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Date Completed: 15/03/2023
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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Large Joint Aspiration
A 41 year old man presents to ED with a red hot painful right knee. Joint aspiration is performed and the results are: Colour: cloudy y
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Spontaneous Pneumothorax: Risk Factors
You have been asked to a give a teaching session to a group of medical students attached to the Emergency Department. You are discussing pne
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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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Cardiac Arrest in Pregnancy: Management
A 23 year old woman is brought to the Emergency Department after collapsing at home. She is 30 weeks pregnant with her second pregnancy. Whi
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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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Hip and Thigh Injuries: Femoral Neck Fracture
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
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Ectopic Pregnancy: Risk Factors
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
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Gallstone Disease: Acute Cholecystitis
A 52 year old woman complains of 12 hours of right upper quadrant pain. She describes a sudden onset of pain the previous evening that has p
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Hyponatraemia: Complications
A 45 year old woman is brought to the Emergency Department after collapsing at work. She is now alert. Her blood results shows a significant
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Dementia: Diagnosis
A 79 year old man is brought to the Emergency Department by his daughter. She is concerned about his cognition and memory, she brought him t
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Acute Angle Closure Glaucoma: Diagnosis
A 76 year old woman presents with a 12 hour history of right eye pain and redness associated with a headache and vomiting. What is the most
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Salter-Harris Classification: Diagnosis
A 13 year old boy is brought to the Emergency Department by his father after developing left ankle pain following a tackle in a football mat
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Le Fort Fracture: Classification
A 72 year old man is brought to the Emergency Department after falling down on the local high street. Paramedics tell you his face hit a sol
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Upper Limb Pain and Swelling: Carpal Tunnel Syndrome
A 56 year old woman presents to the Emergency Department with pain and weakness in her right hand. You are considering the diagnosis of carp
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Cardiomyopathy: Diagnosis
A 19 year old man presents to the Emergency Department after collapsing whilst running. He tells you this is the second time he has "blacked
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Cushing’s Syndrome: Diagnosis
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
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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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Nasal Fracture: CCSF Rhinorrhoea
A 23 year old man presents to the Emergency Department after an alleged assault. He was hit in the face with a cricket bat. He has a clearly
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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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Hypothyroidism: Causes
A 64 year old woman presents to the Emergency Department with weakness and bilateral leg swelling. On examination she has slow-relaxing elbo
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Orbital Blowout Fracture: Clinical Features
A 31 year old man presents to ED with significant facial injury following an alleged assault. Imaging shows a right sided orbital blowout fr
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Eye Trauma: Chemical Eye Injury
A 33 year old mechanic presents to the Emergency Department after splashing a chemical cleaning solution into his right eye. You record an i
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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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Gastroenteritis: Microbiology
A 34 year old man presents to the Emergency Department with a 3 day history of bloody diarrhoea. You suspect he has gastroenteritis. Which o
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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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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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Acute Coronary Syndrome: Diagnosis
A 45 year old woman presents to the Emergency Department complaining of chest pain. Which of the following ECG findings is most suggestive o
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of palpitations that started 2 hours ago. An ECG sho
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Retinal Artery Occlusion: Diagnosis
A 72 year old woman presents with sudden painless loss of vision in her right eye. Your fundoscopy findings are shown. What is the diagnosis
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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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Epistaxis: Anatomy
A 63 year old man presents with a 3 hour history of epistaxis. On examination you note a bleeding point in Little's area. Which of the follo
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Paracetamol Toxicity: Management
Two 25 year old men present to the Emergency Department after both taking thirty 500 mg paracetamol tablets as a suicide pact. The tablets w
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Spontaneous Pneumothorax: Management
A 34 year old man presents to the Emergency Department complaining of a 4 hour history of chest pain and shortness of breath. He describes a
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Immune Thrombocytopenia: Clinical Features
A 4 year old is brought to the Emergency Department by his father concerned about extensive, spontaneous bruising. On examination you note b
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Sepsis: Definition
A 67 year old man presents to the Emergency Department with a 3 day history of dysuria and frequency. He has a past medical history of type
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Resuscitation of the Newborn: Management
