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Date Completed: 21/10/2022
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- Neurology
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Headache: Trigeminal Neuralgia
A 39 year old woman presents to the Emergency Department complaining of right sided facial pain and headache. The pain is exacerbated by lig
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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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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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Paediatric Status Epilepticus: Management
A 10 year old boy with known epilepsy, is brought into ED by ambulance in status epilepticus. The seizure has been ongoing for 15 minutes. T
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Encephalitis: Causes
A 21 year old woman presents to the Emergency Department with a fever, headache and fluctuant confusion. She has no past medical history. Yo
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Status Epilepticus: Management
You witness a member of nursing staff in the Emergency Department collapse to the floor and start having a tonic-clonic seizure. After what
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Stroke: ROSIER Score
A 65 year old man presents to the ED with sudden onset weakness. He describes a 1 hour history of weakness and loss of sensation to the left
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Tetanus Prone Wounds: Assessment
You are working in the Minor Injury area of your Emergency Department. A nurse practitioner asks you to review a wound as she is concerned i
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Headache: Cluster Headache
A 30 year old man presents to the Emergency Department complaining of a 30 minute history of a severe headache. He is complaining of a sharp
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Headache: Migraine
A 23 year old woman presents to the Emergency Department complaining of a headache. Which of the following is most consistent with a diagnos
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Headache: Vertebral Artery Dissection
A 35 year old lady presents to ED with a sudden onset headache which started in the neck and moved into the occiput, associated with multipl
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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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Transient Ischaemic Attack: Diagnosis
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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Headache: Migraine
A 30 year old woman presents to the Emergency Department with a severe headache. She says it came on earlier that day at work, and she had t
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Tetanus Prone Wounds: Management
A 70 year old female farmer presents to ED with a dog bite sustained to her left hand 2 hours ago. She explains that she had to separate two
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Stroke: Clinical Features
You have been asked to a give a teaching session to a group of triage nurses detailing stroke presentations. You are discussing posterior ci
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Febrile Seizure: Clinical Features
A boy is brought into the Emergency Department by his parents. They describe a shaking episode at home. The child has been complaining of a
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Acute Dystonic Reaction: Diagnosis
A 21 year old man, with known schizophrenia, presents to the Emergency Department complaining that he is unable to move his neck, and it has
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Cerebral Venous Sinus Thrombosis: Diagnosis
A 35 year old woman presents to ED with a gradual onset severe headache, preceded by a generalised seizure which terminated after 2 minutes.
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Status Epilepticus: Management
A 19 year female student, with known epilepsy, is brought into ED by ambulance with ongoing generalised tonic-clonic seizures for 30 minutes
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Multiple Sclerosis: Diagnosis
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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Encephalitis: Management
A 50 year old woman present to the Emergency Department complaining of a generalised headache over the last 24 hours which is getting worse,
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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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Headache: Cluster Headache
A 28 year old man, with a history of cluster headaches, presents to ED with a severe unilateral temporal headache associated with conjunctiv
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Tetanus Prone Wounds: Management
A 35 year old farmer presents to the Emergency Department after being bitten by a pig earlier that day. The wound appears clean. He has no p
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Tetanus Prone Wounds: Management
A 65 year old farmer presents to the Emergency Department with a soiled puncture wound to his thenar eminence which he sustained whilst fixi
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Stroke: Diagnosis
A 76 year old man is brought to the Emergency Department after being found collapsed at home by his family. They had not seen or heard from
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Guillain-Barre Syndrome: Clinical Features
A 45 year old man presents to the Emergency Department complaining of a 4 day history of progressive muscle weakness and paraesthesia which
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Cerebral Venous Sinus Thrombosis: Management
A 34 year old woman is brought to the Emergency Department by paramedics following a seizure at home. The seizure was self limiting and the
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Headache: Tension-Type Headache
A 25 year old woman presents to the Emergency Department with a headache that has been ongoing for the last few hours. She tells you she has
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Botulism: Diagnosis
A 53 year old man presents to the Emergency Department complaining of difficulty swallowing over the previous 3 days. He has no significant
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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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Myasthenia Gravis: Myasthenic Crisis
A 47 year old woman is brought to the Emergency Department with worsening difficulty in breathing. She has a past medical history of myasthe
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Febrile Seizure: Management
A 2 year old girl is brought to the Emergency Department by her parents following a seizure at home. She is febrile but otherwise well. You
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Guillain-Barre Syndrome: Diagnosis
A 35 year old woman presents to the Emergency Department complaining of a 5 day history of progressive muscle weakness and paraesthesia whic
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Tetanus Prone Wounds: Management
A 22 year old man presents to the Emergency Department with a puncture wound sustained while trying to climb over a barbed wire fence yester
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Stroke: Vascular Territories
A 65 year old lady, with a history of hypertension and diabetes mellitus, presents to the Emergency Department with a 1 hour history of sudd
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Multiple Sclerosis: Diagnosis
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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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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Stroke: ROSIER Score
A 75 year old lady is brought to the Emergency Department with acute onset weakness of her left side which began about 2 hours previously. S
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Stroke: Investigations
A 75 year old lady is brought into the Emergency Department with an acute onset weakness of her left side which began about 2 hours previous
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Stroke: ROSIER Score
A 67 year old man presents to the Emergency Department with a sudden onset of left sided weakness following a seizure. You discuss the case
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Febrile Seizure: Diagnosis
A 20 month old child is brought in to the Emergency Department by his parents who describe a 2 minute episode of shaking, jerking movements.
