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Date Completed: 05/04/2023
Page 1 of 15
- Allergy
- Cardiology
- +1 more
- Allergy
- Cardiology
- Complex Situations (SLO7)
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 22 year old woman presents to ED complaining of a 2 hour history of palpitations. She recently completed a course of clarithromycin for a
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Aortic Dissection: Diagnosis
A 71 year old man presents to ED with a sudden onset severe chest pain that radiates through to his back. He is sweaty and nauseous. He has
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Brugada Syndrome: Diagnosis
A 39 year old man presents to ED complaining of syncopal episodes. He is concerned as his father died suddenly and unexpectedly when he was
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Long QT Syndrome: Management
A 17 year old girl presents to the Emergency Department following multiple syncopal episodes. She is found to have a prolonged QT on her ECG
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 54 year old woman is brought to the Emergency Department from the nearby psychiatric unit. She complained of palpitations and staff noted
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Epilepsy: Fitness to Drive
A 23 year old woman presents to the Emergency Department after collapsing at work. Her colleagues describe 3 minutes of twitching followed b
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Angioedema: Pathophysiology
A 54 year old woman presents to the Emergency Department with a 1 hour history of lip and tongue swelling and a urticarial rash after eating
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 59 year old woman presents to ED with intermittent syncope. On arrival, her heart rate is 35 bpm and BP is 74/55. She receives 500 mcg atr
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Long QT Syndrome: Management
A 43 year old woman presents to the Emergency Department with palpitations. She has no other symptoms. She is prescribed rispe
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 67 year old is brought to the Emergency Department by paramedics. He is complaining of palpitations for the last 3 hours. He denies shortn
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Acute Coronary Syndrome: Management
A 64 year old man presents to the Emergency Department with a 2 hour history of central chest pain. His ECG shows ST elevation in leads II,
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Acute Coronary Syndrome: Management
A 57 year old man presents to the Emergency Department with a history of chest pain radiating to the left arm 3 hours ago. He is now pain fr
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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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Angioedema: Diagnosis
A 59 year old man presents to the Emergency Department with a 1 hour history of lip swelling. He has no urticaria and his observations are w
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Valvular Heart Disease: Mitral Stenosis
A 78 year old man presents to the Emergency Department with a history of syncope at rest. His family explain he has experienced multiple sim
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
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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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Atrial Fibrillation: Management
A 40 year old personal trainer presents to the Emergency Department with a history of palpitations and "lightheadedness". He tells you the s
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Long QT Syndrome: Diagnosis
A 49 year old man presents to the Emergency Department following multiple syncopal episodes. He has a past medical history of depression for
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Angioedema: Management
A 74 year old woman presents to the Emergency Department with a 2 hour history of lip and tongue swelling. She tells you this started after
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Pericarditis: Diagnosis
A 35 year old woman presents to ED with a sharp central chest pain. The pain increases when she lies down and eases when she sits up. She ha
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Mental Health Act: Sections
A 60 year old man, with a known history of schizophrenia, has been brought into ED by his family as they are concerned that he has stopped t
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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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Aortic Dissection: Clinical Features
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
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Mental Capacity: Principles
You have been asked to assess the capacity of a 32 year old man who is refusing treatment for a paracetamol overdose. Which of the following
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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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Valvular Heart Disease: Mitral Regurgitation
A 68 year old woman presents to the Emergency Department with a 2 hour history of chest pain. Whilst in the Emergency Department she becomes
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Heart Block and Conduction Abnormalities: Diagnosis
A 76 year old woman is brought to the Emergency Department after having a syncopal episode at home. She describes multiple similar episodes
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Atrial Fibrillation: Management
A 49 year old man presents to the Emergency Department with a 3 hour history of palpitations. He has a past medical history of mitral valve
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Aortic Dissection: Risk Factors
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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Acute Coronary Syndrome: Clinical Features
A 65 year old female presents to the Emergency Department complaining of a 1 day history of chest pain. She describes a sudden onset of "pre
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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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Acute Coronary Syndrome: Diagnosis
A 39 year old man presents to the Emergency Department with a 3 hour history of central chest pain. He is a current smoker and has a strong
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Urticaria: Aetiology
A 32 year old woman presents to the Emergency Department complaining of a raised, red rash over her torso. She describes an intense burning
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Infective Endocarditis: Diagnosis
A 39 year old woman presents to the Emergency Department after being found collapsed on a park bench. She has evidence of recent intravenous
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Mental Capacity Act: Principles
A 28 year old man is brought to the Emergency Department by his partner after self harming several days ago. He has a large wound on the rig
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Aortic Dissection: Diagnosis
A 65 year old man, with a known history of poorly controlled hypertension, presents to ED with sudden onset ‘ripping’ chest pain that ra
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Urticaria: Diagnosis
A 6 year old boy is brought to the Emergency Department after developing an itchy red rash over his torso. He has no past medical history an
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 67 year old woman is brought to the Emergency Department by paramedics after collapsing in a nearby shopping centre. The paramedics report
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Peri-Arrest Arrhythmias: Bradyarrhythmia
You have been asked to give a teaching session to a group of final year medical students. The topic is "Management of bradyarrhythmias in th
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 54 year old man presents to the Emergency Department after developing palpitations at work. On examination his heart rate is 185 beats per
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Peri-arrest Arrhythmias: Tachyarrhythmia
A 28 year old woman presents to ED with a 1 hour history of palpitations. She denies any chest pain or breathlessness. She has no past medic
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Transient Ischaemic Attack: Fitness to Drive