You have been asked to give a teaching session to a group of medical students and you are discussing neonatal resuscitation. Most neonatal d
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Pleural Effusion: Diagnosis
A 73 year old woman presents to the Emergency Department complaining of breathlessness and pleuritic chest pain. She has no past medical his
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Necrotising Fasciitis: Diagnosis
A 54 year old farmer presents to the Emergency Department with a 3 day history of redness and pain over his left lower leg. This has been pr
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Infective Keratitis: Microbiology
A 43 year old woman presents to the Emergency Department with right eye pain and excessive lacrimation. On fluorescein staining you note a c
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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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Digital Nerve Block
A 29 year old farmer presents with a crush injury to his left index finger. In order to fully assess the wound, you are planning to perform
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Emergency Tracheostomy Problem: Management
A 75 year old man presents to the Emergency Department with acute shortness of breath. He has a past history of an extensive traumatic brain
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Anaphylaxis: Diagnosis
You respond to a emergency alarm in Majors. A patient waiting for a bed on the ward is experiencing lip and tongue swelling with difficulty
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Abdominal Aortic Aneurysm: Diagnosis
A 76 year old man with a history of hypertension and atrial fibrillation presents to the Emergency Department with left sided abdominal pain
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Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: Diagnosis
A 19 year old woman is brought the Emergency Department with a painful burning rash. She has recently completed a course of antibiotics for
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Rhabdomyolysis: Diagnosis
A 54 year old man is brought to the Emergency Department by paramedics after being found unresponsive on his kitchen floor by a neighbour. T
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Pleural Effusion: Diagnosis
A 65 year old lifelong smoker presents to the Emergency Department with a 3 week history of progressive breathlessness on exertion. What is
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Retinal Vein Occlusion: Clinical Features
A 59 year old woman is sent to the Emergency Department by her GP with a suspected retinal vein occlusion. Which of the following fundoscopy
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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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Cellulitis: Diagnosis
A 54 year old man presents to ED complaining of a painful facial rash. He has no past medical history. His observations are: BP 140/95, HR 9
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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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Cardiorespiratory Arrest: Management
A 68 year old man is brought into the Emergency Department after collapsing at home. The paramedics are performing CPR and report the patien
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Osteoarthritis: Clinical Features
A 60 year old man attends the Emergency Department with a painful left knee. He denies any trauma. He tells you it is painful to walk on and
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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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Opioid Toxicity: Clinical Features
A 15 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken multiple morphine
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Carbon Monoxide Poisoning: Diagnosis
A 47 year old man has been brought into the Emergency Department by ambulance after being found slumped in a car inside a locked garage foll
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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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Appendicitis: Diagnosis
A 23 year old man presents to the Emergency Department with a 3 day history of abdominal pain. He describes a gradual onset of pain near the
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Croup: Management
A 1 year old girl is brought to the Emergency Department by her mum in the middle of the night. They tell you she awoke with a "barking coug
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Knee Injuries: Investigations
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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Decompression Illness: Management
A 34 year old woman is brought to the Emergency Department by the local coastguard helicopter after developing a right sided weakness and co
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Back Pain: Inflammatory Conditions
A 57 year old man presents to the Emergency Department with a 4 day history of back pain. He cannot recall any trauma. Whilst assessing the
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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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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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Mental Capacity Act: Principles
You have been asked to assess the capacity of a 23 year old woman who is refusing treatment for a paracetamol overdose. Which of the followi
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Thoracic Trauma: Tension Pneumothorax
You are giving a teaching session on the trauma primary survey to a group of medical students. You are discussing the immediate life threate
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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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Airway Assessment
You are working on your anaesthetics rotation and have been asked to perform an airway assessment on a patient due to undergo elective chole
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Head Injury: Subdural Haematoma
A 70 year old man is brought to the Emergency Department by his family with increasing confusion and drowsiness. They tell you he fell at ho
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Orbital Blowout Fracture: Complications
A 54 year old man presents to the Emergency Department after being struck in the eye by a squash ball whilst playing squash. He was not wear
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Lumbar Puncture
A patient presents to ED with a fever, headache, neck stiffness and photophobia. Meningitis is suspected and a lumbar puncture is performed.
