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4. © 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!

5. © Mark E. Damon - All Rights Reserved Round 1Round 2 Final Jeopardy

6. © Mark E. Damon - All Rights Reserved Hodge- Podge Blood Products Causes of PPH Drugs By the Numbers Call Larry!!! $100 $200 $300 $400 $500 Round 2 Final Jeopardy Scores

7. © Mark E. Damon - All Rights Reserved $100 The leaves of this flower, New Mexico's state flower, can be used to make rope, baskets and sandals.

8. © Mark E. Damon - All Rights Reserved $100 What is the Yucca? Scores

9. © Mark E. Damon - All Rights Reserved $200 When the pituitary gland is enlarged in pregnancy it is prone to infarction from hypovolemic shock called postpartum hypopituitarism or this syndrome.

10. © Mark E. Damon - All Rights Reserved $200 What is Sheehan’s Syndrome? Scores

11. © Mark E. Damon - All Rights Reserved $300 The world's first Atomic Bomb was detonated on July 16, 1945 near this city at the White Sands Testing Range.

12. © Mark E. Damon - All Rights Reserved $300 What is Alamogordo? Scores

13. © Mark E. Damon - All Rights Reserved $400 For secondary postpartum hemorrhage first line treatment is uterotonic drugs and /or antibiotics, this is the next intervention to consider.

14. © Mark E. Damon - All Rights Reserved $400 What is suction and curettage? Scores

15. © Mark E. Damon - All Rights Reserved $500 This is the oldest government building in the United States was built in 1610 in Santa Fe.

16. © Mark E. Damon - All Rights Reserved $500 What is the Palace of the Governors? Scores

17. © Mark E. Damon - All Rights Reserved $100 1 unit of PRBC’s increases the hematocrit by this amount.

18. © Mark E. Damon - All Rights Reserved $100 What is 3 points? Scores

19. © Mark E. Damon - All Rights Reserved $200 A massive blood transfusion protocol will typically replace these 4 blood products.

20. © Mark E. Damon - All Rights Reserved $200 What are PRBC’s, FFP, platelets and cryoprecipitate? Scores

21. © Mark E. Damon - All Rights Reserved $300 The four components of a coagulation study.

22. © Mark E. Damon - All Rights Reserved $300 What is fibrinogen concentration, platelet count, prothrombin time and activated partial thromboplastin time? Scores

23. © Mark E. Damon - All Rights Reserved

24. $400 A level of < 200 mg/dl of this clotting factor is predictive of severe postpartum hemorrhage and can guide aggressiveness of management.

25. © Mark E. Damon - All Rights Reserved $400 What is fibrinogen? Scores

26. © Mark E. Damon - All Rights Reserved $500 This is the typical ratio of crystalloid resuscitation to estimated blood loss.

27. © Mark E. Damon - All Rights Reserved $500 What is 3:1. or 3 liters of crystalloid to 1 liter of EBL? Scores

28. © Mark E. Damon - All Rights Reserved $100 It accounts for 70-80% of the cases and is the most common cause of postpartum hemorrhage.

29. © Mark E. Damon - All Rights Reserved $100 What is Atony? Scores

30. © Mark E. Damon - All Rights Reserved $200 The first intervention when uterine atony is suspected.

31. © Mark E. Damon - All Rights Reserved $200 Scores What is fundal massage?

32. © Mark E. Damon - All Rights Reserved $300 These are the four most common causes of postpartum hemorrhage in descending order.

33. © Mark E. Damon - All Rights Reserved $300 Scores What is Tone (70%), Trauma (20%), Tissue (10%) and Thrombin (<1%)?

34. © Mark E. Damon - All Rights Reserved $400 The second most common cause of postpartum hemorrhage.

35. © Mark E. Damon - All Rights Reserved $400 Scores What is Trauma/ Lacerations?

36. © Mark E. Damon - All Rights Reserved $500 The term used to describe PPH > 24 hours Postpartum.

37. © Mark E. Damon - All Rights Reserved $500 Scores What is secondary PPH?

