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Date Completed: 05/09/2022
Page 1 of 18
- Mock Exam
- Allergy
- Cardiology
- Complex Situations (SLO7)
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- Dermatology
- Elderly Care & Frailty
- Endocrinology
- Ear, Nose & Throat
- Environmental Emergencies
- Gastroenterology & Hepatology
- Haematology
- Infectious Diseases
- Maxillofacial & Dental
- Mental Health
- Musculoskeletal
- Neonatal Emergencies
- Nephrology
- Neurology
- Obstetrics & Gynaecology
- Oncology & Palliative Care
- Ophthalmology
- Pain & Sedation
- Pharmacology & Poisoning
- Procedural Skills (SLO6)
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- Respiratory
- Resuscitation
- Sexual Health
- Surgical Emergencies
- Trauma
- Urology
- Vascular
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Burns: Assessment
A 4 year old child is brought to the Emergency Department after receiving a burn at a bonfire party. The triage nurse thinks the burn is ful
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Arterial Blood Gas Analysis
A 28 year old patient presents to ED following a collapse. His arterial blood gas results are: pH = 7.25 PaO2 = 11.1 kPa PaCO2 =
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Stroke: Management
A 75 year old lady is brought to the Emergency Department with acute onset weakness of her left side which began about 5 hours previously. S
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Inhalation Injury: Management
A 65 year old man is brought into ED by an air ambulance following a gas explosion at his home. Primary survey demonstrates the following.
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Forearm Injuries: Monteggia Fracture-Dislocation
A 34 year old tree surgeon is brought to the Emergency Department by his colleagues after falling from a tree. He is complaining of pain in
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Back Pain: Cauda Equina Syndrome
A 45 year old woman presents to the Emergency Department with a 2 week history of increasing back pain on the background of several years of
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Hypokalaemia: Pathophysiology
You have been asked to give a teaching session to a group of final year medical students. The topic of the session is hypokalaemia. Which of
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Hyperthyroidism: Thyroid Storm
A 45 year old man is brought to the Emergency Department by his wife. She describes worsening confusion and agitation over the last 2 days.
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Chest Drain Insertion: Open Thoracostomy
You are asked to perform an open thoracostomy and chest drain insertion on a trauma patient with a large pneumothorax. You are identifying t
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Anterior Uveitis: Risk Factors
A 27 year old woman presents to the Emergency Department with a 12 hour history of a painful, red left eye. She describes the pain increasin
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Neck Pain: Cervical Radiculopathy
A 74 year old man presents to the Emergency Department complaining of pain in his neck that has been ongoing over the past week. He denies t
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Hepatitis A: Clinical Features
A 58 year old man is brought to the Emergency Department by his family. He has become increasingly fatigued over the previous week and in th
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Focused Assessment with Sonography for Trauma (FAST)
A 26 year old woman is brought to ED following a road traffic accident. Focussed assessment for sonography in trauma (FAST) on the supine pa
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Bite Wounds: Management
A 19 year old male presents to the Emergency Department having sustained a human bite injury to his forearm whilst involved in a brawl outsi
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Valvular Heart Disease: Mitral Stenosis
A 78 year old man presents to the Emergency Department with a history of syncope at rest. His family explain he has experienced multiple sim
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Acute Coronary Syndrome: Diagnosis
A 47 year old man presents to the Emergency Department complaining of a central band-like chest pain. He is obese with a history of type 2 d
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Management
A 68 year old man is brought to the hospital following a seizure. He had a 2-week history of confusion before this. You note his plasma sodi
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Pre-Eclampsia: Investigations
A 37 year old woman presents to the Emergency Department complaining of headache and blurred vision. She is 27 weeks pregnant with no signif
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Ankle Injuries: Ottawa Rules
The triage nurse asks for your advice about a 19 year old female patient. She has presented after a fall and is complaining of ankle pain. T
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Nasal Fracture: CSF Rhinorrhoea
A 19 year old rugby player presents to the Emergency Department 3 days after injuring his nose during a game. He tells you he received a kne
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Compartment Syndrome: Investigations
A 25 year old man presents to the Emergency Department complaining of worsening pain and paraesthesia in his lower leg. He was only discharg
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Shoulder Injuries: Anterior Shoulder Dislocation
A 32 year old man presents to the Emergency Department complaining of right shoulder pain after falling at work. On examination you note a l
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Headache: Trigeminal Neuralgia