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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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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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Gout: Diagnosis
An 81 year old man presents to the Emergency Department complaining of an acutely painful left big toe. The toe is grossly swollen, red, pai
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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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Peri-arrest Arrhythmias: Tachyarrhythmia
A 34 year old woman presents to the Emergency Department with a 1 hour history of palpitations. An ECG is performed at triage which shows a
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Chest Drain Insertion: Seldinger Technique
A 40 year old man presents to ED with sudden onset chest pain and breathlessness. X-ray shows a large left sided pneumothorax. A seldinger c
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Shingles: Diagnosis
A 55 year old man presents to the Emergency Department with a painful red rash on his face. He describes the rash appearing over the previou
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Notifiable Diseases: Management
You have been asked to give a teaching session as part of the Induction Programme for new Foundation Year 2 doctors joining the department.
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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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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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Upper Limb Nerve Injuries: Ulnar Nerve
A 32 year old woman presents to the Emergency Department following an injury to her right elbow. She is complaining of weak grip in her righ
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 40 year old man is brought to the Emergency Department by paramedics. He developed palpitations whilst at the gym. He has no significant p
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Paracetamol Toxicity: Clinical Features
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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Epididymo-Orchitis: Microbiology
A 21 year old man presents to the Emergency Department complaining of painful testicles for the last 24 hours. He is normally fit and well b
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Acute Coronary Syndrome: Risk Assessment
A patient presents to ED complaining of chest pain. You are calculating his HEART score. Which of the following is NOT included in this scor
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Anaphylaxis: Clinical Features
A 17 year old girl presents to the Emergency Department following a wasp sting. Which of the following clinical presentations is most consis
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Dental Trauma: Management
You have been asked to give a teaching session to a group of Foundation Year 2 doctors starting their Emergency Medicine rotation. The topic
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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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Hip and Thigh Injuries: Femoral Neck Fracture
An 81 year old woman is brought to the Emergency Department by paramedics after falling whilst cleaning. She is independent with no signific
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Temporomandibular Joint Dislocation: Risk Factors
A 19 year old man presents to the Emergency Department with a history of "jaw pain" and trismus after yawning. You suspect an anterior tempo
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Acute Sore Throat: Scoring System
A 17 year old man presents to the Emergency Department with a 1 day history of sore throat and non-productive cough. On examination you note
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Orbital Blowout Fracture: Complications
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
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Shingles: Complications
A 56 year old woman presents to the Emergency Department with a 1 day history of a painful rash on her torso. She has a past medical history
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Spontaneous Pneumothorax: Clinical Features
A 23 year old man presents to the Emergency Department following an episode of pleuritic chest pain. He has Marfan's syndrome and you consid
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Cyanide Poisoning: Diagnosis
A 23 year old woman is brought to the Emergency Department by paramedics. She had been in a house fire and was removed from the property by
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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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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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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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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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Tricyclic Antidepressant Toxicity: Clinical Features
A 45 year old woman is brought to the Emergency Department after taking fifty amitriptyline tablets as part of an attempted suicide. What is
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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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Septic Arthritis: Microbiology
A 65 year old man presents to the Emergency Department with a fever and a red, hot, swollen, painful knee. You suspect septic arthritis. Wha
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Pyloric Stenosis: Diagnosis
An 8 week old baby is brought to ED by his parents with complaints of recurrent vomiting. They tell you he seems constantly hungry and vomit
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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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Community Acquired Pneumonia: Microbiology
A 74 year old man presents to the Emergency Department with a 6 day history of productive cough and fever. He describes the cough as produci
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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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Local Anaesthetic Pharmacology
A 72 year old woman is brought to the Emergency Department after slipping on ice. She is complaining of pain in the left hip. On examination
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Needle Pericardiocentesis
Multiple casualties have been brought to your ED following a high speed multi-vehicle collision on a nearby motorway. You are caring for a p
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Hearing Loss: Diagnosis
A 74 year old presents to the Emergency Department complaining of hearing loss. You perform otoscopy. What area of the tympanic membrane is
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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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Lower Gastrointestinal Bleed: Causes
A 70 year old man presents to the Emergency Department with a 2 day history of per rectum bleeding. What is the most common cause of signifi
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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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Anticoagulants: Heparin Pharmacology
A 45 year old man presents to the Emergency Department with a 2 day history of left lower leg and foot pain. He tells you the pain started s
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Cardiac Failure: Management
A 65 year old man presents to the Emergency Department with worsening shortness of breath. He has a past medical history of ST-elevation myo
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Head Injury: Basal Skull Fracture
A 23 year old man is brought to the Emergency Department after being punched during an altercation outside of a nightclub. He has fallen and
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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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Acute Kidney Injury: Diagnosis
A 54 year old man presents to the Emergency Department with a 5 day history of productive cough. He has no significant past medical history.
