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A 12 year old girl is brought to the Emergency Department after being found collapsed at home, it appeared she has taken multiple medication
>A 54 year old man presents to the Emergency Department with a 2 hour history of a sudden onset headache. A CT head has been performed which
>You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The topic of the session
>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
>You have been asked to give a teaching session to a group of junior colleagues. The topic of the session is "Paediatric Purpuric Rashes". W
>A 28 year old man is brought into ED following a road traffic collision in which he was knocked off his motorcycle by a van. He has intraven
>A 73 year old presents to the Emergency Department with his wife. He describes 2 hours of abdominal pain with a gradual onset. He wife tells
>A 53 year old man presents to the Emergency Department with a 1 hour history of chest pain radiating to the back. You are considering the di
>You are discussing the central venous pressure waveform in a teaching session for medical students. What does the v wave represent on the wa
>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
>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 76 year old woman presents to the Emergency Department with a 2 day history of lower back pain. The pain is worse on movement. She denies
>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 39 year old woman presents to the Emergency Department after being found collapsed on a park bench. She has evidence of recent intravenous
>A 49 year old woman presents to ED complaining of perioral numbness and paraesthesia and cramping in her hands and feet. She has recently un
>A 5 year old girl is brought to the Emergency Department by her parents with a rash. She has been off school with a sore throat and fever ov
>A 72 year old man presents to the Emergency Department complaining of a loss of vision. He describes difficulties seeing things on his right
>You are asked to perform an open thoracostomy and chest drain insertion on a trauma patient with a large pneumothorax. You are identifying t
>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
>A 35 year old woman is brought to the Emergency Department with worsening difficulty in breathing. She has a past medical history of myasthe
>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
>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 3 year old child is brought into ED by his mother with a fever and bilateral conjunctival injection. On examination you note cervical lymp
>A 34 year old woman presents to the Emergency Department with a 3 day history of dysuria and loin pain. She has no significant past medical
>A 17 year old boy presents to the Emergency Department with a 3 day history of fever and sore throat. On examination you note a whitewash ex
>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 running a skills based teaching session for medical students and focusing on difficult peripheral venous access. Which of the follow
>A 41 year old man presents to the Emergency Department with a 3 day history of sudden onset upper abdominal pain and nausea and vomiting. He
>A 35 year old female is brought into hospital following a road traffic accident. Imaging shows retroperitoneal trauma. Which of the followin
>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 12 year old child presents to the Emergency Department with severe painful facial swelling of his left face. He also complains of fever, m
>A 78 year old man presents to the Emergency Department complaining of increasing shortness of breath. He gives a history of a cough producin
>A 67 year old man presents to the Emergency Department with a 6 hour history of chest pain radiating to his back. He describes the initial p
>A 3 year old boy is brought to the Emergency Department after falling at home. His mum tells you he tripped and fell forwards and his face h
>A 50 year old homeless man presents to the Emergency Department suffering from fever, a cough and weight loss for the past three months. His
>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 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
>An 18 year old man presents to the Emergency Department after suffering a needlestick injury at work. He was cleaning the inside of a train
>A 54 year old man presents to the Emergency Department with a 24 hour history of right loin to groin pain. Urine dipstick shows microscopic
>A 72 year old man is brought to the Emergency Department after falling at home. He is complaining of pain to the left hip. What is the diagn
>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.