A 73 year old female patient presents to ED with her husband after experiencing a funny episode which lasted for about 1 hour and has now re
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Aortic Dissection: Diagnosis
A 60 year old man presents to the Emergency Department with a 2 hour history of sudden onset chest pain radiating to the back. His chest x-r
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Acute Coronary Syndrome: ECG Changes
You have been asked to teach a group medical students about the ECG changes seen in ST elevation myocardial infarctions (STEMI). Which leads
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
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Sexual Assault: Clinical Features
You are attending an ED teaching session on sexual assault. Which of the following statements is correct regarding sexual assault injury in
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Acute Coronary Syndrome: ECG Changes
You have been asked to teach a group medical students about the ECG changes seen in ST elevation myocardial infarctions (STEMI). Which leads
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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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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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Acute Coronary Syndrome: Diagnosis
A 54 year old man presents with a 2 hour history of chest pain. He describes a "tight band" of pain across the centre of his chest. He has a
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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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Aortic Dissection: Management
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
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Valvular Heart Disease: Mitral Stenosis
A 78 year old man presents to the Emergency Department complaining of increasing shortness of breath. He gives a history of a cough producin
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Acute Coronary Syndrome: Management
A 43 year old man presents to the Emergency Department complaining of central chest pain radiating to the left arm and shoulder. He is now p
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Sudden Unexpected Death in Infancy and Childhood (SUDIC)
Whilst leading the ED shift overnight, you are asked to speak to a paramedic who has phoned the ED for advice. He has arrived at a call wher
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Hypertensive Emergency: Management
A 49 year old woman presents to the Emergency Department with a 1 day history of headache, vomiting and confusion. She has no significant pa
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Cardiac Failure: Diagnosis
A 65 year old man, with a history of diabetes mellitus, presents to ED with complaints of a worsening cough and shortness of breath over the
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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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Myocarditis: Clinical Features
A 47 year old man presents to the Emergency Department with a 3 day history of chest pain. He has no significant past medical history or fam
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Atrial Fibrillation: Diagnosis
A 54 year old man presents to the Emergency Department with a 2 day history of palpitations. An ECG is performed at triage. What is the diag
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Gillick Competency and Fraser Guidelines: Management
A 15 year old girl self presents to the Emergency Department seeking contraception. Which of the following criteria from the Fraser guidelin
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Traumatic Cardiac Arrest: Management
You are involved in a trauma case with multiple casualties following a major road traffic collision. You are leading cardiopulmonary resusci
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Long QT Syndrome: Aetiology
A 17 year old girl presents to the Emergency Department following a polypharmacy overdose. Her ECG at triage shows a prolonged QT interval.
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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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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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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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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: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
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Peri-Arrest Arrhythmias: Bradyarrhythmia
An 80 year old woman is brought to ED by ambulance after having a fall caused by a syncopal episode at home. Her observations are: BP 90/55,
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Atrial Fibrillation: Atrial Flutter
A 54 year old man presents to the Emergency Department with a 3 hour history of palpitations. An ECG is performed at triage. What is the dia
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Atrial Fibrillation: Risk Stratification
A 64 year old woman presents with a 3 day history of palpitations. She has experienced similar episodes for the last 2 months. Her observati
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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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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family being 'off her legs'. On examination she is found to be bradycardic
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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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Acute Behavioural Disturbance: Management
A 23 year old man is brought to the Emergency Department by his girlfriend, complaining of hearing voices. Whilst in the department he is sw
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Infective Endocarditis: Microbiology
A 28 year old patient, known to be an IV drug user, presents to ED with a one month history of fever, night sweats and malaise, and is noted
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Acute Coronary Syndrome: Management
A 43 year old man presents to the Emergency Department complaining of central chest pain radiating to the left arm and shoulder. Following i
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Non-Accidental Injury
A 3 year old child is brought into ED by his mother with bruising and pain following a fall at home. The story she gives is inconsistent wit
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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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Acute Coronary Syndrome: Definition
A 73 year old man presents to the Emergency Department with a 5 hour history of chest pain. His serial troponin shows a marked rise. Which 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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Diagnosis and Confirmation of Death
A 75 year old man, with a history of dementia, is brought to ED in cardiac arrest after being found collapsed at home. CPR has been ongoing
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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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Hypertensive Emergency: Management
A 49 year old woman presents to the Emergency Department complaining of a headache and palpitations. She is under investigation for suspecte
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Acute Coronary Syndrome: ECG Changes
A 75 year old man presents to ED complaining of severe central chest pain radiating to his left arm. His ECG is shown. Which of the followin
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 65 year old man presents to ED following an episode of syncope that occurred at home this morning. He has a past medical history of cardio
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Heart Block and Conduction Abnormalities: Diagnosis
A 34 year old man presents to ED with palpitations and dizziness. ECG shows a broad-complex tachycardia. Which of the following features is
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Cardiac Failure: Diagnosis
A 59 year old man presents with a 2 hour history of shortness of breath. A chest x-ray is performed. What is the most likely diagnosis?