A 55 year old woman presents to the Emergency Department complaining of recurrent daily episodes over the past week of facial pain. The epis
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Knee Injuries: Patellar Tendon Injury
A 32 year old man presents to the Emergency Department after falling from a quad bike. He complains of pain around the left knee. On examina
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Bronchiolitis: Diagnosis
You are asked to assess a 5 month old girl brought to the Emergency Department by her parents. They describe several days of "runny nose" an
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Impetigo: Microbiology
A 21 year old man presents to the Emergency Department with a 2 day history of an itchy, crusting rash over his face. He has no past medical
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Opioid Toxicity: Management
A 21 year old known drug user is brought into ED with a GCS of 7 and RR of 6. He did not respond until a total of 800mcg of naloxone was giv
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Post-Resuscitation Care: Management
A 67 year old man presents to the Emergency Department with left sided chest pain. Whilst being assessed he becomes unresponsive and cardiac
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Paediatric Diabetic Ketoacidosis: Management
A 7 year child is brought to the Emergency Department after becoming increasingly unwell over the last day. He was recently diagnosed with t
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Mumps: Diagnosis
A 5 year old boy is brought to the Emergency Department with painful right-sided facial swelling occurring over the last 24 hours. Prior to
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Anaemia: Iron Deficiency Anaemia
A 63 year old man presents to the Emergency Department with a 3 month history of right sided abdominal pain, a change in bowel habit and wei
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Diabetic Ketoacidosis: Management
A 27 year old man is brought to the Emergency Department after being found unresponsive in a local park. Whilst examining him you note a med
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Chlamydia: Complications
A 23 year old man presents to the Emergency Department after returning from a holiday in Thailand. He is complaining of 3 days of pain in bo
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Deep Vein Thrombosis: Management
A 75 year old man presents to the Emergency Department complaining of left calf pain and swelling. You calculate his two level Well's Score
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Back Pain: Cauda Equina Syndrome
A 45 year old man presents to the Emergency Department with a 2 day history of increasing back pain. He cannot recall any specific trauma. H
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Upper Limb Nerve Injuries: Axillary Nerve
A basketball player presents to the Emergency Department having fallen heavily onto his right arm during a game. X-ray shows a fracture of t
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Thoracic Trauma: Diaphragmatic Rupture
A 60 year old man is brought to ED after losing control of his vehicle whilst intoxicated and hitting a brick wall at approximately 60 mph.
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Head Injury: Assessment
An 85 year old man, who lives alone, is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall. H
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Rhabdomyolysis: Management
A 67 year old man presents to the Emergency Department after being found on the floor by his family after having no contact with him for 2 d
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Visual Pathway: Pathophysiology
A 45 year old woman presents to the Emergency Department complaining of 2 hours of headache and visual loss. Her partner describes an episod
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Anticoagulants: Warfarin Pharmacology
A 76 year old man presents to the Emergency Department complaining of recurrent epistaxis. He is anticoagulated with warfarin for atrial fib
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Paracetamol Toxicity: Management
A 38 year old woman presents to the Emergency Department after having taken an intentional overdose of thirty 500 mg paracetamol tablets abo
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Thoracic Trauma: Open Pneumothorax
A 21 year old is brought into the Emergency Department by ambulance with a stab wound to his left upper back. You notice bubbling of blood a
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Disseminated Intravascular Coagulation: Investigations
A 62 year old female is brought to the Emergency Department with suspected sepsis. The patient is in shock and has a purpuric rash. She star
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Adrenal Disorders: Phaeochromocytoma
A 46 year old man presents to the Emergency Department with a headache and palpitations. He describes multiple similar episodes over the las
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Pyelonephritis: Management
A 24 year old woman presents to the Emergency Department with a 2 day history of dysuria and flank pain. She has no significant past medical
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Retinal Artery Occlusion: Clinical Features
A 79 year old man presents to the Emergency Department with a 2 hour history of painless vision loss in the right eye. Your Consultant exami
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 46 year old woman presents to the Emergency Department with a 1 day history of abdominal pain and fever. She has a past medical history of
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Vaginal Discharge: Diagnosis
