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EM Quiz 4 Summary – review your personal results below.
To learn more about any of the topics covered in this Revision Block – see the following RCEMLearning content listed:
Q1: Ultrasound: Assessment of patients in shock – Learning Session
Q2: Deep Vein Thrombosis in the ED – Learning Session
Q3: Fabricated or Induced Illness – Learning Session
Q4: Leukaemia – Learning Session
Q5: Bleeding in Pregnancy – Learning Session
Q6: Management of Cardiac Transplant Patients in the Emergency Department – Learning Session
Q7: Acute Sore Throat – Learning Session
Q8: Anorectal Disease – Learning Session
Q9: Psychiatric Emergencies for the Adult Patient – Learning Session
Q10: Bell’s Palsy in Children – Learning Session
Why not try another RCEMLearning – EM Quiz and see how you do
A 60-year-old patient presents with severe difficulty in breathing. He has a background of COPD, bullous disease and left upper lobe lobectomy. His initial observations are respiratory rate of 32, SpO2 of 82% on 15L NRB, heart rate of 140, and blood pressure of 80/50. He has reduced air entry bilaterally. His initial arterial blood gas shows pH 7.1, pO2 8, pCO2 9 and lactate of 5. You are not sure whether his chest x-ray shows a bulla or pneumothorax. POCUS shows normal cardiac views. The lung views show:
Image courtesy of Dr. Stenberg thepocusatlas.com
How would you manage this patient?
Which one of the following statements is true regarding Wells criteria risk assessment?
Which of the following might be a result of FII?
At what level of thrombocytopaenia might it be necessary to consider platelet transfusion in order to allow continued anticoagulation for a pulmonary embolism in a leukaemia patient?
With regard to management of the pregnant patient which of the following is correct?
A patient presents to hospital 4 years after a heart transplant with a 3-day history of shortness of breath. He is pale and sweaty. Investigations are suggestive of a recent ischaemic event. Which one of the following would you expect to be an effective treatment strategy for ischaemia arising as a consequence of graft vasculopathy?
To help in your decision whether to treat your patient with a course of antibiotics, you decide to calculate a FeverPAIN score. Which one of these statements is accurate regarding this calculation?
Inspection of the perianal area reveals a fissure in the posterior midline.
Which one of the following treatments is most appropriate?
Which of the following is important in the differential diagnosis of delirium?
A 4-year-old child is brought to hospital by her mother with a history of 24 hours of earache and rubbing the right eye. On examination you find evidence of right-sided facial nerve paralysis. You suspect Bell’s palsy.
What is required prior to discharge in all such cases?