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Febrile Seizure: Management
A 2 year old is brought to the Emergency Department by his parents. They describe him having a seizure that lasted "a few minutes". They des
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Tetanus Prone Wounds: Assessment
A 60 year old farmer presents to ED following an incident where he sustained a dog bite to his face from his working sheepdog. He has a 2 cm
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Acute Dystonic Reaction: Causes
A 19 year old woman presents to the Emergency Department with an acute dystonic reaction secondary to one of her medications. Which drug is
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Myasthenia Gravis: Investigations
A 45 year old woman presents to the Emergency Department with a history of diplopia and ptosis that progresses through the day. You suspect
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Cerebral Venous Sinus Thrombosis: Clinical Features
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department (ED). You are discussing
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Status Epilepticus: Management
A 25 year old homeless woman is brought to the Emergency Department by paramedics, she is unconscious and having a seizure. The paramedics e
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Encephalitis: Causes
A 50 year old woman present to the Emergency Department complaining of a generalised headache over the last 24 hours which is getting worse,
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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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Myasthenia Gravis: Myasthenic Crisis
A 35 year old woman is brought to the Emergency Department with worsening difficulty in breathing. She has a past medical history of myasthe
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Stroke: ROSIER Score
A 67 year old man presents to the Emergency Department with a sudden onset of left sided weakness following a seizure. You discuss the case
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Paediatric Meningococcal Disease: Diagnosis
A 16 year old boy is brought to ED with a non-blanching petechial skin rash that appeared on his lower limbs. He is complaining of lethargy,
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Status Epilepticus: Management
A 21 year old woman with known epilepsy has a seizure in the waiting room. The seizure has been ongoing now for 5 minutes. You proceed to gi
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Stroke: Diagnosis
A 75 year old lady is brought into the Emergency Department with an acute onset weakness of her left side which began about 2 hours previous
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Multiple Sclerosis: Diagnosis
A 25 year old woman presents to the Emergency Department with a 4 day history of tremor in the left hand and difficulty walking. She has no
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Paediatric Status Epilepticus: Management
A 6 year old boy, with known epilepsy, is carried into the Emergency Department by his parents having a convulsive seizure. The parents tell
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Tetanus Prone Wounds: Assessment
A nurse practitioner working in minors is concerned about a patient's wound and asks for your advice. Which of the following is NOT consider
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Guillain-Barre Syndrome: Diagnosis
An 18 year old man presents to ED complaining of sudden onset bilateral lower limb weakness and tingling. He has a history of a recent sore
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Paediatric Meningococcal Disease: Causes
A 16 year old boy presents to the Emergency Department complaining of a headache with neck stiffness and photophobia. On examination you not
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Subarachnoid Haemorrhage: Management
A 31 year old woman presents to the Emergency Department with a 1 hour history of sudden onset severe, diffuse headache and vomiting. She ha
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Tetanus Prone Wounds: Management
An 85 year old veteran presents to the Emergency Department with a puncture wound on his leg sustained on a rusty nail whilst out walking hi
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Paediatric Status Epilepticus: Management
You are called to the waiting room to see an 8 year old girl with known epilepsy who has started having a generalised tonic clonic seizure
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Epilepsy: First Seizure
A 23 year old woman presents to the Emergency Department after collapsing at work. Her colleagues describe 3 minutes of twitching followed b
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Guillain-Barre Syndrome: Management
A 29 year old woman presents to the Emergency Department with a 3 day history of worsening lower limb weakness that is affecting her ability
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Cerebral Venous Sinus Thrombosis: Diagnosis
A 30 year old woman presents to the Emergency Department complaining of a 2 day history of worsening headache and double vision. She has no
