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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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