>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
>You have been asked to perform arterial cannulation on a patient who is being transferred to ITU. Regarding arterial cannulation, which of t
>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
>A 16 year old boy presents to the Emergency Department with a 7 day history of fever and sore throat. He tells you that for a week before th
>A 14 year old boy is brought to the Emergency Department complaining of left knee pain. He is a keen rugby player and trains three times a w
>A 65 year old woman presents to the Emergency Department after tripping whilst carrying shopping. She tells you that as she fell she did not
>An 80 year old man is brought into the Emergency Department by his concerned family. They had been sat in the garden enjoying the nice weath
>You are observing a medical student take a history and examine a 79 year old man who presented to the Emergency Department following a synco
>A 15 year old girl presents to the Emergency Department with abdominal pain. On examination you note a generalised purpuric rash, predominan
>A 32 year old metal worker presents to the Emergency Department after developing acute right eye pain whilst grinding metal. He was not wear
>A 12 year old boy is brought to the Emergency Department by his parents. They describe weight loss over the last month, associated with incr
>A 67 year old woman presents to the Emergency Department with a 12 hour history of palpitations. She denies chest pain, shortness of breath
>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
>A 75 year old woman is brought to ED following a fall at a daycare centre. She is clearly in pain and is unable to weight bear on her right
>A 23 year old professional skateboarder presents to the Emergency Department complaining of pain to the right wrist following a fall. On exa
>An 8 year old boy is brought to the Emergency Department by his parents. He has been coughing for 3 days with a decreased appetite. He is fe
>A 45 year old man presents to the Emergency Department complaining of abdominal pain and distension. On examination you find shifting dullne
>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
>A 22 year old woman presents to ED with a facial injury following an alleged assault at a local festival in which she was punched multiple t
>A 71 year old man presents to the Emergency Department with a sudden, painless, loss of vision in the left eye. On fundoscopy you note a pal
>You have been asked to come in early to assist in the anaesthetic pre-operative assessment of patients who are due to undergo elective ortho
>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 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
>A 3 day old boy is brought to the Emergency Department by his mother. She has noticed that he has become jaundiced. He is otherwise well and
>A 45 year old man presents to clinic with worsening lower back pain. The pain is worse in the morning and improves throughout the day with e
>A 30 year old woman presents to the Emergency Department complaining of a 2 day history of worsening headache and double vision. She has no
>A 31 year old man presents to ED with significant facial injury following an alleged assault. Imaging shows a right sided orbital blowout fr
>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
>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
>A 78 year old woman presents to the Emergency Department following a fall. She has a deformed, painful right wrist. Her wrist x-ray shows a
>A 35 year old man presents to ED with sudden onset shortness of breath which started as he was waiting for his remote job interview to begin
>A 78 year old man is brought into the Emergency Department by his carers. They describe 2 days of increased thirst and urination, alongside
>You are giving some bedside teaching to a medical student working in the Emergency Department. She has reviewed a patient who presented foll
>A 29 year old man presents to ED complaining of sudden onset pain and blurring in his left eye. The left eye is clearly red and watering and
>A 2 year old girl is brought to the Emergency Department by her parents following a seizure at home. She is febrile but otherwise well. You
>Whilst on your ITU rotation, you are asked to perform central venous cannulation on a patient with shock. Which of the following is an advan
>A 76 year old man presents to the Emergency Department complaining of chest pain. He is anticoagulated with warfarin for atrial fibrillation
>A 31 year old lady presents to the Emergency Department with heavy vaginal bleeding with clots. Her last menstrual period was 8 weeks ago, a
>A 16 year old boy presents to the Emergency Department complaining of a headache with neck stiffness and photophobia. On examination you not
>A 40 year old man presents to ED complaining of pain and swelling to his right leg. On examination his right leg is red, hot and tender. His
>A 53 year old man presents to the Emergency Department complaining of difficulty swallowing over the previous 3 days. He has no significant
>You are discussing the central venous pressure waveform in a teaching session for medical students. What does the y descent represent on the
>A 14 year old boy is brought to the Emergency Department with a limp. He complains of left hip and knee pain which has been increasing over
>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
>An 86 year old man presents to the Emergency Department complaining of a painful left eye and headache. He describes seeing halos around lig
>A 45 year old homeless man presents to the Emergency Department with loss of colour vision. He was diagnosed with tuberculosis 1 month ago a
>You have been asked to teach a group of medical students about airway rescue manoeuvres. You are currently discussing cricothyroidotomy. Whi
>You have been asked to teach a group medical students about the ECG changes seen in ST elevation myocardial infarctions (STEMI). Which leads
>A 7 year old boy is brought to the Emergency Department by his grandparents. They tell you he has placed a small beetle he found in the gard
>A 3 year old boy is brought to the Emergency Department by his parents with a fever of 39.5°C. His mother tells you the fever started 5 day
>A 23 year old woman self presents to the Emergency Department complaining of an exacerbation of her asthma symptoms. She has no other past m
>A 29 year old man presents to ED with a red hot painful left knee. Joint aspiration is performed and the results are: Colour: cloudy ye
>A 32 year old woman is brought into the Emergency Department after collapsing in a Thai restaurant. Her pulse is 135 bpm and BP 76/35 mmHg.
