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Date Completed: 05/04/2023
Page 1 of 18
- Mock Exam
- Allergy
- Cardiology
- Complex Situations (SLO7)
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- Dermatology
- Elderly Care & Frailty
- Endocrinology
- Ear, Nose & Throat
- Environmental Emergencies
- Gastroenterology & Hepatology
- Haematology
- Infectious Diseases
- Maxillofacial & Dental
- Mental Health
- Musculoskeletal
- Neonatal Emergencies
- Nephrology
- Neurology
- Obstetrics & Gynaecology
- Oncology & Palliative Care
- Ophthalmology
- Pain & Sedation
- Pharmacology & Poisoning
- Procedural Skills (SLO6)
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- Respiratory
- Resuscitation
- Sexual Health
- Surgical Emergencies
- Trauma
- Urology
- Vascular
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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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Postpartum Haemorrhage: Causes
A 34 year old woman is brought to the Emergency Department with postpartum bleeding 48 hours following a home delivery. She has no past medi
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Spinal Injury: Assessment
A 70 year old man is brought to the Emergency Department by paramedics. He tells you he tripped whilst crossing the road and hit his face on
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Transient Ischaemic Attack: Fitness to Drive
A 65 year old woman, with known hypertension and hypercholesterolaemia, presents to ED complaining of an episode of weakness affecting her l
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Burns: Complications
A 21 year old patient is brought to ED having been rescued from a house fire. She has sustained circumferential partial thickness burns with
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Neonatal Jaundice: Diagnosis
An 8 day old baby girl is brought to the Emergency Department by her parents. They are concerned as she has lost 15% of her birth weight and
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Cirrhosis: Hepatic Encephalopathy
A 56 year old man presents to the Emergency Department with a 1 week history of increasing confusion and a single seizure. He has a history
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Anaphylaxis: Pathophysiology
A patient presents to ED with itching and swollen lips. He is known to be allergic to nuts. He receives adrenaline but there is no improveme
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Opioid Toxicity: Clinical Features
A 19 year old man is brought into ED by paramedics after being acting strangely at a dance festival. His observations are: GCS 12/15, BP 115
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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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Genital Herpes: Management
A 19 year old man presents to the Emergency Department with a 2 day history of penile ulcers. You suspect genital herpes. You redirect him t
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Sickle Cell Disease: Vaso-occlusive Crisis
A 16 year old boy with known sickle cell disease presents to the Emergency Department complaining of pain in both hands after going out for
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Paediatric Burns: Management
A 10 year old child presents to ED with bilateral burns to her forearms after pulling a pan of hot water off the stove. She is distressed an
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Human Immunodeficiency Virus: Pathophysiology
A 49 year old man presents to the Emergency Department with a cough. He is HIV positive and not compliant with his anti-retroviral medicatio
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Spontaneous Pneumothorax: Management
A 19 year old man presents to ED complaining of a sudden onset sharp chest pain which is worse when he inhales or coughs. The pain came on 4
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Arterial Pressure Waveform
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
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Hypothyroidism: Clinical Features
A 56 year old woman presents to the Emergency Department due to fatigue and worsening confusion. Her blood tests show an elevated TSH and yo
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Cerebral Venous Sinus Thrombosis: Management
A 34 year old woman is brought to the Emergency Department by paramedics following a seizure at home. The seizure was self limiting and the
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Waveform Capnography
A 24 year old is brought to ED by the police after causing a disturbance in the local high street. She has been involved in a violent alterc
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Tetanus Prone Wounds: Management
A 65 year old farmer presents to the Emergency Department with a soiled puncture wound to his thenar eminence which he sustained whilst fixi
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Benign Paroxysmal Positional Vertigo: Management
A 76 year old woman presents to the Emergency Department complaining of vertigo. Her symptoms are triggered by specific movements of the hea
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Hand Injuries: Tenosynovitis
A 32 year old farm worker has presented to the ED with an infected laceration on a digit. You are concerned about the possible spread of inf
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Spinal Injury: Spinal Cord Lesion
A 28 year old male patient is brought to the Emergency Department following a motorbike accident. On performing a full neurological examinat
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Pulmonary Embolism: Management
A 35 year old woman presents to ED with sudden onset chest pain and breathlessness. She has no significant past medical history and takes no
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Hyperkalaemia: Management
A 54 year old man is asked to present to the Emergency Department after routine blood tests as part of an occupational medical showed he was
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Head Injury: Raised Intracranial Pressure
