Mock Exam Ideas



1. You wish to study whether adding midazolam to adenosine reduces anxiety in those patients being treated for SVT.

Outline your approach.

2. Discuss the methods of gastrointestinal decontamination in the management of acute drug overdose.

3. Discuss the strategies available in the event of a failed orotracheal intubation.

4. A 2 year old child presents by ambulance with 50% burns to the lower half of the body. Describe your management of this child.

5. A 35 year old man is brought in by ambulance from the local rugby field. He collapsed during a game and was unconscious for 2 minutes.

He is agitated with a GOS of 13, PR of 150 and BP 90/50. His tympanic temperature is 40’deg C.

a) Outline your investigations (50%)

b) Describe your treatment (50%)

7. A 45-year-aid man with a sore thruat drinks 5mL of syrup from a bottle out ifl the shed, believing it to be cough medicine. He then notices the bottle actually is Metasystox, an insecticide. An ambulance is called. En route to the hospital, the bottle is spilt, with insecticide going on the patienrs and arobujance officers clothing. On arrival in the ED, the patient has slurred speech, constricted pupils, is salivating and unable to walk.

Outtine your management of this situation.

2.) You are asked to improve time taken to thrombolysis for patients with acute myocardial infarction in your hospital. Outline the way that you would do this

• 7. A 35 year old man complains of calf pain after exercise. He is asymptomatic when you see him. You note that he is hypertensive (160/70 in both arms). He has an ejection systolic murmur plus clinical and ECG signs of moderate LVH. The pulses in his legs are weak. What is the differential diagnosis? What further investigations and treatment does he need?

SAO

• 4

2.) An 80 year old woman is brought to your ED after collapsing while on an organi~ThToui.On~iva1, she is confused and dyspnoeic, with PR 50, BP 85/40, s~O29O%(r~~gen). ECG shows a narrow complex bradycardia with no ~ ischaemic changes.

a.) outline your investigations

b.) describe your treatment options

6.) You are on duty in a tertiary hospital.

A 19 year old lUaU is br~iiight iU thU ilig slIstailILal a shtt) \\ (HOld to ih~. base o1~ hi5 4.tII a,~k. j Usl abo\ c the clavicle.

He has an expanding lump at the site, a hoarse voice and strider. You note reduced air entry and a hyper-resonant percussion note on the right side.

1—le has a BP of I l0/90~ pulse 115. RR 32 and saturation ot 94% on 61./miii. Outline your management.

7.) Discuss the role of emergency department short-stay wards.

in the treatment ol envenomation trom Australian marine creatures.

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o 5~ Discuss the methods of gastrointestinal decontamination in the management of acute drug overdose.

6. While on duty in a regional ED in Northern Australia, you receive a 17 yo male who was rescued from the water at the local beach. Witnesses say he was found in distress, and unconscious when delivered to shore. He has multiple red wheals on the right arm. Outline your assessment and management.

3.) A 25 year old man presents claiming to have taken an overdose of 25 iron tablets. He has a haematemesis on arrival.

Outline your

a) assessment (50%) and b) management (50%)-5~~-

4.) Discuss strategies for countering the impact of access block on a tertiary level emergency department. ~

5.) You are the sole physician in a coastal rural ED in far north Queensland,

300km from the nearest regional hospital. A 58yo man who collapsed shortly after surfacing from a SCUBA dive is brought in by friends. He complains of severe headache, abdominal pain and shortness of breath.

On examination, he is confused and agitated. BP 190/100, P 130. Outline your

a) assessment (70%) and

b) management (3 0%). IP~~

4) A 36 yr old man is brought into your Emergency Department. He finished a full marathon race which has been organized in your city. Immediately on completion he had a brief seizure. He remains confused and has vomited. He has an oral temperature of 39.1, BP 95/60, p120 and regular. It is a surprisingly warm spring afternoon. Outline your assessment and management

3. You wish to implement the use of bedside ultrasound by Emergency staff in your department.

Outline the process of implementation.

4. You wish to study whether adding midazolam to adenosine reduces anxiety in those patients being treated for SVT.

Outline your approach.

5. A very distressed 4 yo girl is brought by her father to your ED after she ignited her clothes with a cigarette lighter.

She has full and partial thickness burns to her anterior neck, chest, abdominal wall, and circumferential involvement of half her right upper limb.

Describe your management

1. You the Director of a moderate size Emergency Department. You have received a complaint from a prominent surgeon in your department. Apparently a 50 year old patient had a road traffic crash and attended the department last evening. One of your registrars performed a fast scan; this was allegedly said to be negative. The patient was admitted to the ward for observation and then allegedly deteriorated form a ruptured spleen. The patient is now in intensive care post laparotomy and splenectomy. Discuss how would you respond to this complaint??

Director of Casualty

I am writing to you because your department’s incompetence killed my husband Tony. He was seen be a doctor (I don’t know his name but he was very rude and he had blond hair) when he had pains in his chest. We had to wait in the department for 12 hours and he was attached to a machine. All we was told was that he did not have a problem with his heart but we did not know what caused his pain and that night it was back and shocking. Two days later he’s dead and we got told that it was a blood clot on the lung that did it.

My 5 children now don’t have a father, and your to blame. We want to know why this happened and to make sure your hospital pays for what it did to him.

Yours sincerely,

Lynda Charles

As the director of a small country hospital, you receive this letter. Outline your actions in response to this letter.

MORE FUN WITH SAQS

6. A patient with a chronic illness has asked you for advice. She wants general information about the adverse effects of herbal medicines. What do you advise her?

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%)

4. A 2 year old child presents by ambulance with 50% burns to the lower half of the body. Describe your management of this child.

6. In response to a high level of sick leave taken by medical staff in your ED, consultant staff decide to look at strategies to reduce the level and impact of sick leave. Describe the issues involved.

7. A 32 year old woman is brought to your department unconscious from the scene of a house fire. She is 34 weeks pregnant.

Paramedics found that her 005 was 3, PR 110, BP 120/80. She was intubated by them without the use of drugs.

Her initial ABO results on 100% 02 are:

pH 7.05

mmHg

PO2 200 mmHg

H003 8 mmol/L

BE -15.

COHb 40%. ( ................
................

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