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Date Completed: 05/04/2023
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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Spontaneous Pneumothorax: Management
A 64 year old man presents to the Emergency Department with a 2 hour history of pleuritic chest pain and shortness of breath. He has a past
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Gout: Management
A 62 year old man presents to the Emergency Department with an acutely painful right great toe. He denies trauma and is otherwise well. He h
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 34 year old man presents to the Emergency Department after developing palpitations during a 5km race. On examination his heart rate is 185
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Pre-Eclampsia: Clinical Features
A 34 year old woman who is 32 weeks pregnant presents to the Emergency Department concerned she may have pre-eclampsia. She has no significa
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Acute Prostatitis: Diagnosis
A 42 year old man presents to ED complaining of dysuria and urgency associated with fever for the past 3 weeks. He has no past medical histo
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Elbow and Arm Injuries: Supracondylar Fracture
A 4 year old child is brought to the Emergency Department after complaining of pain in the right elbow following a fall from a swing. An x-r
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Antepartum Haemorrhage: Clinical Features
A 17 year old girl presents to the Emergency Department with a 1 hour history of vaginal bleeding. She tells you she is 28 weeks pregnant. Y
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Hyperkalaemia: Management
A 37 year old woman presents to the Emergency Department complaining of confusion and lethargy. She is found to be hyperkalaemic with a seru
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Abdominal Aortic Aneurysm: Diagnosis
A 72 year old man presents to the Emergency Department with left loin pain radiating to the groin. He gives a 2 day history of the pain grad
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Decompression Illness: Management
A 34 year old woman is brought to the Emergency Department by the local coastguard helicopter. She started complaining of chest pain and sho
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Epistaxis: Management
A 54 year old woman with a history of hypertension presents to the Emergency Department. She gives a 6 hour history of epistaxis that she ha
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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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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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Sickle Cell Disease: Complications
A 24 year old woman presents to the Emergency Department with a one week history of fatigue. She has a past medical history of sickle cell d
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Sepsis: Neutropenic Sepsis
A 51 year old female patient, with known breast cancer, presents to ED unwell with pyrexia and rigors. She is currently receiving a course o
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Conjunctivitis: Management
A 32 year old woman presents to the Emergency Department with a 3 day history of right eye redness associated with a purulent discharge. You
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Tricyclic Antidepressant Toxicity: Management
A 64 year old man is brought to the Emergency Department by his husband. He found him at home surrounded by empty amitriptyline packets and
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Benign Paroxysmal Positional Vertigo: Clinical Features
A 76 year old woman presents to the Emergency Department complaining of vertigo. Which of the following findings is most suggestive of benig
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Pre-Eclampsia: Risk Factors
A 23 year old woman presents to the Emergency Department complaining of headache and blurred vision. She is 31 weeks pregnant. You suspect s
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Inguinal Hernia: Risk Factors
A 57 year old man presents to the Emergency Department with a 2 day history of pain and swelling in the left groin. On examination you note
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Local Anaesthetic Toxicity: Management
A 45 year old chef presents to the Emergency Department with a laceration to his left hand. You plan to close the wound with sutures and ins
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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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Hand Injuries: Extensor Tendon Injury
A 34 year old patient presents to the Emergency Department having sustained an injury to her right hand whilst playing cricket. She is unabl
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Anterior Uveitis: Clinical Findings
A 34 year old man presents to the Emergency Department complaining of a painful red eye. What finding can be seen?
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Peritonsillar Abscess: Microbiology
A 23 year old man presents to the Emergency Department with a 3 day history of sore throat. On examination you note peritonsillar swelling w
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Adrenal Disorders: Addison's Disease
A 45 year old woman presents to the Emergency Department with abdominal pain. She is hypotensive and hypoglycaemic. She has a past medical h
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Priapism: Management
A 21 year old man presents to ED with a sustained erection ongoing now for about 4 hours. He is in significant pain. He explains that he has
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Diabetes Mellitus: Clinical Features
A 15 year old boy presents to the Emergency Department with a history of polydipsia and weight loss. You suspect diabetes mellitus. Which of
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Hand Injuries: Extensor Tendon Injury
A 26 year old woman presents to the Emergency Department having sustained a deep laceration to the dorsum of her ring finger whilst cooking.