A 24 year old man presents to the Emergency Department with a closed head injury following a road traffic collision. On examination you note
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Acute Childhood Limp: Slipped Upper Femoral Epiphysis
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
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Orbital Blowout Fracture: Complications
An 18 year old rugby player is brought to the Emergency Department by his teammates. He was punched to the face during a game. On examinatio
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Carbon Monoxide Poisoning: Diagnosis
A family present to the Emergency Department complaining of headaches and nausea for the past 2 days. They have recently moved into new rent
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Pertussis: Clinical Features
A child is sent to the Emergency Department by her GP with suspected whooping cough as she is having severe coughing fits followed by vomiti
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Malaria: Diagnosis
A 19 year old student presents to the Emergency Department with a 2 day history of headache, fever and myalgia. She has recently returned fr
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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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Eye Trauma: Retrobulbar Haemorrhage
A 15 year old boy presents to the ED after having been shot in the face with a BB gun. He has a solitary penetrating wound just inferior to
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Renal Calculi: Pathophysiology
A 56 year old man presents to the Emergency Department with a 2 hour history of right flank pain. His urine dipstick is positive for blood,
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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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Intraosseous Access
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
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Hypercalcaemia: Investigations
A 76 year old man is brought to the Emergency Department from his care home by his family. They describe worsening confusion and mobility ov
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Benzodiazepine Toxicity: Management
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
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Adrenal Disorders: Primary Hyperaldosteronism
A 24 year old woman presents to the Emergency Department with a headache and increased thirst. She describes a "pins and needles" feeling in
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Nasal Fracture: Management
A 34 year old man presents to the Emergency Department following an assault. He states he was punched to the face, there was no loss of cons
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Angioedema: Management
A 39 year old woman presents to the Emergency Department with a 1 hour history of facial swelling associated with abdominal pain and vomitin
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 34 year old man presents to the Emergency Department after developing palpitations during a 5km race. On examination his heart rate is 185
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Lymphoma: Diagnosis
A 19 year old male presents to the Emergency Department after noticing a swelling in his neck. On examination you note painless asymmetrical
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Temporomandibular Joint Dislocation: Management
A 19 year old medical student presents to the Emergency Department with a 1 hour history of trismus and bilateral temporomandibular joint (T
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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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Gout: Management
A 56 year old man presents to the Emergency Department with an acutely painful right great toe. He denies trauma and is otherwise well. He h
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Tuberculosis: Investigations
A 27 year old woman presents to the Emergency Department complaining of increasing lethargy over the past 2 months. She has recently moved t
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Vaginal Discharge: Trichomoniasis
A 27 year old woman presents to the Emergency Department complaining of vaginal discomfort and discharge. She describes a foul smelling prof
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Compartment Syndrome: Management
A 27 year old man presents to the Emergency Department complaining of pain in his left lower leg. He was seen in the Emergency Department 2
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Hyperkalaemia: Management
A 71 year old man, with known diabetes mellitus (type II) and hypertension, presents to the ED with a 2 day history of lethargy and vomiting
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Choking: Management
A 34 year old woman presents to the Emergency Department after a choking episode whilst at an "all you can eat" buffet. Which of the followi
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Paracetamol Toxicity: Management
A 54 year old man presents to the Emergency Department with a three day history of back pain. When you review him, he admits to finishing a
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Spinal Infections: Diagnosis
A 35 year old known intravenous drug user (IVDU), presents to the Emergency Department complaining of feeling generally unwell with low back
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Paediatric Acute Asthma: Management
A 6 year old boy is brought to the Emergency Department with an exacerbation of his asthma. His mother tells you his symptoms have been incr
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Head Injury: Assessment
A man is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall and was unconscious for 2 minutes
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Vaginal Bleeding: Postmenopausal Bleeding
A 56 year old woman presents to the Emergency Department with a 3 day history of vaginal bleeding. She has had 2 previous vaginal deliveries
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Upper Gastrointestinal Bleed: Management
