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Sign Up Learn MoreA 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
>You are preparing to perform procedural sedation on a patient who requires a closed reduction of an ankle fracture. You have decided to use
>A 29 year old man, with a known history of ulcerative colitis, presents to the Emergency Department with worsening abdominal pain and bloati
>A 34 year old man presents to the Emergency Department with a 3 week history of left ear pain. He describes the pain as worse at night. His
>A 21 year old woman presents to the Emergency Department seeking emergency contraception. Which of the following statements regarding emerge
>A 32 year old boxer presents to the Emergency Department following a match. He sustained multiple blows to the right side of the face and yo
>A 54 year old woman presents to the Emergency Department. She works in a nearby laboratory handling radiation sources and she thinks she may
>A 65 year old man presents to the Emergency Department with a 2 day history of left leg pain and swelling. He has recently returned from a h
>A 70 year old man is brought to the Emergency Department by his concerned daughter. She tells you that he is normally fit and well but has b
>You are involved in a trauma case with multiple casualties following a major road traffic collision. You are leading cardiopulmonary resusci
>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.
>As part of your anaesthetic rotation you are working on a routine surgical list. The airway assessment has been done earlier that day by the
>A 17 year old girl presents to the Emergency Department with a 2 day history of sore throat. Which of the following is a scoring system used
>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
>A 69 year old woman presents to the Emergency Department after falling in a supermarket. She is able to give a clear history of tripping on
>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
>A 37 year old woman presents to the Emergency Department with a one week history of worsening diarrhoea. She is currently being investigated
>A 42 year old man presents to ED after sustaining a snake bite to his left foot 2 hours ago whilst out hiking in the UK. He is complaining o
>A 47 year old woman presents to the Emergency Department complaining of palpitations and heat intolerance. She has no past medical history.
>A 4 week old boy is brought in by his parents with persistent intermittent vomiting. The vomiting is non-bilious, projectile and normally oc
>A 67 year old woman presents to the Emergency Department with a three month history of fatigue, shortness of breath and "numb feet". On exam
>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
>You have been asked to give a teaching session to a group of Foundation Year 2 doctors starting their Emergency Medicine rotation. The topic
>A 23 year old man presents to Emergency Department after falling onto his outstretched hands at work. He is holding his deformed right wrist
>You have been asked to give a teaching session to a group of medical students. The topic is Bell's palsy. How do you differentiate between
>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
>A 32 year old man presents to the Emergency Department with a 12 hour history of right sided abdominal pain. A full blood count, renal funct
>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
>A 29 year old man presents to the Emergency Department with a painful, swollen left eye. He complains of visual disturbance, headache and pa
>A 21 year old man is brought to ED having been involved in a road traffic accident. He is hypotensive with muffled heart sounds and distende
>A mum brings her 5 year old child to ED after her child tells her that she swallowed some magnetic balls from a game 3 days ago. The child l
>A 10 year old girl is brought to the Emergency Department by her father. The father tells you she complained of feeling "dizzy" after being
>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.