38. © Mark E. Damon - All Rights Reserved $100 This uterotonic drug has a dose of 0.2 IM every 2 to 4 hours and is contraindicated in HTN or preeclampsia.

39. © Mark E. Damon - All Rights Reserved $100 What is Methergine? Scores

40. © Mark E. Damon - All Rights Reserved $200 Name the dosage and contraindication to Hemabate.

41. © Mark E. Damon - All Rights Reserved $200 What is asthma and 0.25 mg IM every 15 to 90 minutes? Scores

42. © Mark E. Damon - All Rights Reserved $300 This uterotonic medication has no contraindications and can be given orally or rectally.

43. © Mark E. Damon - All Rights Reserved $300 What is Misoprostol? Scores

44. © Mark E. Damon - All Rights Reserved $400 Maximum amount of pitocin in 1 bag.

45. © Mark E. Damon - All Rights Reserved $400 What is 80 IU? Scores

46. © Mark E. Damon - All Rights Reserved $500 This PGE2 medication could be used for bleeding or labor induction if UNM carried it.

47. © Mark E. Damon - All Rights Reserved $500 What is Dinoprostone or Cervidil? Scores

48. © Mark E. Damon - All Rights Reserved $100 IV access during PPH should be established with 2 large bore IV’s. This is the maximum gauge.

49. © Mark E. Damon - All Rights Reserved $100 What is 18 ? Scores

50. © Mark E. Damon - All Rights Reserved $200 When the hemoglobin drops to this level and patient is symptomatic we seriously consider blood transfusion.

51. © Mark E. Damon - All Rights Reserved $200 What is 7-8 g/dl ? Scores

52. © Mark E. Damon - All Rights Reserved $300 When looking for hypovolemia, urine output should be maintained at this rate per hour.

53. © Mark E. Damon - All Rights Reserved $300 What is 30 ml/hour? Scores

54. © Mark E. Damon - All Rights Reserved $400 The most commonly used volume used to define PPH in a vaginal delivery is this.

55. © Mark E. Damon - All Rights Reserved $400 What is 500 ml? Scores

56. © Mark E. Damon - All Rights Reserved $500 The most commonly used volume to define PPH in Cesarean Section is this.

57. © Mark E. Damon - All Rights Reserved $500 What is 1000 ml? Scores

58. © Mark E. Damon - All Rights Reserved $100 This is the first line procedure used to control uterine bleeding during C/S.

59. © Mark E. Damon - All Rights Reserved $100 What is bilateral uterine artery ligation or O’Leary stitch? What is bilateral uterine artery ligation or O’Leary stitch? Scores

60. © Mark E. Damon - All Rights Reserved $200 This is the most common technique for uterine compression during C/S.

61. © Mark E. Damon - All Rights Reserved $200 What is the B-Lynch Suture? Scores

62. © Mark E. Damon - All Rights Reserved $300 This balloon that is specifically designed for Uterine tamponade.

63. © Mark E. Damon - All Rights Reserved $300 What is the Bakri Balloon? Scores

64. © Mark E. Damon - All Rights Reserved $400 In the case of massive postpartum hemorrhage name a technique that can be done by IR if the patient is stable.

65. © Mark E. Damon - All Rights Reserved $400 What is Arterial embolization? Scores

66. © Mark E. Damon - All Rights Reserved $500 Active management of the third stage of labor may reduce the incidence of of this rare complication (occurs in 0.05% of all deliveries).

67. © Mark E. Damon - All Rights Reserved $500 What is Uterine Inversion? Scores

68. © Mark E. Damon - All Rights Reserved Subject 1 Subject 2 Subject 3 Subject 4 Subject 5 Subject 6 $200 $400 $600 $800 $1000 Round 1 Final Jeopardy Scores

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131. © Mark E. Damon - All Rights Reserved Scores Uterine Rupture Final Jeopardy Question

132. © Mark E. Damon - All Rights Reserved The primary sign of uterine rupture before delivery.

133. © Mark E. Damon - All Rights Reserved What is fetal bradycardia? Scores