A 34 year old man presents to the Emergency Department with a 2 day history of vomiting and epigastric pain. Whilst in the Emergency Departm
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Community Acquired Pneumonia: Microbiology
A 43 year old man presents to the Emergency Department after being found unresponsive in a nearby town centre. He is well known to the depar
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Anaemia: Megaloblastic Anaemia
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
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Croup: Diagnosis
A 2 year old boy is brought to the Emergency Department in the middle of the night. The triage nurse suspects croup. Which of the following
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Paediatric Gastroenteritis: Diagnosis
A 3 year old girl is brought to the Emergency Department by her concerned parents. They tell you she has been vomiting for the past 24 hours
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Valvular Heart Disease: Aortic Stenosis
A 65 year old woman presents to the Emergency Department following a fall at home. She has a past medical history of obesity and hypertensio
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Bronchiolitis: Clinical Features
A 6 month old boy is brought to the Emergency Department by his concerned mother. She reports a change to his pattern of breathing and being
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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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Spinal Injury: Spinal Cord Tracts
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
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Shoulder Injuries: Rotator Cuff Injury
A 23 year old man presents to the Emergency Department having injured his right shoulder playing lacrosse. From your history and examination
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Vestibular Neuritis: Diagnosis
A 35 year old woman presents to the Emergency Department with a 6 hour history of vertigo. She noticed it upon waking and it has been consta
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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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Fournier’s Gangrene: Diagnosis
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
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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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Thoracic Trauma: Massive Haemothorax
A 45 year old man is brought to the Emergency Department after falling approximately 10 metres from a roof on a building site. His colleague
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Episcleritis and Scleritis: Management
A 45 year old man presents with a history of a painful, red and watering left eye. On examination you note a bluish purple discolouration of
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Postpartum Haemorrhage: Definition
You have been asked to give a teaching session to a group of junior colleagues. The title of the session is "Managing Obstetric Complication
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Epididymo-Orchitis: Management
A 67 year old man presents to the Emergency Department complaining of pain in his scrotum. He has no significant past medical history. On ex
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Post-Extraction Complications: Alveolar Osteitis
A 54 year old woman presents to the Emergency Department complaining of left sided facial and ear pain. She has no past medical history and
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Croup: Management
A 2 year old boy is brought to the Emergency Department by his parents in the middle of the night. They tell you he awoke with a "barking co
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Diarrhoea: Investigations
A 30 year old woman presents to ED with a 2 week history of bloody diarrhoea after returning from a holiday in Morocco. On examination her a
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Bite Wounds: Infection
A 64 year old woman present to the Emergency Department complaining of fever and malaise. She has no past medical history. One week ago she
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Haemorrhagic Shock: Management
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
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Adrenal Disorders: Addison's Disease
A 45 year old woman presents to the Emergency Department with abdominal pain. She is hypotensive and hypoglycaemic. She has a past medical h
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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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Compartment Syndrome: Management
A 25 year old man presents to the Emergency Department complaining of worsening pain and paraesthesia in his lower leg. He was only discharg
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Peri-arrest Arrhythmias: Tachyarrhythmia
A 32 year old man presents to ED complaining of palpitations and lightheadedness. He denies any chest pain or breathlessness and has not oth
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Glandular fever: Clinical Features
A 15 year old boy is brought to the Emergency Department by his father. Over the last 3 hours he has developed a non-blanching rash covering
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Myasthenia Gravis: Diagnosis
A 53 year old woman presents to the Emergency Department with repeated attacks of double vision over the last week. She describes the diplop
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Acute Coronary Syndrome: Diagnosis
A 47 year old man presents to the Emergency Department complaining of a central band-like chest pain. He is obese with a history of type 2 d
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Salicylate Toxicity: Clinical Features
A 14 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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Hypocalcaemia: Clinical Features
A 55 year old man presents to the Emergency Department following a collapse episode during his dialysis session. He has a past medical histo