A 31 year old woman presents to the Emergency Department concerned by a change in vaginal itch and irritation over the last 7 days. On exami
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Ectopic Pregnancy: Investigations
A 26 year old woman presents to the Emergency Department complaining of right lower quadrant abdominal pain. She tells you her last menstrua
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Retinal Artery Occlusion: Management
A 69 year old man presents to the Emergency Department with a 6 hour history of painless vision loss in the right eye. After fundoscopic exa
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Intraosseous Access
A 10 year old boy is brought into ED following a collapse. He has no signs of life and paramedics have started CPR. They have not yet manage
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Transient Ischaemic Attack: Management
A 72 year old patient presents to the Emergency Department after experiencing a funny episode, lasting for about 30 minutes, where her voice
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Acute Kidney Injury: Diagnosis
A 4 year old girl is brought to the Emergency Department by her parents. They describe 4 days of watery diarrhoea and abdominal pain. In the
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Subarachnoid Haemorrhage: Diagnosis
A 29 year old woman presents to the Emergency Department with a 1 hour history of sudden onset, severe, diffuse headache, and vomiting. She
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Alcohol Misuse and Withdrawal: Wernicke’s Encephalopathy
A 49 year old man presents to the Emergency Department with a 2 week history of increasing confusion and ataxia. He has a past medical histo
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Arterial Pressure Waveform
Whilst on your ITU rotation, you are on a ward round when your consultant asks about the arterial waveform displayed on the patient's monito
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Sexual Assault: Post-Exposure Prophylaxis
A 19 year old student attends ED reporting a sexual assault that occurred in last 24 hours. She reports that she was intoxicated at a party
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Arterial Pressure Waveform
Whilst on your ITU rotation a nurse asks for your assistance with assessing the arterial pressure waveform. You determine the trace is overd
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Head Injury: Assessment
An adult man is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall. Which of the following is
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Burns: Referral
A 54 year old man is brought to the Emergency Department having sustained burns whilst lighting a barbecue using petrol. Your Emergency Depa
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Brief Resolved Unexplained Event (BRUE): Clinical Features
The parents of a 6 month old baby boy bring him to the Emergency Department. They describe him having a 30 second episode of unresponsivenes
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Mental Health Act: Sections
You have been asked to give a teaching session to junior colleagues on the topic of the Mental Health Act (MHA). You are discussing the vari
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Local Anaesthetic Pharmacology
You have been asked to review a 32 year old man who fell through a greenhouse window. He has multiple lacerations over all four limbs. His w
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Occupational Needlestick Injury: Management
A 32 year old intravenous drug user presents to the Emergency Department with a fever. Whilst performing venepuncture you sustain a needlest
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Cellulitis: Management
A 45 year old patient presents to ED with a 24 hour history of a painful, red lower leg as shown. He suffered an insect bite the day before
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Mumps: Management
A 10 year old boy presents to the Emergency Department with his parents. He has severe, painful, facial swelling of his left face. He also c
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Bacterial Tracheitis: Microbiology
A 2 year old girl is brought to the Emergency Department with a 2 day history of cough and fever. Her parents describe a harsh, productive c
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Paediatric Meningococcal Disease: Management
A 7 year old boy is brought to the Emergency Department by his mother. She gives a 2 day history of fever, headache, neck stiffness and phot
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Elbow and Arm Injuries: Ossification Centres
You have been asked to review an elbow x-ray of a 1 year old child who has fallen. The junior colleague reviewing the x-ray is uncertain if
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Meniere’s Disease: Diagnosis
A 40 year old woman presents to the Emergency Department complaining of vertigo. She describes intermittent episodes that usually last aroun
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Shoulder Injuries: Clavicular Fracture
A 23 year old woman presents to the Emergency Department complaining of pain in the right shoulder following a fall whilst intoxicated. On e
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Diabetes Insipidus: Clinical Features
A 43 year old woman presents to the Emergency Department with a 1 day history of polyuria and polydipsia. She underwent a resection of a pit
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Diabetic Ketoacidosis: Management
A 37 year old woman presents to the Emergency Department with abdominal pain and vomiting. She has a past medical history of type 1 diabetes
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Bowel Obstruction: Pathophysiology