>A 54 year old man presents to the Emergency Department seeking help for his low mood. He tells you his mood has been declining over the past
>A 43 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
>A 37 year old man is brought to the Emergency Department following exposure to an organophosphate on a farm. He is severely symptomatic, and
>A 23 year old woman is brought to the Emergency Department after starting to act strangely at a music festival. She had been using multiple
>A 2 year old girl is brought to the Emergency Department by her concerned parents. They describe 3 days of purulent, foul smelling discharge
>A 3 year old boy is brought to the Emergency Department in his mum's arms. He is floppy and unresponsive. You cannot feel a central pulse an
>A 46 year old man presents to the Emergency Department with a headache and palpitations. He describes multiple similar episodes over the las
>A 72 year old man presents to the Emergency Department complaining of a loss of vision. He describes difficulties seeing things on his right
>A 78 year old man presents to the Emergency Department complaining of abdominal pain. He describes a sudden onset of pain approximately 4 ho
>A 19 year old medical student presents to the Emergency Department with a 1 hour history of trismus and bilateral temporomandibular joint (T
>You are called to attend a 21 year old male patient in ED who the nurse suspects is choking on a snack. Initially he is talking and coughing
>You are asked to review an arterial blood gas (ABG) that has been performed by a junior colleague. The ABG shows a normal anion gap metaboli
>A 26 year old woman is brought into the Emergency Department after returning from holiday. She is short of breath and chest x-ray shows uppe
>A 75 year old man is brought to the Emergency Department by his family. He has not opened his bowels for 3 days and has started vomiting. He
>A 54 year old woman presents to the Emergency Department complaining of abdominal pain, nausea and vomiting. She is currently undergoing tre
>A 74 year old presents to the Emergency Department complaining of hearing loss. You perform otoscopy. What area of the tympanic membrane is
>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
>A 35 year old woman presents to ED complaining of severe sudden onset chest and epigastric pain. She has had severe vomiting and diarrhoea o
>Whilst leading the ED shift overnight, you are asked to speak to a paramedic who has phoned the ED for advice. He has arrived at a call wher
>A 34 year old woman presents to the Emergency Department complaining of pleuritic chest pain and shortness of breath. She has no past medica
>A 25 year old man presents to the Emergency Department complaining of worsening pain and paraesthesia in his lower leg. He was only discharg
>A 21 year old man presents with sudden onset chest pain and shortness of breath. Chest x-ray demonstrates a large left sided pneumothorax. A
>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
>A 78 year old man is brought to the Emergency Department by his wife. She describes worsening confusion. The nurse at triage feels the patie
>A 35 year old woman is brought into ED after being found unresponsive at home. Her GCS is 6 on arrival. An end-tidal nasal cannula shows the
>A 56 year old man presents to the Emergency Department with a 2 day history of a painful rash on his torso. He has no significant past medic
>A 23 year old woman is brought to the Emergency Department by paramedics after delivering a concealed pregnancy at home. She is bleeding hea
>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
>A 42 year old man presents to the Emergency Department complaining of a 3 day history of progressive muscle weakness and paraesthesia which
>A 45 year old man is brought to the Emergency Department by paramedics following a road traffic collision. A CT trauma series shows liver an
>A 26 year old woman presents to the Emergency Department having sustained a deep laceration to the dorsum of her ring finger whilst cooking.
>A 67 year old man presents to the Emergency Department with a 2 month history of increasing breathlessness associated with a 1 month history
>A 38 year old woman presents to the Emergency Department after having taken an intentional overdose of thirty 500 mg paracetamol tablets abo
>A 28 year old woman who is 32 weeks pregnant, presents to the Emergency Department with vaginal bleeding for the last few hours associated w
>A 23 year old woman is brought to the Emergency Department after starting to act strangely at a music festival. She had been using multiple
>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
>A 6 year old boy is brought to the Emergency Department after developing an itchy red rash over his torso. He has no past medical history an
>A 23 year old man presents to the Emergency Department with an episode of chest pain which has now resolved. He describes a sudden onset of
>A 36 year old man is brought to the Emergency Department by paramedics. He was found at home by his family unresponsive in bed. He has a his
>A family of 2 adults and 2 children present to the Emergency Department in the middle of the night. They had been on a camping trip and had
>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
>An 18 month old is brought to ED by her mum with crying episodes occurring over the past 12 hours. During these episodes she is crying in pa
>A 54 year old woman presents to the Emergency Department with a 3 day history of palpitations. She has a past medical history of hyperthyroi
>A 64 year old woman presents to the Emergency Department with weakness and bilateral leg swelling. On examination she has slow-relaxing elbo
>A 42 year old woman presents to the Emergency Department with a 3 hour history of left eye pain. She had been working in a dusty attic space
>A 35 year old female patient presents to ED complaining of diplopia. You assess the patient and an image is shown. What is the diagnosis?