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Leg Injuries: Fibular Fracture
A 27 year old man presents to the Emergency Department complaining of leg pain following a particularly violent tackle during a football gam
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Dental Trauma: Management
A 14 year old is brought to ED by his parents following a football game in which he hit his face on a paved surface 30 minutes ago. He has a
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Corneal Foreign Body: Diagnosis
A 54 year old man presents to the Emergency Department complaining of right eye pain after doing some home improvement. You suspect a foreig
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Female Genital Mutilation
A 9 year old girl is brought to ED by her grandparents with vaginal bleeding. She has recently returned from a summer holiday visit to her p
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Choking: Management
A 54 year old man presents to the Emergency Department after a choking episode whilst eating. Which of the following is a sign of severe air
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Acute Angle Closure Glaucoma: Management
A 67 year old woman presents to the Emergency Department complaining of right eye pain, headache and nausea. On examination you note a reduc
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Guillain-Barre Syndrome: Diagnosis
A 35 year old woman presents to the Emergency Department complaining of a 5 day history of progressive muscle weakness and paraesthesia whic
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Acute Prostatitis: Diagnosis
A 69 year old man presents to the Emergency Department complaining of 3 days of dysuria. He tells you that over the last day he has had a ve
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Cardiorespiratory Arrest: Management
A 54 year old man is brought to the Emergency Department by paramedics complaining of central chest pain. Whilst examining the patient he be
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Large Joint Aspiration
A 69 year old woman presents to ED with a red hot painful left knee. Joint aspiration is performed and the results are: Colour: clear y
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Multiple Sclerosis: Diagnosis
A 26 year old woman presents to the Emergency Department complaining of back pain, trouble walking and difficulty emptying her bladder. She
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Syndrome of Inappropriate Antidiuretic Hormone Secretion: Management
A 68 year old man is brought to the hospital following a seizure. He had a 2-week history of confusion before this. You note his plasma sodi
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Tuberculosis: Management
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
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Epididymo-Orchitis: Microbiology
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
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Epilepsy: First Seizure
A 19 year old woman is brought to the Emergency Department following a seizure. What is the most common metabolic cause of seizure activity?
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Thoracic Trauma: Open Pneumothorax
A 21 year old is brought into the Emergency Department by ambulance with a stab wound to his left upper back. You notice bubbling of blood a
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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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Chest Drain Insertion: Seldinger Technique
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
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Anterior Uveitis: Diagnosis
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
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Foreign Body Ingestion: Management
A 2 year old girl is brought to ED by her mum after she had a choking episode 3 hours ago while playing with her mum's purse. She is complai
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Appendicitis: Clinical Features
A 34 year old man presents to the Emergency Department with a 3 day history of abdominal pain. On examination palpation of the left lower qu
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Tuberculosis: Clinical Features
A 25 year old man presents to the Emergency Department with a 4 month history of haemoptysis, weight loss and night sweats. You suspect tube
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Chickenpox: Microbiology
A 3 year old boy is brought to the Emergency Department by his father. He has developed an itchy rash over the last 24 hours. On examination
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Procedural Sedation: Procedure
You are preparing to perform a procedural sedation for a reduction of an ankle fracture-dislocation. Regarding procedural sedation, which of
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Abdominal Trauma: Types of Injury
A 35 year old female is brought into hospital following a road traffic accident. Imaging shows retroperitoneal trauma. Which of the followin
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Pain Management
A 19 year old woman presents to the Emergency Department after inverting her ankle on an escalator. She has no significant past medical hist
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Paediatric Pneumonia: Causes
A 1 year old girl is brought to the Emergency Department by her parents. She has been coughing for 3 days and been off her food. She is febr
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Waveform Capnography
You are leading a teaching session for your colleagues on waveform capnography. Which of the following denotes the end-tidal carbon dioxide
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Foreign Body Ingestion: Management
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
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Cranial Nerve Palsy: Optic Nerve
A 43 year old woman presents to the Emergency Department complaining of 3 days of visual disturbance in the left eye. On examination you not
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Acute Asthma: Management