A 73 year old man presents to the Emergency Department with a 2 day history of abdominal pain. After investigation you diagnose large bowel
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Epididymo-Orchitis: Microbiology
A 64 year old man presents to the Emergency Department with a 3 day history of scrotal pain and fever. On examination you find a normal appe
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Airway Assessment
You are leading a teaching session for junior ED colleagues and discussing airway assessment in the ED. Which of the following is a distance
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Hyponatraemia: Assessment
A 65 year old man is brought to the Emergency Department after being found unresponsive in a shopping centre. His urea and electrolyte resul
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Epiglottitis: Diagnosis
A 45 year old presents to the Emergency Department with a fever, dysphagia and sore throat. The triage nurse notes a stridor and moves the p
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Paediatric Urinary Tract Infection: Management
The parents of a 2 month old girl bring her to the Emergency Department as they are concerned about a fever. They describe her as being "irr
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Vaginal Discharge: Diagnosis
A 28 year old woman presents to the Emergency Department concerned by a change in vaginal discharge over the last 3 days. She describes feel
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Infective Endocarditis: Clinical Features
A 45 year old man presents to the Emergency Department with a 2 week history of fever, malaise and weight loss. On examination you note a ne
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Botulism: Management
A 27 year old man presents to the Emergency Department complaining of double vision and problems swallowing. He has no previous medical hist
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Tuberculosis: Clinical Features
The triage nurse approaches you to ask advice regarding isolating a patient. The patient is a 32 year old man with known active tuberculosis
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Retinal Artery Occlusion: Management
A 71 year old man presents to the Emergency Department with a sudden, painless, loss of vision in the left eye. On fundoscopy you note a pal
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DC Cardioversion
A 89 year old patient presents to ED feeling unwell with palpitations. He is pale and sweaty and his blood pressure is 80/60 mmHg. His ECG s
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Nitrous Oxide: Pharmacology
You have been asked to give a teaching session to a group of Emergency Nurse Practitioners working in the Minor Injury Unit attached to your
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Bacterial Tracheitis: Diagnosis
A 2 year old girl is brought to the Emergency Department with a 2 day history of cough and fever. Her parents describe a harsh, productive c
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Anaemia: Megaloblastic Anaemia
A 25 year old man presents to the Emergency Department with a 1 year history of abdominal pain and occasional pale and "greasy" stools. He h
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Renal Calculi: Pathophysiology
A 56 year old man presents to the Emergency Department with a 2 hour history of right flank pain. His urine dipstick is positive for blood,
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Anaemia: Aplastic Anaemia
A 34 year old man presents to the Emergency Department with a 2 month history of fatigue, lethargy and easy bruising. His blood results show
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Hip and Thigh Injuries: Femoral Neck Fracture
A 79 year old woman is brought to the Emergency Department after falling during the night. She is unable to give a clear history due to adva
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Heart Block and Conduction Abnormalities: Diagnosis
A 55 year old woman presents to ED following an episode of syncope that occurred while making breakfast. Her ECG is shown. What is the diagn
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Haematuria: Management
A 55 year old man presents to the Emergency Department complaining of visible haematuria for the last 2 weeks. He is otherwise well, with no
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Acute Coronary Syndrome: Definition
A 73 year old man presents to the Emergency Department with a 5 hour history of chest pain. His serial troponin shows a marked rise. Which o
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Scrotal Pain and Swelling: Testicular Tumour
A 32 year old man presents to the Emergency Department after noticing a swelling to the left testis 3 days earlier. He denies trauma or pain
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Valvular Heart Disease: Mitral Stenosis
A 78 year old man presents to the Emergency Department complaining of increasing shortness of breath. He gives a history of a cough producin
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Acoustic Neuroma: Diagnosis
A 45 year old woman presents to the Emergency Department with a history of progressive hearing loss in the right ear over several months. Th
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Acute Childhood Limp: Osgood-Schlatter Disease
A 13 year old boy presents to the Emergency Department complaining of pain in his right knee. He cannot recall any trauma. He has no signifi
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
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Thoracic Trauma: Tension Pneumothorax
A 19 year old man is carried into the Emergency Department by his friends. They shout for help on arrival. They tell you he was attacked and
