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2005/1/SAQ5: A 72 year old patient presents to the emergency department with acute left hemiparesis. a) List your differential diagnoses. (50%). b) Discuss the use of thrombolysis in acute stroke. (50%) 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 cause of hyponatramia in this patient (30%). b) Outline your management of this patient (70%) 2008/1/SAQ6: A 19 year old woman is brought to the emergency department by her concerned parents with a two day history of irritability and headache. She has a history of developmental delay and a ventriculo- peritoneal shunt for congenital hydrocephalus. Her Glasgow Coma Score is 15. Her vital signs are normal. Describe your assessment.(100%) 2008/2/SAQ5: A 10 year old boy is brought to hospital by his parents after falling off his skateboard and hitting his head. a) What clinical factors would influence your decision to order a brain CT scan?(50%). After full assessment he is deemed fit for discharge. b) Describe your discharge advice (50%) . |
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2009/2/SAQ7: Compare and contrast the clinical features which differentiate cauda equina syndrome and Guillain- Barré syndrome. (100%) |
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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%). |
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2008/1/SAQ4: A 7 year old girl is brought to your emergency department by ambulance following a moderate speed motor vehicle accident. She complains of a sore neck and tingling in her hands. She is currently lying on the stretcher crying, distressed and hyperventilating with no cervical immobilisation. The girl’s uninjured mother has accompanied her in the ambulance. Discuss the possible approaches to protecting her cervical spine pending further assessment. (100%) |
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2007/1/SAQ8: An 18 year old intoxicated man is brought to your emergency department after diving into shallow water. He has examination findings consistent with a complete C6-C7 cord lesion. He has no other injuries. Describe your management.(100%) |
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2005/1/SAQ1: A patient presents with neck pain following a motor vehicle crash. Discuss what factors on history, examination and investigation you could use to clear the cervical spine (100%). |
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