Week 17 SAQ Electronic

MODULE 17 short answer questions.

Below are 5 SAQs. You have 30 minutes. Good luck!

Module 17 saQS

SAQ 1.

A 45 year old man presents to your department with pleuritic chest pain.

Question 1. (9 marks)

List the components of the PERC score you will consider in assessing this man.

Question 1. (9 marks) List the components of the PERC score you will consider in assessing this man. *

Question 2. (6 marks)

Explain the difference between the PERC score and the Well’s score.

Question 2. (6 marks) Explain the difference between the PERC score and the Well’s score. *

SAQ 2.

Compare and contrast CTPA, V/Q scan and echocardiography for the investigation of suspected PE with regards to the following:

1. Diagnostic yield (3 marks)

1. Diagnostic yield *

2. Diagnostic limitations (3 marks)

2. Diagnostic limitations *

3. Side effects (3 marks)

3. Side effects *

SAQ 3

A 66 year old female with a history of COAD presents to your emergency department with increasing dyspnoea. Her vital signs are:

HR                          105         /min
BP                           115/62 mmHg
RR                           32           /min
Sats                        88%        6L
T                              37.9        oC

Question 1. (7 marks)

A venous blood gas is taken urgently in the resus room and the results are shown below.

FiO2                       0.5

pH                          7.12
pO2                        43           mmHg
pCO2                     78           mmHg
HCO3                     25           mmol/L
BE                           -5

Na+                        141         mmol/L
K+                           6.5          mmol/L
Cl-                           99           mmol/L

Lactate                 4.1          mmol/L

Give the major acid base disturbances present and justify your answer. Include a likely unifying diagnosis.

Give the major acid base disturbances present and justify your answer. Include a likely unifying diagnosis. *

Question 2. (5 marks)

Give 5 interventions you will immediately apply.

Question 2. (5 marks) Give 5 interventions you will immediately apply. *

Question 3. (4 marks)

Give 4 instances in which you will discontinue your respiratory support in this patient.

Question 3. (4 marks) Give 4 instances in which you will discontinue your respiratory support in this patient. *

SAQ 4

A 45 year old patient presents to your department in tropical Australia complaining of a fever and productive cough. He has a history of poorly controlled type II diabetes and excess alcohol use.

His vital signs are:

HR                          125         /min
BP                           95/55     mmHg
RR                           35           /min
Sats                        91%        4L
T                              39.9        oC

Question 1. (6 marks)

List three atypical organisms/disease you will consider in this patient’s presentation, and how you will specifically investigate for each.

Question 1. (6 marks) List three atypical organisms/disease you will consider in this patient’s presentation, and how you will specifically investigate for each. *

Question 2. (3 marks)

The patient’s chest xray is shown below. What are the main features and which diagnosis do they suggest?

Question 2. (3 marks) The patient’s chest xray is shown below. What are the main features and which diagnosis do they suggest? *

Question 3. (2 marks)

What antibiotics will you treat this patient with?

Question 3. (2 marks) What antibiotics will you treat this patient with? *

SAQ 5

A 22 year old female presents to your department complaining of acute dyspnoea. She is quite anxious and looks distressed.

Question 1. (5 marks)

List 5 indicators of life threatening asthma that you will assess this patient for.

Question 1. (5 marks) List 5 indicators of life threatening asthma that you will assess this patient for. *

Question 2. (5 marks)

The patient has blue lips and an oxygen saturation of 89% on 2L of O2.

Give 5 interventions you will immediately undertake.

Question 2. (5 marks) The patient has blue lips and an oxygen saturation of 89% on 2L of O2. Give 5 interventions you will immediately undertake. *

Question 3.

The patient is not responding to your therapy above. What escalation of therapy will you implement.

Question 3. The patient is not responding to your therapy above. What escalation of therapy will you implement. *

Question 4. (3 marks)

If the patient requires intubation, what principles will you use to set the ventilator?

Question 4. (3 marks) If the patient requires intubation, what principles will you use to set the ventilator? *

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