MODULE 17 short answer questions.
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 2. (6 marks)
Explain the difference between the PERC score and the Well’s score.
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.
saq 2.
Using the table below compare and contrast CTPA, V/Q scan and echocardiography for the investigation of suspected PE.
Diagnostic yield Diagnostic issues Side effects |
CTPA
|
V/Q scan
|
Echocardiogram
|
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.
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.
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.
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.
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 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?
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 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 4. (3 marks)
If the patient requires intubation, what principles will you use to set the ventilator?
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 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?