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Cushing’s Syndrome: Investigations
A 49 year old woman presents to the Emergency Department with a wound to her hand that is not healing. She has a past medical history of rhe
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Acute Pancreatitis: Diagnosis
A 41 year old man presents to the Emergency Department with a 3 day history of sudden onset upper abdominal pain and nausea and vomiting. He
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Nitrous Oxide: Pharmacology
A 13 year old boy is brought to the Emergency Department by a voluntary ambulance service. He was playing rugby in a nearby tournament when
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Giant Cell Arteritis: Investigations
A 60 year old woman presents to the Emergency Department with a headache in the right temporal region which has come on over the last couple
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Acute Coronary Syndrome: Management
A 57 year old man presents to the Emergency Department with a history of chest pain radiating to the left arm 3 hours ago. He is now pain fr
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Cellulitis: Management
A 74 year old woman is brought to the Emergency Department after her carers noted a red rash on her left calf. She has a past medical histor
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Drug-Related Hyperthermia: Malignant Hyperthermia
As part of your anaesthetics rotation you are working on an emergency anaesthetic list with a Consultant Anaesthetist. The current case is a
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Hypothyroidism: Investigations
A 56 year old woman presents to the Emergency Department complaining of feeling "cold all the time" and gaining weight despite a poor appeti
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Benign Paroxysmal Positional Vertigo: Diagnosis
A 65 year old woman presents to the Emergency Department with vertigo on movement. The episodes last around 1 minute and are often associate
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Anaphylaxis: Management
A 5 year old girl is brought to the Emergency Department by paramedics. She has been stung by a bee whilst playing in the garden. Initially
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 54 year old man presents to the Emergency Department after developing palpitations at work. On examination his heart rate is 185 beats per
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Head Injury: Basal Skull Fracture
You are assessing a medical student as she examines a 32 year old man who has been assaulted. The medical student believes the patient has f
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Diabetic Ketoacidosis: Clinical Features
A 34 year old man presents to the Emergency Department after being found unresponsive by his partner. He has a past medical history of type
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Deep Vein Thrombosis: Diagnosis
A 56 year old woman presents with a 2 day history of left calf pain and swelling. She denies any history of trauma. She has a past medical h
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Epilepsy: First Seizure
A 15 year old girl is brought to the Emergency Department by her worried parents. She had a collapse episode at school from which she is ful
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Tricyclic Antidepressant Toxicity: Diagnosis
A 32 year old man is brought to the Emergency Department by paramedics after being found unresponsive at home by his worried family. They ha
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Atrial Fibrillation: Atrial Flutter
A 54 year old man presents to the Emergency Department with a 3 hour history of palpitations. An ECG is performed at triage. What is the dia
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Neonatal Jaundice: Diagnosis
An 8 day old baby girl is brought to the Emergency Department by her parents. They are concerned as she has lost 15% of her birth weight and
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Spinal Injury: Assessment
A 32 year old woman walked into the Emergency Department complaining of neck pain which started 30 minutes after her stationary car was knoc
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Epididymo-Orchitis: Management
A 25 year old man presents to the Emergency Department with a 3 day history of a painful testicle and penile discharge. He returned from a h
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Arterial Cannulation
You are giving a teaching session to a group of junior colleagues about arterial cannulation. Which of the following is NOT an indication fo
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Paracetamol Toxicity: Management
A 59 year old woman, weighing approximately 60 kg, presents to the Emergency Department after having taken a staggered overdose of paracetam
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Pre-Eclampsia: Management
A 32 year old woman is brought to the Emergency Department complaining of a headache and blurred vision. She is 34 weeks pregnant and this i
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Arterial Blood Gas Analysis
A 35 year old man is brought to the Emergency Department after being found collapsed at home by his girlfriend. Calculate his anion gap usin
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Airway Assessment
You have been asked to come in early to assist in the anaesthetic pre-operative assessment of patients who are due to undergo elective ortho
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Paediatric Pain Management
An 11 year old boy is brought to the Emergency Department after play fighting with friends at school. He tells you he fell onto his left arm