>A 55 year old woman presents to the Emergency Department complaining of recurrent daily episodes over the past week of facial pain. The epis
>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
>A 32 year old man is brought to the Emergency Department by his concerned mother. She tells you that for the past 2 weeks he has been lockin
>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
>A 7 year child is brought to the Emergency Department after becoming increasingly unwell over the last day. He was recently diagnosed with t
>A 15 year old boy presents to the Emergency Department with a history of polydipsia and weight loss. You suspect diabetes mellitus. Which of
>An 80 year old woman presents to ED following a fall at home in which she sustained a head injury. She takes dabigatran regularly for atrial
>You are assessing a 32 year old woman who presented to the Emergency Department with a life-threatening asthma exacerbation. She is too drow
>A 32 year old man presents to the Emergency Department with a painful, red eye following a recent cold. He denies visual disturbance, headac
>A 19 year old woman presents to ED complaining of very heavy menstrual flow. She has been having heavy painful periods for the last year. Sh
>You are completing your Advanced Life Support (ALS) refresher course. You are currently discussing intraosseous access. Regarding intraosseo
>A 9 month old girl is brought to the Emergency Department by her parents. They describe 2 days of coryzal symptoms before today. She has now
>A 65 year old man, with a history of diabetes mellitus, presents to ED with complaints of a worsening cough and shortness of breath over the
>A 51 year old man presents to ED following a road traffic collision with significant facial trauma. On examination you note gurgling and 'se
>A 54 year old man presents to the Emergency Department after waking with a red right eye. He denies any pain and on examination you find his
>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
>Whilst on your ITU rotation a nurse asks for your assistance with assessing the arterial pressure waveform. You determine the trace is overd
>You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The topic for the sessio
>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
>A 45 year old man, with a known history of HIV, presents to ED complaining of a 2 week history of a worsening dry cough and breathlessness.
>A 70 year old woman presents to the Emergency Department with fatigue and loss of muscle strength. She has a past medical history of rheumat
>A 34 year old man presents to the Emergency Department with a 2 day history of scrotal swelling. He denies trauma or pain. On examination yo
>An 87 year old man is brought to the Emergency Department after falling whilst taking a walk along a beachfront. He hit his head and sustain
>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
>An 18 year old man presents to the Emergency Department after falling on some steps leaving a nightclub. How would you classify this injury?
>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
>A 46 year old man presents to the Emergency Department with recurrent episodes of epistaxis. He has a past medical history of haemophilia A.
>A 25 year old man presents to the Emergency Department with a 5 day history of right ear pain. His otoscopy findings are shown. What is the
>A 30 year old man is brought to the Emergency Department by his girlfriend. He was playing in a rugby match when he collided heads with anot
>A patient with known cardiac valve disease presents to ED with fever and shortness of breath worsening over the past 2 weeks. On examination
>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
>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
>A 79 year old man is brought to ED following a syncopal episode at home. He is complaining of new onset abdominal pain. He has a past medica
>A 45 year old woman presents to the Emergency Department with a 3 day history of palpitations. On examination you note an irregularly irregu
>You are attending an ED teaching session on sexual assault. Which of the following statements is correct regarding sexual assault injury in
>A 28 year old man is brought to the Emergency Department by his partner after self harming several days ago. He has a large wound on the rig
>A 76 year old man presents to the Emergency Department with a red eye. He describes waking up, looking in the mirror and noticing his eye wa
>You are examining a 66 year old woman who presents to the Emergency Department complaining of chest pain and shortness of breath. She is tac
>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
>A 23 year old woman presents to the Emergency Department in labour. There is no maternity service on site. She tells you she has been hiding
>A 72 year old man is brought to the Emergency Department (ED) at 02:00. It is winter and the outside temperature is -3°C. He has a histor
>A 76 year old man presents to the Emergency Department complaining of scrotal pain over the last 12 hours. He has a past medical history of
>A 34 year old woman presents to the Emergency Department concerned by a strong smelling and offensive vaginal discharge for the last 5 days.
