Registered User Login

             

SAQ-Medicine-others

The boxed questions are the four you are to do to time and bring to teaching.
Please use a timer (60 min for 4 questions) as a perfect 18 minute answer is an incomplete and failing 15 minute answer.

2008/1/SAQ1: A 68 year old woman has collapsed with a brief loss of consciousness in church this morning. She has been transported by ambulance to your emergency department and is currently asymptomatic. Describe your assessment and risk stratification of this patient. (100%)

2007/2/SAQ6: A 58 year old patient who is undergoing Continuous Ambulatory Peritoneal Dialysis for end stage renal disease presents with a 6 hour history of severe abdominal pain and vomiting. His observations are; Temp: 38.8oC, PR: 110 per min, BP: 150/90mmHg, RR: 22 per min, SpO2: 98% on oxygen 6 LPM. Describe your assessment. (100%)

2008/1/SAQ8: A 58 year old woman presents to the emergency department complaining of a 5 day history of sore throat and progressive difficulty in swallowing. Examination reveals she is febrile with stridor at rest. Oropharyngeal examination does not reveal an overt diagnosis. Describe your management. (100%)

2008/2/SAQ7: A mother brings to your emergency department her 4 day old boy with a 24 hour history of poor feeding and rapid breathing. He also had 2 episodes where he appeared to stop breathing for a few seconds. Describe your assessment of this baby. (100%)

worked answers

2011/1/6: A 57 year old man with chronic renal failure has been brought to your emergency department following a syncopal episode post-haemodialysis. GCS:15, HR: 90 /min, BP: 95/50mmHg, RR: 16 /min, Temperature: 37.40C, O2 Saturation 98% on room air. Describe your assessment of this patient (100%) 

examiner's comments

2010/2/SAQ3: An elderly woman with dementia is sent to your emergency department from a nursing home. In the last 3 days she has had a change in behaviour and is acutely agitated. a) List the most likely causes of her agitation (30%). b) Describe the initial treatment of her agitation while her diagnostic workup is underway (70%)

examiner's comments

2010/1/SAQ1: Describe the management of a patient presenting with acute alcohol withdrawal. (100%)

examiner's comment

2009/1/SAQ4: A 55 year old man is brought to hospital by ambulance complaining of severe headache, vomiting and blurred vision. On initial examination his BP is 260 / 145, similar in both arms. His Glasgow Coma Score is 14. CT scan reveals no abnormality. Discuss the pharmacological treatment options for the treatment of his hypertension.(100%) 

examiner's comments

2009/1/SAQ2: A 68 year old morbidly obese woman with chronic airway limitation and ischaemic heart disease is brought to your emergency department with severe abdominal pain. There is a strong clinical suspicion of pancreatitis. Describe your assessment and risk stratification of this patient. (100%)

examiner's comments

2005/2/SAQ3: A 38 year old woman presents in a post-ictal state. A venous blood gas on arrival reveals a Sodium level of 110 mmol/L (Reference Range: 135-145 mmol/L). a) List the possible causes of hyponatraemia in this patient. (30%) b) Outline your management of this patient.(70%)

examiner's comments

2003/2/VAQ3: A 36 year old male presents to your emergency department with pain and swelling to both his left knee and right elbow joints. Describe your assessment. (50%). Describe your management. (50%)

examiner's comments

2003/1/SAQ7: An 84 year old man is brought to the emergency department by his family. His wife notes that his behaviour has been increasingly aggressive over a period of two weeks. She no longer feels able to cope with him at home. He has a history of moderately severe dementia, prostatic carcinoma, ischaemic heart disease and aortic valve replacement. Outline your assessment of this patient. (50%). Outline your management of this patient. (50%)

examiner's comments