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Acute Behavioural Disturbance: Management
A 23 year old man is brought to the Emergency Department by his girlfriend, complaining of hearing voices. Whilst in the department he is sw
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Pyloric Stenosis: Investigations
A 5 week old baby boy is brought to the Emergency Department by his mother. She is worried as he seems constantly hungry and is losing weigh
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Procedural Sedation: Drugs
You are discussing procedural sedation in an Emergency Department peer to peer teaching session. Which of the following best describes the m
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Anaphylaxis: Management
A 31 year old patient with a known nut allergy was eating at a Thai restaurant when he suddenly complained of lip and tongue swelling and di
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Acute Red Eye: Assessment
A 56 year old woman presents with a painful, red left eye. On examination you use the Snellen chart shown to assess visual acuity. Using her
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Acute Childhood Limp: Slipped Upper Femoral Epiphysis
A 14 year old boy is brought to the Emergency Department with a limp. He complains of left hip and knee pain which has been increasing over
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Shoulder Injuries: Posterior Shoulder Dislocation
A 43 year old man presents to the Emergency Department following a fall. He complains of pain in the left shoulder. What is the diagnosis?
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Procedural Sedation: Drugs
You are preparing to perform procedural sedation on a patient who requires a closed reduction of an ankle fracture. You have decided to use
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Chickenpox: Diagnosis
A 2 year old boy is brought to ED by his young anxious parents with a widespread itchy rash. They tell you he has not been himself over the
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Acute Asthma: Classification
You are assessing a 19 year old man who presents to the Emergency Department with wheeze and shortness of breath. He is known to suffer with
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Epistaxis: Management
A 64 year old man, with no significant past medical history, presents to the Emergency Department with a 2 hour history of epistaxis. He had
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Hyperthermia and Heat Stroke: Causes
You have been asked to give a teaching session to junior colleagues. The topic of the teaching session is "Environmental Emergencies" and as
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Osteoporosis and Fragility Fractures: Risk Factors
A 78 year old woman presents to the Emergency Department following a fall. She has a deformed, painful right wrist. Her wrist x-ray shows a
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Transient Ischaemic Attack: Fitness to Drive
A 65 year old woman, with known hypertension and hypercholesterolaemia, presents to ED complaining of an episode of weakness affecting her l
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Impetigo: Exclusion Advice
A 12 year old boy is brought to the Emergency Department with a 2 day history of an itchy rash around the nose. You see a yellow crust over
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Spinal Infections: Microbiology
A 32 year old woman presents to the Emergency Department with a 3 day history of fever, back pain and lower limb weakness. She is 1 week pos
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Giant Cell Arteritis: Diagnosis
A 67 year old woman presents to the Emergency Department with a 1 day history of severe headache. She describes the headache as being locate
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Organophosphate Poisoning: Clinical Features
A 34 year old man is brought to the Emergency Department following an attempted suicide by poisoning. He had left a note telling first respo
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Scaphoid Fracture: Complications
A 27 year old dancer presents to the Emergency Department complaining of pain in the right wrist following a fall the same day. On examinati
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Giant Cell Arteritis: Investigations
A 74 year old woman presents to the Emergency Department with a 2 day history of unilateral headache and scalp tenderness. You suspect giant
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Acute Childhood Limp: Perthes' Disease
A 6 year old boy is brought to the Emergency Department by his parents. They tell you he has been complaining of left hip pain and walking w
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Epididymo-Orchitis: Microbiology
A 25 year old man presents to the Emergency Department with a 1 day history of scrotal pain and dysuria. On examination you find his left he
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Nitrous Oxide: Pharmacology
A 13 year old boy is brought to the Emergency Department by a voluntary ambulance service. He was playing rugby in a nearby tournament when
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Female Genital Mutilation
A 9 year old girl is brought to ED by her grandparents with vaginal bleeding. She has recently returned from a summer holiday visit to her p
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Bronchiolitis: Microbiology
You are asked to assess a 5 month old girl brought to the Emergency Department by her parents. She has a 2 day history of a persistent cough
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Bowel Obstruction: Paralytic Ileus