>An 85 year old woman is brought to the Emergency Department by paramedics. She fell in a nursing home and the paramedics suspect a neck of f
>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
>You are giving a teaching session to a group of junior colleagues. The title of the session is "Bleeding Disorders in the ED". You are discu
>You are discussing procedural sedation in an Emergency Department peer to peer teaching session. Which of the following best describes the m
>A 17 year old girl presents to the Emergency Department with a 1 day history of sore throat. She denies cough, nausea or vomiting. On examin
>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
>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
>A 67 year old man is brought to the Emergency Department by his wife. She describes his breathing getting progressively worse over the last
>A 14 year old presents to the Emergency Department with fever and post-auricular swelling, erythema and tenderness. What is the most likely
>A 28 year old woman is brought to ED by ambulance with significant burn injuries following a house fire. She has full thickness burns over h
>A 32 year old man presents to the Emergency Department following a deliberate overdose of aspirin. A venous blood gas sample is collected. W
>A 54 year old man presents to the Emergency Department complaining of right eye pain after doing some home improvement. You suspect a foreig
>A 64 year old man is brought to the Emergency Department after collapsing in a seafood restaurant. His wife tells you he has had a previous
>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
>A 34 year old man is brought to ED with a stab wound through the left hand side of his back. On examination, there is weakness of the left s
>As part of your anaesthetics rotation you are working on an emergency anaesthetic list with a Consultant Anaesthetist. The current case is a
>You are participating in a simulation session for Focused Assessment with Sonography for Trauma (FAST). You are currently discussing Echocar
>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?
>A 16 year old boy is brought to the Emergency Department following a mixed overdose within the last hour. You are discussing the benefits of
>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
>You are presenting a teaching session on drug-related hyperthermia to your junior colleagues. You have a quiz round where you ask: 'Which of
>A 24 year old woman presents to the Emergency Department with a headache and increased thirst. She describes a "pins and needles" feeling in
>A 79 year old presents to the Emergency Department with a 2 hour history of epistaxis. She has a history of atrial fibrillation and hyperten
>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
>A 29 year old woman from sub-Saharan Africa presents to the Emergency Department with a 2 month history of haemoptysis. She describes signif
>A patient presents to ED with a fever, headache, neck stiffness and photophobia. Meningitis is suspected and a lumbar puncture is performed.
>A 16 year old girl self presents to the Emergency Department in active labour. She has been concealing the pregnancy from her parents. Short
>You are participating in a teaching session at the start of your anaesthetic rotation and discussing the view at direct laryngoscopy. Which
>You have been asked to give a teaching session to a group of junior colleagues, the topic of the session is "Complications of Early Pregnanc
>A 16 year old boy is brought to the Emergency Department after being found unresponsive in a local field. He has no past medical history and
>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
>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
>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
>A 67 year old man presents to the Emergency Department with left sided chest pain. Whilst being assessed he becomes unresponsive and cardiac
>A 9 month old girl is brought to the Emergency Department by her concerned mother. She describes a 1 day history of episodes of irritability
>You are examining a 79 year old man who presents to the Emergency Department with a 1 week history of productive cough and fever. He is tach
>A 75 year old man is brought to the Emergency Department by his family. He has not opened his bowels for 3 days and has started vomiting. An
>A 65 year old patient currently undergoing chemotherapy for breast cancer presents to ED with fever. She last received chemotherapy 10 days
>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
>A 35 year old woman presents to the Emergency Department complaining of abdominal pain and jaundice. She tells you these symptoms developed
>A 19 year old man is brought to the Emergency Department following an overdose of diazepam. He was seen to ingest twenty 5 mg tablets by his
>A 63 year old woman presents to the Emergency Department with a 1 day history of widespread rash and fever. She has no past medical history
>A 72 year old gentleman presents to the Emergency Department with progressively worsening shortness of breath. He also has digital clubbing,
>A 49 year old man presents to the Emergency Department with a 3 hour history of palpitations. He has a past medical history of mitral valve
>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
>A 64 year old man is brought to the Emergency Department after collapsing in a seafood restaurant. His wife tells you he has had a previous
>A 31 year old, known IV drug user, is brought to ED in cardiac arrest. The paramedics have been unable to establish intravenous access due t
>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
>A 4 year old by is brought to the Emergency Department by his parents. They have noticed widespread bruising over the legs despite minimal a
>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
>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
>A 67 year old woman presents to the Emergency Department complaining of a red and irritated left eye. The redness of the eye is reduced with
>A 74 year old lady is brought to the Emergency Department from her nursing home. The carers complain of profuse offensive-smelling diarrhoea
>A 73 year old man presents to the Emergency Department complaining of pain in the left ear. On examination you note fever and lymphadenopath
>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
>A 35 year old woman presents to the Emergency Department with a 3 hour history of increasing shortness of breath and wheeze. The patient has
>A 32 year old man is brought to the Emergency Department following a fight outside a pub. He was kicked in the abdomen multiple times. Which
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