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Ankle Injuries: Ankle Fracture
A 29 year old man presents to the Emergency Department with a painful, swollen ankle after falling heavily whilst playing in a football matc
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Hearing Loss: Diagnosis
A 74 year old presents to the Emergency Department complaining of hearing loss. You perform otoscopy. What area of the tympanic membrane is
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Fascia Iliaca Block
A 74 year old woman presents to ED following a fall. She complains of pain in her right hip and her right leg is shortened and externally ro
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Visual Pathway: Pathophysiology
A 92 year old man presents to the Emergency Department complaining of a change in his vision. On examination you note a bitemporal hemianopi
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Ludwig's Angina: Pathophysiology
A 68 year old woman presents to the Emergency Department with a 2 day history of fever, dysphagia and mouth pain. On examination she has a t
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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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Miscarriage: Causes
A 19 year old woman presents to the Emergency Department with a 4 hour history of cramping lower abdominal pain and vaginal bleeding. She te
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Acute Coronary Syndrome: ECG Changes
A 65 year old man presents to ED complaining of central chest pain for the last 2 hours. He is sweaty and short of breath. His ECG is shown.
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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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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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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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Burns: Assessment
An 18 year old boy presents to the Emergency Department with a burn to his left hand. He was trying to light a bonfire using petrol when it
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Post-Tonsillectomy Haemorrhage: Management
A 15 year old is brought to the Emergency Department by her mother. She had a tonsillectomy 7 days ago and was recovering well until today.
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Acute Sore Throat: Scoring System
A 27 year old man presents to the Emergency Department with a 1 day history of sore throat and non-productive cough. On examination you find
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Emergency Airway Management
A 51 year old man presents to ED following a road traffic collision with significant facial trauma. On examination you note gurgling and 'se
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Periorbital and Orbital Cellulitis: Clinical Features
A 32 year old man presents to the Emergency Department with a painful, red eye. He tells you he noticed an insect bite to the face 2 days ag
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Hypothermia: Classification
A 32 year old man is brought to the Emergency Department after being pulled from a lake. He was in the water for 10 minutes. The lake temper
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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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Head Injury: Assessment
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
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Anaemia: Clinical Features
A 54 year old man presents to the Emergency Department complaining of increasing fatigue. On examination you note pallor and suspect the pat
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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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Intraosseous Access
A 3 year old girl is brought into ED by her parents with a fever and non-blanching rash. On assessment she is poorly responsive with signs o
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Community Acquired Pneumonia: Risk Stratification
A 71 year old woman presents to the Emergency Department with a 6 day history of productive cough and fever. She describes the cough as prod
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Hand Injuries: Carpometacarpal Dislocation
A 65 year old woman presents to ED complaining of pain in her hand following a fall onto an outstretched hand. What is the diagnosis?