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Headache: Tension-Type Headache
A 23 year old student presents to the Emergency Department with a 2 day history of frontal headache. She describes the pain as a tightness
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Stroke: Management
A 65 year old man presents to the Emergency Department with a 3 hour history of right sided weakness and dysphasia. You are considering if h
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Myasthenia Gravis: Diagnosis
A 53 year old woman presents to the Emergency Department with repeated attacks of double vision over the last week. She describes the diplop
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Paediatric Meningococcal Disease: Investigations
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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Status Epilepticus: Management
A 23 year old woman presents to the Emergency Department complaining of headache and fever. A urinary pregnancy test is negative. Whilst in
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Parkinson's Disease: Clinical Features
A 69 year old man presents to the Emergency Department following a fall. He has a past medical history of Parkinson's disease. Which of the
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Headache: Migraine
A 23 year old woman presents to the Emergency Department with a 4 hour history of a unilateral, severe headache. She tells you she could see
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Status Epilepticus: Management
A 45 year old man is witnessed to have a tonic-clonic seizure lasting more than 5 minutes in the Emergency Department. He is known to have e
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Subarachnoid Haemorrhage: Investigations
A 54 year old woman presents to the Emergency Department with a 8 hour history of headache. She gives a history of a sudden onset of occipit
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Multiple Sclerosis: Diagnosis
A 26 year old woman presents to the Emergency Department complaining of back pain, trouble walking and difficulty emptying her bladder. She
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Headache: Cluster Headache
A 32 year old man presents to the Emergency Department complaining of a severe headache. Which of the following is most consistent with a di
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Stroke: Vascular Territories
A 65 year old woman presents to the Emergency Department with a sudden onset of left sided weakness. She has a past medical history of type
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Headache: Trigeminal Neuralgia
A 45 year old woman presents with 2 day history of facial pain. Which of the following features is most consistent with a diagnosis of trige
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Headache: Tension-Type Headache
A 45 year old man presents to the Emergency Department complaining of a headache. Which of the following is most consistent with a diagnosis
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Stroke: Complications
A 69 year old man presents to the Emergency Department (ED) complaining of headache and vomiting. On examination you find he is aphasic with
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Subarachnoid Haemorrhage: Management
A 54 year old man presents to the Emergency Department with a 2 hour history of a sudden onset headache. A CT head has been performed which
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Guillain-Barre Syndrome: Causes
A 42 year old man presents to the Emergency Department complaining of a 3 day history of progressive muscle weakness and paraesthesia which
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Parkinson's Disease: Pathophysiology
A 65 year old man presents to the Emergency Department following a fall. On examination you note he has a resting tremor, rigidity, bradykin
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Epilepsy: First Seizure
A 19 year old woman is brought to the Emergency Department following a seizure. What is the most common metabolic cause of seizure activity?
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Paediatric Meningococcal Disease: Management
A 14 year old boy presents to the Emergency Department having been unwell with a 8 hour history of fever, drowsiness and a rapidly spreading
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Subarachnoid Haemorrhage: Diagnosis
A 45 year old woman presents to the Emergency Department complaining of headache. A CT head is performed. What is the single most likely dia
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Acute Dystonic Reaction: Management
A 24 year old woman, with known schizophrenia, presents to the Emergency Department complaining that she is unable to move her neck, and it
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Headache: Cluster Headache
A 30 year old man presents to the Emergency Department complaining of a 30 minute history of a severe headache. He is complaining of a sharp
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Epilepsy: First Seizure
A 17 year old girl presents to the Emergency Department following a collapse episode at school where her friends describe her falling to the
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