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Procedural Sedation: Drugs
You are preparing to perform procedural sedation on a patient who requires a reduction of an anterior shoulder dislocation. Which of the fol
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Retropharyngeal Abscess: Diagnosis
A 3 year child is brought to the Emergency Department by her concerned parents. They describe 2 days of fever, neck pain and poor oral intak
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Corneal Foreign Body: Complications
A 47 year old factory worker presents to the Emergency Department with a 2 hour history of eye pain. He was grinding metal when he felt a su
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Hyperkalaemia: Diagnosis
A 56 year old man is brought to the Emergency Department after collapsing at home. On arrival in the Emergency Department an ECG is performe
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Cardiac Arrest in Pregnancy: Management
You are called urgently to the waiting room by a receptionist. A 23 year old woman who presented with chest pain has collapsed. She is 32 we
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Paediatric Fever: Assessment
A 29 day old baby girl with a fever is brought to the Emergency Department by her mother. She tells you that the baby has not fed for 12 hou
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Drug-Related Hyperthermia: Malignant Hyperthermia
During your anaesthetic rotation you are asked to give a teaching session to a group of medical students. The subject of the session is "Mal
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Paediatric Cardiorespiratory Arrest: Management
A 6 year old child is brought to the Emergency Department by her concerned parents. She has been febrile for several days and not eating or
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Leg Injuries: Fibular Fracture
A 27 year old man presents to the Emergency Department complaining of leg pain following a particularly violent tackle during a football gam
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Arterial Blood Gas Sampling
A 76 year old man presents to ED complaining of chest pain. Whilst seeing the triage nurse, the patient collapses and CPR is started. The te
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Cardiorespiratory Arrest: Management
A 61 year old man is brought to the Emergency Department by paramedics. His wife explains he complained of a "sharp pain in his chest when h
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Salter-Harris Classification: Diagnosis
A 13 year old boy is brought to ED by his parents with ankle pain after falling awkwardly on his ankle while skateboarding. He is unable to
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Hypercalcaemia: Causes
You have been asked to give a teaching session to a group of medical students. The topic of the session is "Hypercalcaemia". Which of the fo
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Emergency Tracheostomy Problem: Management
A 54 year old man is brought to the Emergency Department with an acute onset of respiratory distress. His family tell you he spent 3 months
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Upper Gastrointestinal Bleed: Management
A 51 year old man with a history of hepatitis C cirrhosis is brought into ED with massive haematemesis. Which of the following has been show
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Henoch-Schonlein Purpura: Investigations
A 6 year old boy is brought to the Emergency Department by his father. He has developed a non-blanching purpuric rash over his lower limbs a
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Heart Block and Conduction Abnormalities: Diagnosis
A 34 year old man presents to ED with palpitations and dizziness. ECG shows a broad-complex tachycardia. Which of the following features is
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Hyperkalaemia: Management
A 37 year old woman presents to the Emergency Department complaining of confusion and lethargy. She is found to be hyperkalaemic with a seru
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Spinal Injury: Spinal Cord Lesion
A 24 year old builder is brought into the Emergency Department following an accident at work in which a tool has fallen on his head causing
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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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Molar Pregnancy: Risk Factors
You have been asked to give a teaching session to a group of junior colleagues. The title of the session is "Early Pregnancy Complications i
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Hyperthyroidism: Diagnosis
A 47 year old woman presents to the Emergency Department complaining of palpitations and heat intolerance. She has no past medical history.
