contagious by blood and direct inoculation, needle sharing so it’s common among addicts Severe symptoms and hard to treat, easier to prevent; Very common STD and on the rise as one of the fastest growing STD’s this year! On ships, this would be an appropriate deck if you suffer hyperactive peristaltic colonic activity The poop deck A movie about this condition could be called “The Chickenpox will rise again!” Shingles (herpes Zoster) I’m most contagious when you don’t see me Herpes Three medications for genital herpes Valtrex, zovirax and acyclovir Where the anus is found The end
