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© Mark E. Damon - All Rights Reserved
© Mark E. Damon - All Rights Reserved
This be a
Presentation
© 2011 - All rights Reserved
© Mark E. Damon - All Rights Reserved
Directions:
• Scroll through the presentation and enter the answers (which are really the questions) and the questions (which are really the answers).
• Enter in the categories on the main game boards.
• As you play the game, click on the TEXT DOLLAR AMOUNT that the contestant calls, not the surrounding box.
• When they have given a question, click again anywhere on the screen to see the correct question. Keep track of which questions have already been picked by printing out the game board screen and checking off as you go.
• Click on the “Game” box to return to the main scoreboard.
• Enter the score into the black box on each players podium.
• Continue until all clues are given.
• When finished, DO NOT save the game. This will overwrite the program with the scores and data you enter. You MAY save it as a different name, but keep this file untouched!
© Mark E. Damon - All Rights Reserved
Phillip Daphne K athy
Round 1 Round 2 Final Jeopardy
$ $ $
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Hodge-Podge
Blood
Products Causes of PPH
Drugs By the Numbers
Call Larry!!!
$100 $100 $100 $100 $100 $100
$200 $200 $200 $200 $200 $200
$300 $300 $300 $300 $300 $300
$400 $400 $400 $400 $400 $400
$500 $500 $500 $500 $500 $500
Round 2
Final Jeopardy
Scores
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�The leaves of this flower, New Mexico's state flower, can be used to make rope, baskets and sandals.
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What is the Yucca?
Scores
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When the pituitary gland is enlarged in pregnancy it is prone to infarction from hypovolemic shock called postpartum
hypopituitarism or this syndrome.
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What is Sheehan’s Syndrome?
Scores
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The world's first Atomic Bomb was detonated on July 16, 1945 near this city at the White Sands Testing Range.
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What is Alamogordo?
Scores
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For secondary postpartum hemorrhage first line treatment is uterotonic drugs and /or antibiotics, this is the next intervention to
consider.
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What is suction and curettage?
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This is the oldest government building in the United States was built in 1610 in Santa Fe.
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What is the Palace of the Governors?
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1 unit of PRBC’s increases the hematocrit by this amount.
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What is 3 points?
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A massive blood transfusion protocol will typically replace these 4 blood products.
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What are PRBC’s, FFP, platelets and
cryoprecipitate?
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The four components of a coagulation study.
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What is fibrinogen concentration, platelet
count, prothrombin time and activated partial thromboplastin time? Scores
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A level of < 200 mg/dl of this clotting factor is predictive of severe postpartum hemorrhage and can guide aggressiveness
of management.
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What is fibrinogen?
Scores
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This is the typical ratio of crystalloid resuscitation to estimated blood loss.
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What is 3:1. or 3 liters of crystalloid to 1 liter of
EBL?
Scores
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It accounts for 70-80% of the cases and is the most common cause of postpartum hemorrhage.
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What is Atony?
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The first intervention when uterine atony is suspected.
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What is fundal massage?
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These are the four most common causes of postpartum hemorrhage in
descending order.
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Scores
What is Tone (70%), Trauma (20%), Tissue (10%) and Thrombin
(<1%)?
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The second most common cause of
postpartum hemorrhage.
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Scores
What is Trauma/ Lacerations?
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The term used to describe PPH > 24 hours Postpartum.
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Scores
What is secondary PPH?
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This uterotonic drug has a dose of 0.2 IM every 2 to 4 hours and is contraindicated in HTN or preeclampsia.
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What is Methergine?
Scores
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Name the dosage and contraindication to Hemabate.
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What is asthma and 0.25 mg IM every 15 to 90
minutes?
Scores
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This uterotonic medication has no contraindications and can be given orally or rectally.
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What is Misoprostol?
Scores
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Maximum amount of pitocin in 1 bag.
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What is 80 IU?
Scores
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This PGE2 medication could be used for bleeding or labor induction if UNM carried it.
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What is Dinoprostone or Cervidil?
Scores
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IV access during PPH should be established with 2 large bore IV’s. This is the maximum gauge.
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What is 18 ?
Scores
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When the hemoglobin drops to this level and patient is symptomatic we seriously consider blood transfusion.
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What is 7-8 g/dl ?
Scores
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When looking for hypovolemia, urine output should be maintained at this rate per hour.
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What is 30 ml/hour?
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The most commonly used volume used to define PPH in a vaginal delivery is this.
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What is 500 ml?
Scores
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The most commonly used volume to define PPH in Cesarean Section is this.
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What is 1000 ml?
Scores
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This is the first line procedure used to control uterine bleeding during C/S.
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What is bilateral uterine artery ligation or
O’Leary stitch?
Scores
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This is the most common technique for uterine compression during C/S.
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What is the B-Lynch Suture?
Scores
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This balloon that is specifically designed for Uterine tamponade.
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What is the Bakri Balloon?
Scores
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In the case of massive postpartum hemorrhage name a technique that can be done by IR if the patient is stable.
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What is Arterial embolization?
Scores
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Active management of the third stage of labor may reduce the incidence of of this rare complication (occurs in 0.05% of all
deliveries).
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What is Uterine Inversion?
Scores
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Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
$200 $200 $200 $200 $200 $200
$400 $400 $400 $400 $400 $400
$600 $600 $600 $600 $600 $600
$800 $800 $800 $800 $800 $800
$1000 $1000 $1000 $1000 $1000 $1000
Round 1
Final Jeopardy
Scores
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Category 1 - Question 1
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Category 1 - Question 1
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Category 6 - Question 1
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Uterine Rupture
Final Jeopardy Question
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The primary sign of uterine rupture before delivery.
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What is fetal bradycardia?
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