>A nurse runs into ED with an unresponsive 3 year old who has collapsed in the waiting room. You confirm that the patient is in cardiac arres
>A 65 year old man presents to ED with worsening shortness of breath over the past week. He has a past medical history of hypertension and di
>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
>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.
>A 42 year old motorcyclist is brought into ED following a road traffic collision in which he was struck by an SUV as it pulled out of a junc
>A 64 year old patient who presented with chest pain and shortness of breath collapses whilst having his chest x-ray. CPR is commenced and th
>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
>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 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
>A 65 year old patient presents with suspected community acquired pneumonia. You are assessing her CURB65 score. Which of the following is NO
>A 60 year old patient, with known COPD, presents to ED with an acute exacerbation. After initial therapy with controlled oxygen and bronchod
>A 39 year old woman presents to the Emergency Department with a 1 hour history of facial swelling associated with abdominal pain and vomitin
>A 43 year old woman presents to the Emergency Department with a history of central chest pain. After further history taking and examination
>A 34 year old man is brought to the Emergency Department by a friend. They have been scuba diving over several days with no concerns but aft
>A 79 year old man presents to the Emergency Department with an acutely ischaemic leg. You commence intravenous heparin and refer him to the
>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
>A 4 year old boy is brought to the Emergency Department with a 1 day history of rash following a sore throat. The rash initially started on
>A 17 year old is rushed to the Emergency Department by his friends who tell you he was stabbed in the chest 10 minutes ago. He is taken to t
>A 75 year old man presents to the Emergency Department complaining of left calf pain and swelling. You calculate his two level Well's Score
>A 51 year old man presents to ED following a road traffic collision with significant facial trauma. On examination you note gurgling and 'se
>You are working in the anaesthetic department as part of your training rotation. You are assisting a consultant anaesthetist with the genera
>A 19 year old man presents to ED with a dislocated shoulder after falling at a rugby match. Attempted reductions with entonox are unsuccessf
>A 45 year old man presents to ED with a painful swollen knee. Aspiration of the joint is performed and analysis of the synovial fluid demons
>A 56 year old man presents to the Emergency Department with a 2 day history of right calf pain and swelling. He underwent a left total knee
>A 21 year old is brought into ED with a stab wound. During the primary survey, your consultant diagnoses a tension pneumothorax and advises
>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
>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
>A 35 year old woman is brought to the Emergency Department by her partner. She reports taking 50 amitriptyline tablets 3 hours ago. She has
>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
>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
>A 75 year old lady is brought to the Emergency Department with acute onset weakness of her left side which began about 2 hours previously. S
>A 32 year old man is brought to the Emergency Department following a road traffic collision. He received care from a pre-hospital critical c
>A 23 year old woman presents to the Emergency Department with a 2 day history of dysuria. She reports increased frequency. On examination sh
>A concerned father brings in his 3 year old son. He tells you he found his son in his bedroom with the battery compartment cover of one of h
>A 23 year old man presents to Emergency Department after falling onto his outstretched hands at work. He is holding his deformed right wrist
>A 5 year old boy is brought to the Emergency Department by his parents. They describe 3 days of vomiting and 1 day of diarrhoea. Which of th
>A 65 year old lifelong smoker presents to the Emergency Department with a 3 week history of progressive breathlessness on exertion. What is
>A 16 year old presents to ED having been bitten by a snake while playing football in a local field in the UK. She is complaining of severe p
>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
>A 27 year old man presents to the Emergency Department after falling through a glass door. He has sustained multiple lacerations to both arm
>A 42 year old woman is admitted to the ED with a two day history of fever, malaise, and confusion. She has no past medical history, is aller
>A 4 year old girl with suspected appendicitis is brought to the Emergency Department. She requires an intravenous cannula for ongoing treatm