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Giant Cell Arteritis: Investigations
A 76 year old woman presents to the Emergency Department with a 2 day history of left sided headache. She describes pain in the temporal reg
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Hyperosmolar Hyperglycaemic State: Management
A 78 year old man is brought into the Emergency Department by his carers. They describe 2 days of increased thirst and urination, alongside
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Inflammatory Bowel Disease: Diagnosis
A 37 year old woman presents to the Emergency Department with a one week history of worsening diarrhoea. She is currently being investigated
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Paracetamol Pharmacology
A 23 year old woman presents to the Emergency Department complaining of a frontal headache. The triage nurse administers paracetamol. Regard
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Paediatric Fever: Assessment
A 3 year old boy is brought to the Emergency Department by his parents. They tell you he has had a fever for 3 days, associated with letharg
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Thoracic Trauma: Tension Pneumothorax
A 36 year old man presents to the Emergency Department after being assaulted in a nearby park. He tells the triage nurse he was kicked in th
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Salicylate Toxicity: Management
A 15 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fift
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Acute Respiratory Distress Syndrome: Diagnosis
You are working in the adult intensive care unit as part of your training rotation. You have been asked to give a teaching session to a grou
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Lumbar Puncture
A 42 year old man presents to ED complaining of a headache and a fever. A lumbar puncture is performed and the results show: WCC 460 ce
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Testicular Torsion: Diagnosis
A 16 year old boy presents to ED complaining of pain and swelling in his left testicle. The pain started suddenly about 3 hours ago. On exam
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Osteoarthritis: Diagnosis
A 60 year old man attends the Emergency Department with a painful left knee which has been increasing in severity over the past week. He tel
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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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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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Chlamydia: Managament
A 21 year old man presents to the Emergency Department after being contacted by a recent sexual contact to inform him they have tested posit
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Foreign Body Ingestion: Management
A 2 year old child is brought into ED by his parents who tell you they think he may have ingested some small toy magnet balls 2 days ago. Th
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Spinal Injury: Spinal Cord Lesion
A 85 year old woman is brought to the Emergency Department complaining of neck pain following a fall. She has a history of chronic neck pain
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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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Lumbar Puncture
A 49 year old woman presents to ED complaining of a sudden onset posterior headache and photophobia. Initial CT head was reported as normal.
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Arterial Blood Gas Analysis
A 65 year old is brought into the Emergency Department after being found unresponsive on a park bench. An arterial blood gas is performed an
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Gout: Diagnosis
A 53 year old man presents to the Emergency Department complaining of pain and swelling in his knee. He is able to weight bear but is uncomf
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Bronchiolitis: Diagnosis
You are asked to assess a 4 month old boy brought to the Emergency Department by his parents. They describe several days of nasal congestion
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Cardiorespiratory Arrest: Management
A 32 year old man is brought into the Emergency Department after complaining of chest pain whilst in the gym. Whilst you are assessing him h
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Atrial Fibrillation: Management
A 67 year old woman presents to the Emergency Department with a 12 hour history of palpitations. She denies chest pain, shortness of breath
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Angioedema: Management
A 74 year old woman presents to the Emergency Department with a 2 hour history of lip and tongue swelling. She tells you this started after
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Acute Asthma: Management
You are observing a medical student assess a 23 year old man who presents to the Emergency Department with a 2 hour history of shortness of
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Hand Injuries: Paronychia
A 30 year old woman presents to the Emergency Department complaining of a red, painful middle finger. What is the diagnosis?
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Resuscitation of the Newborn: Management
A 28 year old woman, at 39 weeks gestation, delivers her baby in Resus in the ED. The baby is not crying. You take the baby, dry her and wra
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Thoracic Trauma: Massive Haemothorax
A 45 year old man is brought to the Emergency Department after falling approximately 10 metres from a roof on a building site. His colleague
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Pertussis: Investigations
An 8 year old child is brought into the Emergency Department with a 1 week history of a violent paroxysmal cough. A classmate has recently b
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Angioedema: Pathophysiology
A 54 year old woman presents to the Emergency Department with a 1 hour history of lip and tongue swelling and a urticarial rash after eating
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Acute Pancreatitis: Causes
A 45 year old man presents to the Emergency Department with severe epigastric pain and vomiting. His serum amylase is raised and you suspect
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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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Chronic Obstructive Pulmonary Disease: Pathophysiology
A 67 year old man is brought to the Emergency Department by his wife. She describes his breathing getting progressively worse over the last
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Constipation: Management
A 76 year old man presents to the Emergency Department with a 6 day history of constipation. He recently injured his right knee and his GP h
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Opioid Pharmacology
You have been asked to give a teaching session to a group of medical students in the Emergency Department. The topic of the session is "Anal
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Pulmonary Embolism: Wells Score