You are assessing a 29 year old woman who presents to the Emergency Department with wheeze and shortness of breath. She is known to suffer w
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Pertussis: Diagnosis
A 2 year old is brought into the Emergency Department with intense bouts of coughing. She has been having cold-like symptoms over the past w
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Back Pain: Cauda Equina Syndrome
A 45 year old man presents to the Emergency Department with a 2 day history of increasing back pain. He cannot recall any specific trauma. H
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Pre-Eclampsia: Diagnosis
A 25 year old woman who is 34 weeks pregnant, presents to the Emergency Department with a severe frontal headache and visual blurring. She h
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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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Lumbar Puncture
A woman presents to ED complaining of a sudden onset posterior headache and photophobia. You have been asked to perform a lumbar puncture 12
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Thoracic Trauma: Tension Pneumothorax
A 36 year old man presents to the Emergency Department after being assaulted in a nearby park. He tells the triage nurse he was kicked in th
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Clostridium Difficile Infection: Microbiology
A 84 year old man is brought into ED from a nursing home with a 3 day history of diarrhoea. He has had 12+ episodes of watery diarrhoea, wit
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Neonatal Jaundice: Risk Factors
A 3 day old baby boy is brought to the Emergency Department by his mother. She has noticed that he has become jaundiced. He is otherwise wel
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Cardiorespiratory Arrest: Management
A 32 year old man is brought into the Emergency Department after complaining of chest pain whilst in the gym. Whilst you are assessing him h
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Hepatitis C: Clinical Features
A 28 year old man is brought to the Emergency Department after being found unresponsive in a nearby playpark. On examination you note eviden
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Jaundice: Diagnosis
A 51 year old woman presents to the Emergency Department complaining of right upper quadrant pain. She has presented with a similar complain
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Cardiorespiratory Arrest: Management
A 65 year old man is brought into the Emergency Department after collapsing on a golf course. The paramedics are performing CPR and report t
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Epiglottitis: Diagnosis
A 45 year old presents to the Emergency Department with a fever, dysphagia and sore throat. The triage nurse notes a stridor and moves the p
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Giant Cell Arteritis: Investigations
A 60 year old woman presents to the Emergency Department with a headache in the right temporal region which has come on over the last couple
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Spontaneous Pneumothorax: Management
A 33 year old man presents to ED complaining of shortness of breath. He has no significant past medical history and has never smoked. X-ray
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Neonatal Jaundice: Causes
A newborn baby boy is brought to the Emergency Department as his mother is concerned he has turned yellow. On examination you note jaundice
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Arterial Blood Gas Analysis
An 18 year old female student, who is known to have type 1 diabetes mellitus presents to ED with polyuria, polydipsia, nausea and abdominal
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Salter-Harris Classification: Diagnosis
A 13 year old boy is brought to ED by his parents with ankle pain after falling awkwardly on his ankle while skateboarding. He is unable to
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 23 year old man presents to the Emergency Department with a 6 hour history of palpitations. He has no past medical history. He denies ches
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Central Venous Pressure Waveform
You are discussing the central venous pressure waveform in a teaching session for medical students. What does the y descent represent on the
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Acute Otitis Media: Management
A 19 year old man presents to the Emergency Department with a 3 day history of right ear pain. He has a past medical history of ulcerative c
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Drowning: Prognostic Factors
A 43 year old woman is brought to the Emergency Department after drowning at a nearby beach. She was seen to be struggling before she became
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Mental Health Act: Sections
A 25 year old man is brought into the Emergency Department by police under a section of the Mental Health Act. He was found on a multistorey
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Diabetic Ketoacidosis: Management
A 21 year old woman with type 1 diabetes is brought to the Emergency Department by her mother, she is concerned she may be in diabetic ketoa
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Acute Coronary Syndrome: Diagnosis
A 61 year old man presents to the Emergency Department with a history of central chest pain 2 hours prior which came on at rest. He experien
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Dental Abscess: Management
A 72 year old woman presents to the Emergency Department with a 3 day history of increasing facial swelling and pain. She has a past medical
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Hyperthermia and Heat Stroke: Causes
You have been asked to give a teaching session to junior colleagues. The topic of the teaching session is "Environmental Emergencies" and as
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Acute Coronary Syndrome: Diagnosis
A 64 year old woman presents to the Emergency Department complaining of 1 hour of central, crushing chest pain. What is the diagnosis?
