Case 3
A 44-year-old woman is bought to hospital by her sister who is worried about her. She has felt very hot, had diarrhoea and vomiting and also been confused. She has described seeing things that are not there. Four days ago she underwent an uneventful arthroscopy on her left knee. She has a history of hyperthyroidism but is uncompliant with treatment, has no allergies and no recent foreign travel.
Exam Summary
0 of 7 Questions completed
Questions:
Information
You have already completed the exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the exam.
You must first complete the following:
Results
Results
Time has elapsed
Categories
- Not categorized 0%
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 7
1. Question
She is mumbling under her breath, is clinically jaundiced, has a large goitre, resting tremor and her temperature is 38.5oC. Her chest is clear, pulse 140 (irregular), blood pressure 160/85 and no pitting oedema peripherally. Her knee has pain-free movements and the scars are clean.
List at least four causes for patients to present with high temperatures to the ED.
CorrectIncorrect -
Question 2 of 7
2. Question
Describe your initial resuscitation and investigation of this patient.
CorrectIncorrect -
Question 3 of 7
3. Question
The ECG shows atrial fibrillation. The CXR, glucose and VBG are unremarkable.
Does this patient have thyroid storm? Qualify your answer.
CorrectIncorrect -
Question 4 of 7
4. Question
What blood result is needed before starting treatment?
CorrectIncorrect -
Question 5 of 7
5. Question
Which of the following is contraindicated in thyroid storm?
CorrectIncorrect -
Question 6 of 7
6. Question
Your junior doctor asks you to explain the treatment of thyroid storm. You explain that the treatment of thyroid storm targets four areas. What are the areas?
CorrectIncorrect -
Question 7 of 7
7. Question
After starting the esmolol she experiences worsening difficulty in breathing and has marked wheeze. The SHO stops the esmolol as they are concerned about the possibility of bronchospasm. Is there any alternative that could be used for helping control the heart rate?
CorrectIncorrect