A 41 year old lady, with a previous history of DVT, presents to the Emergency Department with sudden onset dizziness, right sided pleuritic
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Temporary Cardiac Pacing
A 67 year old woman is brought into the Emergency Department by her husband. She has been complaining of increasing breathlessness and chest
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Urethritis: Diagnosis
A 23 year old man presents to the Emergency Department complaining of penile irritation, dysuria and urethral discharge. On questioning he t
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Foot Injuries: Ottawa Rules
A triage nurse approaches you and asks for advice regarding a patient she is assessing. The patient is complaining of foot pain following a
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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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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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Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: Erythema Multiforme
A 25 year old man presents to the Emergency Department with a rash. He describes the rash starting on the backs of his hands and spreading u
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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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Resuscitation in Special Circumstances: Hyperkalaemia
A 37 year old man presents to the Emergency Department feeling lethargic after vomiting for 4 days. He has chronic kidney disease (CKD) seco
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Vertigo: Diagnosis
A 56 year old woman presents to the Emergency Department complaining of vertigo. Which of the following clinical features is suggestive of a
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Scaphoid Fracture: Anatomy
A 32 year old pianist presents to the Emergency Department complaining of pain in the right wrist following a fall. An x-ray is performed, w
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Upper Limb Nerve Injuries: Radial Nerve
A 19 year old student fell asleep after a night of drinking with his arm hanging over the back of a chair. He presents to the Emergency Depa
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Hyperemesis Gravidarum: Investigations
A 23 year old woman, who is 11 weeks pregnant, presents to the Emergency Department with persistent and severe nausea and vomiting. This is
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Paediatric Gastroenteritis: Diagnosis
A 3 year old girl is brought to the Emergency Department by her concerned parents. They tell you she has been vomiting for the past 24 hours
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Cranial Nerve Palsy: Oculomotor Nerve
A 23 year old man presents to the Emergency Department complaining of visual disturbance. When a torch is shone into the right eye it elici
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Anaphylaxis: Pathophysiology
A 40 year old man is brought into the Emergency Department after collapsing following a bee sting. His pulse is 140 bpm and BP 86/35 mmHg. Y
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Eye Trauma: Retrobulbar Haemorrhage
A 15 year old boy presents to the ED after having been shot in the face with a BB gun. He has a solitary penetrating wound just inferior to
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Drug-Related Hyperthermia
You are presenting a teaching session on drug-related hyperthermia to your junior colleagues. You have a quiz round where you ask: 'Which of
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Aortic Dissection: Diagnosis
A 65 year old man, with a known history of poorly controlled hypertension, presents to ED with sudden onset ‘ripping’ chest pain that ra
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Clostridium Difficile Infection: Investigations
A 74 year old lady is brought to the Emergency Department from her nursing home. The carers complain of profuse offensive-smelling diarrhoea
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Sepsis: Neutropenic Sepsis
A 65 year old patient currently undergoing chemotherapy for breast cancer presents to ED with fever. She last received chemotherapy 10 days
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Leg Injuries: Achilles Tendon Injury
A 31 year old man presents to the Emergency Department complaining of a severe pain in the lower right calf. He tells you the pain started s
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Jaundice: Diagnosis
A 28 year old woman presents to ED complaining of fatigue, nausea and right upper quadrant (RUQ) abdominal pain. She has no previous medical
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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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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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Bite Wounds: Infection
A 64 year old woman present to the Emergency Department complaining of fever and malaise. She has no past medical history. One week ago she
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Epiglottitis: Diagnosis
A 3 year old girl is brought to the Emergency Department by her worried parents. She has had a fever for 2 days and has been increasingly st
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Paediatric Choking: Management
Whilst in a restaurant you become aware of a commotion at a neighbouring table. You find a mum who tells you her 5 year old son is choking o
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Testicular Torsion: Diagnosis
A 19 year old man presents to the Emergency Department with a 2 hour history of atraumatic left testicular pain. He describes a sudden onset
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Spinal Injury: Assessment
A 32 year old man presents to the Emergency Department following a low speed rear end collision in a car park. He was mobile at the scene bu
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Paediatric Gastroenteritis: Investigations
A 3 year old boy is brought to the Emergency Department by his father. He describes 4 days of vomiting and 3 days of diarrhoea. He has no si
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Acute Otitis Media: Management
A 34 year old woman with a history of insulin dependant diabetes presents to the Emergency Department with a 2 day history of left "earache"
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Acute Asthma: Management
A 23 year old woman self presents to the Emergency Department complaining of an exacerbation of her asthma symptoms, she has used her salbut
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Adrenal Disorders: Addison's Disease
A 46 year old woman is brought to the Emergency Department after collapsing at home. She is complaining of dizzy spells whenever she stands
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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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Digoxin Toxicity: Management
A 75 year old man is brought to the Emergency Department by his family. He lives alone and has mild cognitive impairment. He has a past medi
