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Recalled Questions 2018:1 FACEM Exam
Candidate 1 - Topics:
MCQ and EMQ
▪ 36 yo female with psych medications
o Various choices re pharmacology – lithium, amiodarone, digoxin, anticholinergic, serotonergic, oxycodone, clonidine
o Subheadings
▪ Vomiting and diarrhoea
▪ Clonus
▪ Miosis, Hypertension, tachycardia
▪ Bradycardia, hypotension, drowsiness
• Question on hands - ?Psoriatic Arthropathy, ?OA
• Question on ECG of VT, options of cardioversion, Valsalva, BP 100
• INR elevated with normal d-dimer - ?Snakebite (Blacksnake)
• Vertigo
• Normal Lung USS – use of M mode
• Shoulder Dystocia – treatment McRoberts and ?what else
• Analgesia and Sedation for a limb fracture (paediatrics)
• JMO feedback
• Jelly Sputum, alcoholic - ?Klebsiella
• CSF analysis, normal protein, differentials
• EDH, opposite eye pupil dilation
• ?median nerve injury signs in a supracondylar fracture
• ?octreotide treatment for patient with glicazide toxicity
• Shoulder dislocation - risk of re-dislocation, length of immobilisation
SAQs
▪ SIADH
▪ Hyponatramia
▪ BRUE
▪ Facet joint dislocation
▪ Weakness
▪ Ethical issues at end of life (aboriginal patient)
▪ COPD, BIPAP and CPAP
▪ NAI
▪ Kawasaki
▪ NAI
▪ Syncope
▪ Sternoclavicular Joint Dislocation
▪ FB – chocking
▪ Beach Syncope / collapse
▪ PPH – risk factors
Candidate 2 - Topics:
EMQ
Snake
Vicc+ sudden neuro
ACC
Resp - statement given
Bronchiectasis
Copd
Pneumonia
Asthma
ECG of af wpw
⁃ treatment drop down
Eye
⁃ glaucoma
⁃ Iritis
⁃ Young female with colour vision issue
⁃ 60 female with scalp pain and sudden onset vision loss
⁃ Middle age dm sudden onset painless plus nil red reflex
Tox antidotes
⁃ serotonin sx
⁃ Anticholinergic
⁃ Sympathomimetic hypertensive (nil Midaz as option)
Toxins
⁃ vomiting and diarrhoea (lithium)
⁃ Small pupils (clonidine)
⁃ Serotonin sx (ssri)
⁃ Anticholirgic drug
⁃ Bradycardia
Trauma
⁃ working out map
⁃ Working out shock index
Photos of two hands needing dx
Options - oa, ra, psoriatic, ank spond, others.
Vertigo
⁃ young worse on move
⁃ Two others
MCQ
1. 14/40 single preg pv bleed o-ve
⁃ 250iu
⁃ 625iu
⁃ Another option
⁃ Nil treatment
2 most common wrist #
⁃ Capitate
⁃ Triquetrum
⁃ Hamate
⁃ Lunate
3 . question about mentors in ed
4 . Photo of bruised ruq in paediatric post bike handle to abdo. Worsening pain
⁃ efast if -ve home
⁃ Efast if -ve essu
⁃ Ct
⁃ Tx to trauma centre
5. Cholecystitis mx
⁃ Surgery immediately
⁃ Surg delay 2 days
⁃ Surg delay months
⁃ Nil surg
6. Match Injury to nerve
⁃ Montego radial
⁃ Mentegio ulnar
⁃ Galiatzi pin
⁃ Galiatzi med
7. Alcoholic with jelly sputum
8. Jmo feedback
9. Normal result in a Lp or aspirate
SAQ
1) Organophospate - sx, treatment
2) Corrosive - cxr interpret, mx
3) Aboriginal Bipap - bipap alteration, end of life nuisances in aboriginal
4) Hocm - ecg, other syncope causes
5) Ftt - psychosocial questions, medical causes
6) Obs jaundice - painless jaundice with creat 300, causes, ct vs us
7) Kawasakis - criteria, meds, com
8) Us fb - settings, uses of us, potential false -ves, abxs in pen allergy
9). Fractured and missed - lunar dislocate xr, initial discuss with pt, changes in dept to avoid
10) Rpt presenter - characteristics, department policy to get around
11) Choking child - movement and how, then, cxr changes, disposition decision and reasoning
12) Lucas- pro and con, example of medical uses and location use
13) aortic Dissection - risks, drugs and doses
14). Pph -risks, mx, pro and con of TEG
15) Hyponat - siadh criteria, management
16) Hyperthyroidism - ddx, treatment and how work
17) Rhabdo - interpret bloods and why occur.
18). Trauma arrest - 4 causes of aystole and treat of
19) Trauma scj - xr, structure damaged and how to examine for it
20) Lat Mel sx dissect - dx of it, management options
21) Myop vs neuro - table myop/neurop/motor end. Reflex.sense. Distrib
22) Sudden onset headache - strange worded about causes and history, 4 x parenteral tx with pro and con
23) Urine paeds - interpret, cell counts for types of catch, admin q
24) Young m joint swell - causes, mx
25) Hypothermia - ci to continue,
26) Brue - what is?, admission?
27). Can't recall.
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