SAQ 1. A 58 year old man presents to your department by ambulance from a construction site after being hit in the chest and face by a large concrete block swinging from a pulley. He has sustained no other injuries. His vital signs on arrival are: HR 115 /min BP 99/66 mmHg RR 28 /min…

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TRY THESE SAQ’s A 38 year old injecting drug user presents complaining of dyspnoea and lassitude. He also has left sided neck pain. His vital signs are: HR 110 /min BP 90/45 mmHg RR 28 /min Sats 99% RA Temp 39.6 oC (a) What specific features will you enquire about on history to assess this…

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A 4 year old boy is brought to the Emergency Department with a one day history of vomiting and diarrhoea. You estimate a moderate level of dehydration. He weighs 15kg. The maintenance amount and deficit loss is most closely approximated by: (a) 750ml (b) 1750ml (c) 2050ml (d) 3000ml Answer When correcting fluid losses in…

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1 A 28 year old male is brought into the emergency department following a motor vehicle accident. On examination he has a lap belt abrasion over his lower abdomen. You would expect this to have a high association with all of the following except: (a) Vertebral fracture T12/L1 (b) Renal Injury (c) Small Bowel Injury…

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1 Which of the following is NOT a high risk factor for life-threatening injury in trauma? (a) GCS <13 (b) Falls 2m or more (c) Two or more proximal long-bone fractures (d) Age <5 or >55 Answer (b)   2 Which of the following are not predictors of life-threatening injuries in trauma? (a) bleeding >500ml…

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Question 1. A 72 yo male presents with abdominal pain and some vomiting. His PMHx includes AF, HT and AMI. He is on Aspirin and Amlodipine. What does this Abdo XR show? Name 3 causes: Answer Question A 68 yo male presents with abdominal distension and vomiting. You perform an Xray, in the middle of…

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One of the exam favourites is to give you a picture. The idea is that it either gives a spot diagnosis, or forms the basis for a significant discussion. When you think about this, don’t get too discouraged. In your career, you’ve seen most things. In the same way as there are only a finite…

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CASE A 30 yo woman is transferred to your emergency department from a smaller centre, where she had stayed overnight. The initial presentation was nausea and occasional vomiting for nearly a week. She has received 4 litres of Hartmans Solution overnight. Your history and examination doesn’t uncover much more. She is a mother of 6…

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