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Wrist Injuries: Colles Fracture
A 76 year old woman presents to the Emergency Department after falling in a supermarket. She is able to give a clear history of tripping on
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Sickle Cell Disease: Aplastic Crisis
A 23 year old man presents to the Emergency Department with a 2 day history of increasing shortness of breath and fatigue. He has a past med
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Dementia: Diagnosis
A 68 year old woman is brought to the Emergency Department by her concerned son. He describes several months of mild confusion and disinhibi
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Head Injury: Raised Intracranial Pressure
A 20 year old rugby player is brought to ED with a head injury after a scrum collapsed at a rugby match. His GCS on admission is 6/15. He is
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Benign Paroxysmal Positional Vertigo: Diagnosis
A 34 year old woman presents to the Emergency Department complaining of "dizziness whenever I move". She describes episodes of vertigo lasti
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Poisoning and Overdose: Antidotes
A 71 year old man, with a history of alcohol misuse, presents to ED with abdominal pain, nausea and vomiting, and blurred vision. He is bein
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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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Wound Management
A 27 year old man presents to the Emergency Department after falling through a glass door. He has sustained multiple lacerations to both arm
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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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Miscarriage: Diagnosis
A 19 year old woman presents to the Emergency Department with a 4 hour history of cramping lower abdominal pain and spotting. She tells you
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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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Brief Resolved Unexplained Event (BRUE): Clinical Features
The parents of a 6 month old baby girl bring her to the Emergency Department. They describe her having a 30 second episode when she stopped
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Central Venous Pressure Waveform
You are discussing the central venous pressure waveform in a teaching session for medical students. What does the x descent represent on the
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Intraosseous Access
A pre-alert call arrives for a 21 year old male patient involved in a road traffic collision with extensive blood loss. The paramedics have
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Upper Limb Nerve Injuries: Median Nerve
A 54 year old woman presents to the Emergency Department having sustained a laceration to the palm of her hand while gardening. She is unabl
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Eczema: Complications
A 20 month old boy is brought to the Emergency Department by his mother. He has a past medical history of eczema which is normally well cont
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Conjunctivitis: Diagnosis
A 23 year old woman presents to the Emergency Department with 3 day history of a red, discharging right eye. She describes a yellow discharg
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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. What dose is
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Lung Malignancy: Diagnosis
A 55 year old man presents to the Emergency Department complaining of worsening cough and drooping of his right eyelid. He tells you he has
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Meniere’s Disease: Clinical Features
A 72 year old man presents to the Emergency Department following an episode of vertigo. Which of following findings would suggest a diagnosi
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Frostbite: Management
A 34 year old man is brought to the Emergency Department after becoming lost on a mountain. He spent 3 days without shelter prior to being r
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Chickenpox: Exclusion Advice
A 6 year old girl is brought to the Emergency Department with a 2 day history of a widespread, itchy red rash. You are able to diagnose chic
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Deep Vein Thrombosis: Scoring
A 74 year old man presents to the Emergency Department with left calf pain. He had a left total hip replacement 2 weeks earlier, he otherwis
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Non-Accidental Injury
You are giving a teaching session about child maltreatment and non-accidental injury to your junior colleagues. You are discussing how to re
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Surgical Cricothyroidotomy
A 21 year old woman is brought to ED following a severe allergic reaction. Whilst in ED her lips and tongue continue to swell despite approp
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Valvular Heart Disease: Mitral Regurgitation
A 68 year old woman presents to the Emergency Department with a 2 hour history of chest pain. Whilst in the Emergency Department she becomes
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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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Community Acquired Pneumonia: Risk Stratification
A 65 year old patient presents with suspected community acquired pneumonia. You are assessing her CURB65 score. Which of the following is NO
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Ectopic Pregnancy: Sites
A 21 year old female presents to the Emergency Department complaining of acute severe pelvic pain. She reports she has not had a period for
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Anticoagulants: Warfarin Reversal
A 54 year old man is brought to the Emergency Department by his workmates. He was cutting wood in a factory when his hand slipped and he sus
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Paracetamol Toxicity: Management
A 21 year old man presents to the Emergency Department after having taken an intentional overdose of paracetamol 6 hours ago. He tells you h
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Non-Steroidal Anti-Inflammatory Drug Pharmacology
A 54 year old man presents to the Emergency Department complaining of lower back pain following a day of heavy lifting. You rule out cauda e
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Ankle Injuries: Ankle Sprain
A 19 year old girl walks into the Emergency Department with a painful right ankle. She was out drinking last night, wearing high heels, and
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Organophosphate Poisoning: Management
A 21 year old migrant fruit-picker is brought to ED unwell after accidentally ingesting some liquid fertiliser while working on the farm. He
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Genital Warts: Diagnosis
A 34 year old man presents to the Emergency Department with small painless lumps at the base of his penis. What is the diagnosis?