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Deep Vein Thrombosis: Management
A 56 year old man presents to the Emergency Department with a tender, swollen right calf. He has a past medical history of deep vein thrombo
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Paediatric Burns: Management
A 6 year old girl is brought to the Emergency Department by paramedics. She was at a family party when she fell into a bonfire. You calculat
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Infective Keratitis: Management
A 35 year old woman presents to ED complaining of a severely painful burning eye with photophobia. The eye is red and watering. On examinati
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Waveform Capnography
A 25 year old male is brought into ED overnight with a GCS of 5 following a suspected mixed overdose. You perform an RSI and subsequently re
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Acute Urinary Retention: Diagnosis
A 69 year old man is brought to the Emergency Department by a member of care staff from his care home. The carer explains that over the day
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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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Mandibular Fracture: Radiology
A 54 year old presents to the Emergency Department after being kicked in the face by a horse. What x-ray view is shown?
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Diverticular Disease: Management
A 71 year old woman, with known diverticular disease, presents to the Emergency Department with a persistent left lower quadrant abdominal p
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Paediatric Cardiorespiratory Arrest: Management
You are in a supermarket when you hear shouts of "help" from the neighbouring aisle. You investigate and find a mother holding her unrespons
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Pleural Aspiration
A 19 year old tall thin male presents to ED complaining of shortness of breath. He has reduced air entry and hyperresonance on the left side
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Organophosphate Poisoning: Management
A 37 year old man is brought to the Emergency Department following exposure to an organophosphate on a farm. He is severely symptomatic, and
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Vestibular Neuritis: Clinical Features
A 34 year old woman presents to the Emergency Department complaining of 3 days of vertigo. Which of following findings would suggest vestibu
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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 10 year old son is choking
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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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Mastoiditis: Management
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
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Carbon Monoxide Poisoning: Management
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
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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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Head Injury: Assessment
A 4 year old boy is brought to the Emergency Department by his parents after falling from a climbing frame in a nearby park. They tell you h
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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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Chest Drain Insertion: Seldinger Technique
A 65 year old patient, who has smoked all his life, presents to ED complaining of a sudden pain in his right chest and shortness of breath.
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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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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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Scaphoid Fracture: Anatomy
A 23 year old professional skateboarder presents to the Emergency Department complaining of pain to the right wrist following a fall. On exa
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Intussusception: Diagnosis
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
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Dementia: Lewy Body Dementia
A 79 year old man is brought to the Emergency Department by his daughter. She is struggling to care for him at home due to episodes of cogni
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Cellulitis: Diagnosis
A 34 year old woman presents to the Emergency Department with a 12 hour history of a painful, swollen right leg. On examination you note the
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Cranial Nerve Palsy: Abducens Nerve
A 65 year old man presents with diplopia. A photo of the patient looking straight ahead is shown. Which nerve is the cause of this abnormali
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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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Self Harm and Suicide: Risk Factors
A 15 year old girl is brought to the Emergency Department by her mother. She has reported to her mother that she has been self harming for t
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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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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Management
A 57 year old man with history of small cell lung cancer is brought to the Emergency Department with weakness, nausea and vomiting. He is al
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Pyelonephritis: Management
A 23 year old woman presents to the Emergency Department with a 3 day history of dysuria, flank pain and fever. Her observations are: H
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Paracetamol Toxicity: Management
A 42 year old man presents to the Emergency Department after having taken an intentional overdose of paracetamol 5 hours ago. He tells you h
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Cirrhosis: Ascites
A 45 year old man presents to the Emergency Department complaining of abdominal pain and distension. On examination you find shifting dullne
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Foreign Body in Nose: Diagnosis
A 2 year old girl is brought to the Emergency Department by her concerned parents. They describe 3 days of purulent, foul smelling discharge
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Haemorrhagic Shock: Classification
A 36 year old man is brought to the Emergency Department (ED) after falling through a plate glass window. He has a deep laceration to the le
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Selective Serotonin Reuptake Inhibitor Toxicity: Management
A 34 year old woman is brought to the Emergency Department by her husband. He found her at home surrounded by empty fluoxetine packets and a
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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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