A 56 year old man presents to ED with abdominal discomfort and distention. His bloods are shown below: Hb 130 g/L Plt 300 x 109/L
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Paracetamol Toxicity: Management
A 54 year old man presents to the Emergency Department following an accidental overdose of paracetamol, taken for dental pain. His LFTs are
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Vaginal Discharge: Trichomoniasis
A 27 year old woman presents to the Emergency Department complaining of vaginal discomfort and discharge. She describes a foul smelling prof
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Paediatric Diabetic Ketoacidosis: Management
A 12 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incr
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Eczema: Management
A 6 year old boy with eczema is brought to the Emergency Department by his mother. She has noticed the backs of his knees have flared up, sh
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Glandular Fever: Management
A 14 year old girl is brought to the Emergency Department by her parents. She complains of several days of malaise and myalgia. In the last
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Clostridium Difficile Infection: Microbiology
A 78 year old woman, recovering in hospital after a fractured neck of femur, develops profuse diarrhoea. She has been on broad spectrum anti
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Human Immunodeficiency Virus: Investigation
A 23 year old man presents to the Emergency Department. He has been contacted by a previous sexual partner to inform him he is HIV positive.
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Retinal Detachment: Diagnosis
A 54 year old woman presents to the Emergency Department complaining of visual loss in her right eye. She describes seeing flashes of light
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Traumatic Cardiac Arrest: Pathphysiology
A 21 year old male is brought to the Emergency Department by paramedics. They hand over that approximately 15 minutes ago he was involved in
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Hepatitis B: Serology
A 34 year old man is brought to the Emergency Department after being found unresponsive in a nearby car park. On examination you note eviden
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Pertussis: Investigations
A 17 year old boy presents to the Emergency Department with a 4 week history of a persistent paroxysmal cough. You can hear the characterist
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Back Pain: Sciatica
A 54 year old man presents to the Emergency Department after developing back pain whilst on holiday in Turkey. He underwent a private MRI of
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Diverticular Disease: Diagnosis
A 65 year old woman presents to the Emergency Department with a 2 day history of abdominal pain. She describes the pain as starting more cen
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Miscarriage: Types
A 29 year old woman who is 8 weeks pregnant presents to the Emergency Department complaining of crampy lower abdominal pain and spotting. Sp
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Bier's Block
A 76 year old woman presents to the Emergency Department after falling at home. She has sustained a dorsally angulated fracture of her domin
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Upper Gastrointestinal Bleed: Management
A 54 year old woman presents to the Emergency Department following a syncopal episode. Whilst in triage she has an episode of bright red hae
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Dementia: Alzheimer's Disease
A 67 year old man is brought to the Emergency Department by his wife in the middle of the night. She tells you that over the last year he ha
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Cardiorespiratory Arrest: Management
A 54 year old man is brought to the Emergency Department by paramedics complaining of central chest pain. Whilst examining the patient he be
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Atrial Fibrillation: Risk Stratification
A 64 year old woman presents with a 3 day history of palpitations. She has experienced similar episodes for the last 2 months. Her observati
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Dental Trauma: Management
An 18 year old rugby player presents to the Emergency Department after getting punched during a game. He was not wearing any dental protecti
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Anaemia: Macrocytic Anaemia
A 64 year old man presents to the Emergency Department following a head injury. He is known to be alcohol dependent. On examination you note
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Waveform Capnography
A 24 year old is brought to ED by the police after causing a disturbance in the local high street. She has been involved in a violent alterc
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Lung Malignancy: Complications
A 57 year old man presents to the Emergency Department with exertional dyspnoea, facial swelling and a cough. His past medical history is un
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Hypernatraemia: Clinical Features
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The title of the session
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Kawasaki Disease: Management
An 18 month old child is brought to the Emergency Department by his parents. They describe a persistent high fever (39.5°C) and irritabilit
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Sickle Cell Disease: Osteomyelitis
A 10 year old boy with sickle cell disease, is brought into the Emergency Department with a limp and complaining of pain in his left knee. A
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