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Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: Erythema Multiforme
A 32 year old man presents to the Emergency Department with a rash to both arms. On examination you note target lesions. What is the most li
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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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Hyperthyroidism: Clinical Features
A 47 year old woman presents to the Emergency Department complaining of palpitations. On examination you note exophthalmos. You suspect hype
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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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Elbow and Arm Injuries: Radial Head Fracture
A 43 year old woman presents to the Emergency Department after falling onto her right arm. She is complaining of pain at the elbow. An x-ray
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Focused Assessment with Sonography for Trauma (FAST)
You are being observed performing a Focused Assessment with Sonography for Trauma (FAST) on a patient who was brought to ED following a road
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Scaphoid Fracture: Management
A 29 year old rugby player presents to the Emergency Department complaining of pain in the left wrist following a fall the same day. On exam
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Cardiorespiratory Arrest: Management
A 78 year old woman is brought into the Emergency Department after complaining of chest pain. You are examining her when she becomes unrespo
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Septic Arthritis: Clinical Features
You have been asked to give a teaching session to junior colleagues on atraumatic joint pain. You are discussing septic arthritis. What is t
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Opioid Pharmacology
A 45 year old man presents to the Emergency Department with severe abdominal pain. He scores his pain 10/10 despite taking paracetamol and i
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Rheumatoid Arthritis: Diagnosis
A 47 year old woman presents to the Emergency Department complaining of several months of fatigue and joint pains. She gives a three month h
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Peri-Arrest Arrhythmias: Bradyarrhythmia
You have been asked to give a teaching session to a group of final year medical students. The topic is "Management of bradyarrhythmias in th
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Chickenpox: Complications
A 3 year old boy is brought into the Emergency Department with a 2 day history of a widespread, itchy red rash. You are able to diagnose chi
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Pericarditis: Diagnosis
A 43 year old woman presents to the Emergency Department with a 2 day history of chest pain. She describes a gradual onset of a sharp, centr
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Resuscitation in Special Circumstances: Hypothermia
A 32 year old man is brought to the Emergency Department (ED) at 04:00. It is December and the outside temperature is -4°C. He was found
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Non-Invasive Ventilation
A 65 year old woman with known COPD presents to ED with worsening breathlessness and wheeze. Her observations on admission are: BP 135/87, H
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Acute Urinary Retention: Management
A 59 year old man presents to the Emergency Department complaining of suprapubic pain. He last passed urine 12 hours ago. Which of the follo
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Optic Neuritis: Clinical Features
A 42 year old woman presents to the Emergency Department complaining of increasing visual loss in her left eye over the last 5 days. She des
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Erythroderma: Diagnosis
A 64 year old man, known to have psoriasis, presents to the Emergency Department with a flare up. Over 90% of the skin on his body is intens
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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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Pyloric Stenosis: Management
A 4 week old boy is brought in by his parents with persistent intermittent vomiting. The vomiting is non-bilious, projectile and normally oc
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Hepatitis A: Clinical Features
A 68 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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