>You are called to attend a 34 year old female patient in ED who the nurse suspects is choking on a sandwich. She is talking in short sentenc
>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 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
>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 74 year old woman presents to the Emergency Department with a 1 hour history of lip and tongue swelling. There is no urticarial rash. She
>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
>A 54 year old woman is brought to the Emergency Department from the nearby psychiatric unit. She complained of palpitations and staff noted
>A 45 year old woman presents to the Emergency Department complaining of chest pain. Which of the following ECG findings is most suggestive o
>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
>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
>A 75 year old man presents to the Emergency Department with a 6 hour history of sudden onset severe sharp right groin pain which is progress
>A 72 year old patient presents to the Emergency Department after experiencing a funny episode lasting for about 30 minutes, where her voice
>A 73 year old woman presents to the Emergency Department complaining of breathlessness and pleuritic chest pain. She has no past medical his
>A 27 year old man is brought to the Emergency Department after being found unresponsive in a local park. Whilst examining him you note a med
>A 50 year old woman presents to the Emergency Department complaining of worsening intermittent pain and tingling in her right thumb which is
>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
>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
>You are participating in a simulation session for Focused Assessment with Sonography for Trauma (FAST). Which of the following is NOT true o
>A 37 year old man presents to the Emergency Department with severe abdominal pain. On examination you note he is peritonitic. An erect chest
>A 28 year old man presents to the Emergency Department complaining of right arm pain and swelling. He tells you he received a bite wound to
>A 38 year old man is brought into the Emergency Department after complaining of chest pain. You are examining him when he becomes unresponsi
>A 29 year old man presents to the Emergency Department complaining of fatigue and muscle cramps. He is found to be hypokalaemic. A 12-lead E
>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
>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
>A 23 year old man is brought to the Emergency Department unconscious. He was punched outside of a pub and fell to the floor, hitting his hea
>A 23 year old medical student presents to the Emergency Department complaining of headache, fever and myalgia for the previous 3 days. He ha
>A 25 year old man presents to ED with lethargy, anorexia and general weakness which have been ongoing for the past month. Blood test results
>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
>A 25 year old female is brought into the Emergency Department after being rescued from a house fire. She has deep partial thickness burns co
>An 8 year old boy, with known haemophilia A, is brought to ED with a scalp wound which is bleeding profusely. You are planning for blood tra
>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
>A 45 year old man presents to the Emergency Department with a 2 week history of fever, malaise and weight loss. On examination you note a ne
>A 32 year old asylum seeker presents to the Emergency Department with a 1 day history of fever and dysphagia. The triage nurse was concerned
>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
>A 67 year old man with small cell lung cancer is brought to the Emergency Department acutely confused and vomiting. You consider the associa
>A 21 year old woman presents to the Emergency Department complaining of right ear pain. She had been using a cotton bud to remove wax from h
>A 20 month old girl is brought into ED with a widespread rash. She has been unwell with a high fever and mild coryzal symptoms for the past
>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
>A 40 year old man is brought into ED with severe pneumonia in type I respiratory failure. A decision is quickly made for escalation to criti
>A 65 year old man, with a known history of poorly controlled hypertension, presents to ED with sudden onset ‘ripping’ chest pain that ra
>A 65 year old woman presents to the Emergency Department with a sudden onset of left sided weakness. She has a past medical history of type
>A 45 year old man presents to ED with frank haematemesis. You are undertaking risk stratification. Which of the following medical conditions
>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
>A 3 year old girl is brought to the Emergency Department by her parents. They give a 2 day history of cough, wheeze and a "runny nose". She
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