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2010/2/SAQ4:You are managing a 26 year old man from a motorbike crash. He has an isolated open book pelvic fracture. The patient has already received 2000ml of crystalloid and 6 units of blood. His vital signs are; GCS:14, HR: 110/min, BP: 85/50mmHg supine, O2 Saturation: 98% on 15L/min O2, Temperature: 34oCelsius. You are about to take the patient to interventional radiology for control of his pelvic bleeding. Describe your ongoing management of this patient during the procedure(100%) |
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2006/2/SAQ4: An angry man is at triage demanding analgesia for severe leg pain. He states that he was in the emergency department 2 days earlier for a broken leg. You notice he has a below knee plaster with swollen, white coloured toes. You suspect a compartment syndrome. Describe your management of this situation. (100%) |
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2006/2/SAQ2: In a patient with major pelvic trauma, describe the factors you would consider in deciding to use interventional radiology. (100%) |
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2005/1/SAQ6: The mother of a child makes a complaint. She states that three days previously, her 5 year old son had presented to the emergency department with elbow pain after a fall onto his outstretched hand. Following X-rays, the treating doctor had “pulled on the elbow several times causing him to cry”. The doctor stated that he had suffered a “sprained elbow” and to return if the pain did not settle. The mother is distressed that her son had received no analgesia for the sprain and that he continued to not move the elbow because of pain. She also complained that the doctor spoke in a rude and insulting manner, and was very rough in his examination. During your investigation, you find that the official report of the X-ray revealed a supracondylar fracture. Describe your management of this situation (100%). |
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2003/1/SAQ2: A 70 year old woman presents following a trip and fall in the garden. A right anterior dislocation of the glenohumeral joint is demonstrated on X-ray. There is no other apparent injury. Discuss procedural sedation in this situation. (30%) Describe your discharge planning with regard to this patient. (70%) |
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2001/2/SAQ6: An 8 y.o. female unrestrained rear seat passenger in high speed RTC where vehicle has rolled several times. She is transported by ambulance to hospital with oxygen, cervical collar and spine board. On arrival her P 120, BP 105/70, RR 40, GCS 15 and SaO2 99% on high flow oxygen. Examination reveals pain on springing her pelvis and suprapubic abdominal tenderness. X-Rays of her neck and chest are normal. X-Rays of her pelvis reveal a mixed vertical shearing and rotational injury with multiple fractures and bilateral sacroiliac joint disruptions. Outline your treatment of this patient on arrival (30%). Discuss the options available to detect the presence of intra- abdominal injury in this patient (70%). |
examiner's comments |