|
PAEDIATRICS WEEK 1 1999/1/SAQ5: A 10 year old boy presents with an acute exacerbation of asthma. He is a frequent attendee of your department. He has required an intensive care admission for his within the last 18 months. He has a pulse rate of 140 bpm, BP 95/70 mmHg, temp 37.9oC, RR 40 bpm and SpO2 of 95% on 4L oxygen. Describe your assessment and management of this patient. (100%) 2002/1/SAQ1: A 3 year old boy refusing to weight bear on his right leg is brought to your ED. His mother says that he started limping 3 days ago and now will not walk. Describe your assessment and initial treatment. (100%) 2001/2/SAQ5:8 week old baby brought to ED after a 4 hour history of increasing breathing difficulty. He has a 4 days history of increased cough and conjunctivitis for 2 days. He appears mottled and lethargic. His pulse rate is 180/min, RR 65/min, temperature 37.9 (PA) and SAO2 unmeasurable due to poor trace. His bedside glucose is 5.4 mmol/L.Outline your assessment and management of this baby. (100%) 2003/1/SAQ1: A 9 year old boy with cerebral palsy and epilepsy and a history of epilepsy is brought in by ambulance. He has been fitting for 30 minutes and continues to fit despite rectal diazepam. He continues to have tonic clonic seizures on arrivals. On arrival you note several bruises on his upper arms and thighs. Outline your managemnt of this patient (100%) ML |
|
|
PAEDIATRICS WEEK 2 2005/1/SAQ8: Concerned parents present with their 5 day old baby. The neonate is feeding poorly, lethargic and jaundiced. Describe your assessment of this patient. (100%) 2005/2/SAQ4: A 17 month old boy is brought to your emergency department by ambulance. He has been previously identified to be a child at risk. He has been run over by a motor bike in the driveway of his home. He has multiple tyre marks over his lower limbs. He is alert and appropriately responding for his age. Following clinical examination, you determine that his injuries are restricted to his lower limbs. Describe your management of this boy.(100%) 2005/2/SAQ2: Describe a detailed protocol for the emergency department management of paediatric gastroenteritis. (100%) 2006/1/SAQ3:First time parents bring their distressed and crying six week old boy to the emergency department. They report that their child has been repeatedly vomiting all day. Describe your assessment of this patient. (100%) |
worked answers |
|
PAEDIATRICS WEEK 3 TBA TBA TBA TBA |
worked answers
|
|
2011/1/8: Outline the differences in rapid sequence induction and intubation of an adult and an infant, in the setting of a head injury. (100%) |
examiners' comments |
|
2011/1/4: A 5 year old boy presents to your emergency department with a deformed right wrist after a witnessed fall in the playground. He last ate 2 hours ago. X-ray shows a fracture of the distal radius with 30 degrees of dorsal angulation. Discuss the anaesthetic options for reducing this fracture (100%) |
examiners' comments |
|
2011/1/1: A 6 year old boy is brought into the emergency department with a 3 day history of colicky abdominal pain which has been distressing him. His mother says he has a history of constipation but has never had pain like this before. Describe your assessment (100%). |
examiners' comments |
|
20010/2/SAQ7: A 2 year old child with severe dehydration arrives in the emergency department. He is floppy and unresponsive. Soon after arrival he suffers a PEA (Pulseless Electrical Activity) arrest. Describe your management (100%) |
examiners' comments |
|
2010/2/SAQ5: A 2 year old child who has inserted a plastic bead into his right nostril is brought to the emergency department by his mother. The child is not distressed. Part of the bead is visualised high up in the nostril. Discuss the different treatment options. (100%) |
examiners' comments |
|
2010/2/SAQ2: A 16 year old woman is brought to the emergency department by her parents who are concerned about her recent loss of weight. She is known to have an eating disorder and currently has a BMI of 15. What features on assessment would determine this woman’s disposition. (100%) |
examiners' comments |
|
2010/1/SAQ7: An 8 week old infant is brought to the emergency department by his mother. The mother states that the baby has been crying ‘all the time’ over the last week. The baby looks physically well and has normal vital signs.Describe the actions you would take to deal with this situation. (100%) |
examiner's comments |
|
2009/2/SAQ8: A 2 year old boy presents in status epilepticus for 40 minutes. After witnessing two unsuccessful attempts at intravenous cannulation, his mother becomes distressed and is interfering in the resuscitation.a) Identify the issues raised by this situation. b) How would you manage these issues |
examiner's comments |
|
2009/2/SAQ4: A 4 year old girl presents with anaphylaxis following a bee sting. She is poorly responsive, pale and floppy in appearance. She has no stridor but widespread wheeze on chest auscultation.Her observations are; HR: 152/min, BP: 68/42 mmHg, RR: 56, Temperature: 37o Celsius, SpO2: 92% 10L/min O2. Describe your management. (100%) |
examiner's comments |
|
2009/1/SAQ5: A 9 month old girl with a fever of 390 Celsius attends your emergency department with her mother. What features on assessment would need to be present for this child to be discharged? (100%) |
