The SBA questions on RCEMLearning are designed to support revision and self-directed learning in Emergency Medicine.

While they reflect the style and format of RCEM examinations, performance on these questions should not be interpreted as an indication of success or failure in any official RCEM examination.

The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
A 49-year-old lady with a background of stage IV ovarian cancer experiences sudden onset episodes of vomiting and spasmodic abdominal pain.
Can you recognise acute kidney injury and prevent its deadly complications?
There are three pregnant patients in the department who require consideration of Rhesus status and anti-D immunoglobulin. You have been asked to assess each in turn.
A 2-year-old boy is brought to the ED by his parents after a detergent capsule burst in his face.
How will you manage the absconding patient?
A drowsy marathon runner presents after training in the sun, with a significantly raised temperature and dry skin too hot to touch.
An elderly lady gardening in the hot summer sun becomes unwell soon after midday. How will you manage her heat stroke?
An elderly male with a shocking diagnosis.
A teenager presents to your emergency department after a suspected acid attack sustained near their school. They are distressed with severe burning pain, facial and upper body chemical burns and contaminated clothing.
A young patient presents with chest pain and shortness of breath.
A 2-year-old child presents with worsening eczema and parental concerns that she is unwell.
A young woman presents to your emergency department with a neck injury after being assaulted. She experienced dyspnoea, near loss of consciousness and urinary incontinence, raising concern for a significant underlying injury despite minimal external findings.
A febrile patient presents with severe headache, periorbital swelling, proptosis, painful ophthalmoplegia and cranial nerve deficits following recent facial or sinus infection.
A pregnant woman presents with a headache and abdominal pain and suddenly deteriorates. How will you manage this?
A young person presenting with recurrent UTI
A 47-year-old woman presents to the emergency department with descending paralysis.
A 19yearold student presents with fever, headache and malaise 24 hours after receiving a MenB vaccine, worried he has developed meningitis.
A young woman is pre-alerted to the emergency department with increasing drowsiness and confusion.
Your patients x-ray shows his heart is almost the whole size of his chest. Whats going on? And what are you going to do about it?
A young man presents with fever, headache, photophobia and vomiting. Can you interpret the findings to diagnose and treat him appropriately before its too late?
A 5-year-old boy is brought to the ED with a swollen red eye and a raised temperature.
Following a recent travel to Zambia, a pregnant woman develops high fever, dark urine, and confusion after a seizure; she arrives in the ED acutely unwell with hypoglycaemia.
A 14-year-old girl presents at the ED after falling into a tree and impaling her cheek with a large twig, just below her right eye, obscuring her vision.