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Paediatric Cardiorespiratory Arrest: Management
A 4 year old girl is brought to the Emergency Department in her mum's arms. She is floppy and unresponsive. You cannot feel a central pulse
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Choking: Management
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
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Local Anaesthetic Pharmacology
You have been asked to review a 32 year old man who fell through a greenhouse window. He has multiple lacerations over all four limbs. His w
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Optic Neuritis: Clinical Features
A 42 year old woman presents to the Emergency Department complaining of increasing visual loss in her left eye over the last 5 days. She des
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Delirium: Management
An 83 year old man is brought to the Emergency Department by your local police service. They tell you he was found in a nearby supermarket c
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Bronchiolitis: Management
You are asked to assess a 3 month old boy brought to the Emergency Department by his parents. They describe several days of "runny nose" and
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Nasogastric Tube Placement
You are asked to insert a nasogastric tube for feeding. The chest x-ray to confirm nasogastric tube placement is shown. What is the most app
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Acute Coronary Syndrome: Diagnosis
A 72 year old man presents to the Emergency Department complaining of chest pain which started whilst gardening. A 12 lead ECG is performed
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Chronic Obstructive Pulmonary Disease: Diagnosis
A 67 year old man presents to the Emergency Department with a 2 month history of increasing breathlessness associated with a 1 month history
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Hand Injuries: Extensor Tendon Injury
A 75 year old woman presents to ED with an injury to her right hand after she caught her finger while tucking in her bedsheets. Which of the
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Bite Wounds: Snake Bite
A 36 year old man, working as a fruit picker on a farm in the UK, presents to ED with pain after being bitten by a snake. On examination, yo
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Organophosphate Poisoning: Management
A 21 year old migrant fruit-picker is brought to ED unwell after accidentally ingesting some liquid fertiliser while working on the farm. He
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Pre-Eclampsia: Clinical features
A 36 year old woman who is 31 weeks pregnant presents to the Emergency Department concerned she may have pre-eclampsia. She has no significa
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Bite Wounds: Snake Bite
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
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Syncope: Diagnosis
A 30 year old woman is brought to the Emergency Department by paramedics after "blacking out" on the London Underground. She recalls feeling
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Anaemia: Normocytic Anaemia
A 54 year old woman presents to the Emergency Department complaining of increasing shortness of breath on exertion. Her full blood count sho
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Mental Capacity
An 18 year old woman is brought to ED by her boyfriend with lethargy, nausea, irritability and drowsiness. On triage, her blood glucose is 1
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Spontaneous Pneumothorax: Management
A 64 year old man presents to the Emergency Department with a 2 hour history of pleuritic chest pain and shortness of breath. He has a past
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Anterior Uveitis: Clinical Findings
A 34 year old man presents to the Emergency Department complaining of a painful red eye. What finding can be seen?
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Pulmonary Aspiration: Diagnosis
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
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Spinal Injury: Neurogenic Shock
A 64 year old roofer is brought to ED following a fall from a roof at work. The paramedics who hand the patient over suspect that he has neu
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Cirrhosis: Spontaneous Bacterial Peritonitis
A 41 year old man presents to the Emergency Department with fever, abdominal distension, and confusion. An abdominal paracentesis is perform
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Intussusception: Management
A 1 year old boy is brought to the Emergency Department by his parents. They describe a 1 day history of intermittent inconsolable crying ep
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Bell's Palsy: Diagnosis
A 27 year old man presents to the Emergency Department after waking with a sore right eye. What is the most likely diagnosis?
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Paediatric Ketamine Sedation
You have been asked to assist in performing a ketamine sedation for a child who requires suturing to a large laceration on her right thigh.
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Lumbar Puncture
An 18 year old female is brought to ED with a fever, headache and neck stiffness. Meningitis is suspected and your consultant asks you to pe
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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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Head Injury: Raised Intracranial Pressure
A 25 year old man is brought to the Emergency Department following a road traffic collision. He has signs of a closed head injury. On examin
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Upper Limb Nerve Injuries: Musculocutaneous Nerve
A 20 year old patient attends the Emergency Department having received a gunshot wound to his right arm. Following initial resuscitative mea
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Pelvic Injury: AP Compression Fracture
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
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Acute Pancreatitis: Diagnosis
A 46 year old man presents to the Emergency Department with a 3 day history of epigastric pain and vomiting. He describes the pain as a "sha
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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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