examiners' comments |
|
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%) |
examiners' comments |
|
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%) |
examiners' comments |
|
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%) |
examiners' comments |
|
2008/1/SAQ3: Compare and contrast the assessment features of Measles and Kawasaki’s Disease. (100%) |
examiners' comments |
|
2007/2/SAQ8: A 12 year old girl with cystic fibrosis presents unwell with a fever and acute shortness of breath. Her observations are:Temp: 38.2oC, PR : 130 per min , BP: 100/60 mmHg, RR : 30 per min, SpO2: 91% room air. A Chest X-ray reveals bilateral patchy consolidation and a 20% left sided pneumothorax. Describe your management of this child. (100%) |
examiners' comments |
|
2007/2/SAQ4: Following a period of prolonged resuscitation, a 4 year old child has died in your emergency department as a result of a home pool drowning. The child’s parents have just arrived at triage and are unaware of what has happened. Outline how you would deal with the important issues raised in this situation. (100%) |
examiners' comments |
|
2007/1/SAQ7: Discuss the utility of laboratory investigations in a one year old child with a high fever, who appears well, and has no focus of infection on history and examination. (100%) |
examiners' comments |
|
2007/1/SAQ4: Compare and contrast the cardiac arrest algorithm for asystole between adults and children older than one year. (100%) |
examiners' comments |
|
2007/1/SAQ1: A 5 year old boy is brought to your major referral emergency department by his mother, who states he has been bitten on his ankle by a snake while playing in their back yard one hour previously. He has a pressure immobilization bandage in place. He is currently asymptomatic with the following vital signs: PR: 90 bpm, BP: 95/55 mmHg, RR: 20 bpm, SpO2: 99% room air. a) What features on assessment would indicate evenomation? (50%). One hour later the child is asymptomatic. Initial investigations are normal. The pressure immobilization bandage is still in place. b) List the criteria which need to be met for the child to be discharged. (50%) |
examiners' comments |
|
2006/2/SAQ6: A 6 year old child with no significant past history presents with diabetic ketoacidosis. Describe your management of this case.(100%) |
examiner's comment |
|
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%). |
examiner's comment |
|
2004/2/SAQ6: A 3 year old child is brought into the emergency department having ingested “at least 20” of her mother’s iron tablets.Describe your assessment of this patient. (50%) Describe your management of this patient (50%) |
examiner's comment |
|
2004/2/SAQ5: Discuss the investigations that could be used in the investigation of abdominal pain in a four year old child (100%) |
examiner's comment |
|
2004/2/SAQ3: You are working in a large regional emergency department. You receive a telephone call from a doctor at a small community hospital two hours away by road. This doctor is a general practitioner with limited emergency experience. He asks for advice regarding an 18 month old boy who presented with fever, pallor and stridor. Despite intramuscular and nebulised steroid the child has severe respiratory distress with stridor. Outline your advice to the referring doctor. (50%) |
examiner's comments |
|
2004/1/SAQ8: A two year old girl presents with her parents after running into the edge of a coffee table. She sustained a 4cm frontal scalp laceration above her left eyebrow. There was no loss of consciousness and no other apparent injury. Discuss the anaesthetic options in managing this child (100%) |
examiner's comments |
|
2004/1/SAQ5: An 11 day old male presents with a history of 12 hours of fever. His parents describe a rigor at home. He is well looking, has a temperature of 39oC with otherwise normal vital signs for age and is feeding normally at the breast. Discuss the investigations in this patient. (50%). Describe the procedure of lumbar puncture, including a description of the contraindications and complications. (50%) |
examiner's comment |
|
2003/2/SAQ1: A 4 year old boy presents with a foul smelling round foreign body in his nostril. He has a history of a ventriculoseptal defect and his parents are somewhat anxious. Discuss your options with regards to his management. (100%) |
examiner's comment |
|
2003/1/SAQ3: A 2 year old child presents by ambulance with 50% burns to the lower half of the body only. Describe your management of this child. (100%) |
examiner's comments |
|
2001/2/SAQ6: 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 |
|
2001/1/SAQ5: A 2 year old child is brought to your Emergency Department after several episodes of haematemesis. The mother is concerned that the child may have taken some of her iron tablets. Discuss your assessment and management. (100%) |
examiner's comments |
|
2001/1/SAQ2: Your department has just managed a 3 year old child with apparent meningococcal septicaemia. The child required extensive resuscitation and retrieval to a paediatric intensive care unit. Discuss further actions required in relation to this patient. (100%) |
examiner's comment |