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Angioedema: Aetiology
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
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Syncope: Investigations
A 79 year old man presents to the Emergency Department after collapsing in a bus stop. He recalls standing up to board the bus before feelin
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 43 year old man presents to the Emergency Department with a 2 hour history of palpitations and shortness of breath. An ECG is performed at
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Non-Accidental Injury
A 4 month old old baby is brought to ED by her parents who describe pain and bruising to her right thigh. X-ray demonstrates a spiral fractu
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Peri-Arrest Arrhythmias: Bradyarrhythmia
A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
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Acute Coronary Syndrome: ECG Changes
A 74 year old man presents to the Emergency Department complaining of 1 hour of central, crushing chest pain. He is diaphoretic and ashen. W
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Cardiac Failure: Management
A 78 year old woman is brought to the Emergency Department by ambulance. Her husband tells you she complained of severe indigestion 3 days a
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Paediatric Arrhythmias
An 8 year old child is brought in by his mother. He is poorly responsive, pale and cool to the touch. His observations are: BP 75/35, HR 260
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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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Peri-Arrest Arrhythmias: Bradyarrhythmia
You have been asked to give a teaching session to a group of final year medical students. The topic is "Management of bradyarrhythmias in th
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Infective Endocarditis: Microbiology
A patient with known cardiac valve disease presents to ED with fever and shortness of breath worsening over the past 2 weeks. On examination
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Valvular Heart Disease: Tricuspid Regurgitation
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. You are discussing valvu
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Acute Coronary Syndrome: ECG Changes
You have been asked to teach a group medical students about the ECG changes seen in ST elevation myocardial infarctions (STEMI). Which leads
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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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Mental Capacity
A 65 year old woman, with advanced breast cancer, has been brought to ED by her family following an overdose of her slow release morphine ta
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Pericarditis: Diagnosis
A 40 year old man presents with a 5 day history of a sharp, central chest pain. He describes the pain as "worst on breathing in". He has no
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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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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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Heart Block and Conduction Abnormalities: Diagnosis
A 76 year old man is brought to the Emergency Department after having a syncopal episode in a nearby shop. He describes multiple similar epi
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Hypertensive Emergency: Definition
A 78 year old man presents to the Emergency Department after recording his own blood pressure at home. He is concerned because he has never
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Atrial Fibrillation: Management
A 67 year old woman presents to the Emergency Department with a 12 hour history of palpitations. She denies chest pain, shortness of breath
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Consent: Principles
You have been asked to consent a patient for a reduction of a distal radius fracture. Regarding consent, which of the following statements i
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Urticaria: Management
A 32 year old man presents to the Emergency Department after erupting in an itchy red rash on his right arm whilst gardening. He has no sign
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Heart Block and Conduction Abnormalities: Diagnosis
A 34 year old woman presents to ED complaining of palpitations ongoing for 2 hours. An ECG performed at triage shows a broad-complex tachyca
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Infective Endocarditis: Diagnosis
A 45 year old man, known to inject drugs, and currently living in homeless hostels, presents to the Emergency Department complaining of mala
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Acute Coronary Syndrome: ECG Changes
A 54 year old man is brought to the Emergency Department complaining of central chest pain. He is overweight (BMI 33) and smokes 20 cigarett
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Cardiac Failure: Diagnosis
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
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Peri-Arrest Arrhythmias: Tachyarrhythmia
A 33 year old man presents to the Emergency Department with a 2 hour history of palpitations. He has no past medical history. He denies ches
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Atrial Fibrillation: Risk Stratification
A 64 year old man presents with a 3 day history of palpitations. His observations recorded at triage are: Heart rate: 95 beats/minute
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Atrial Fibrillation: Risk Stratification
A 64 year old man presents with a 3 day history of palpitations. His observations recorded at triage are: Heart rate: 105 beats/minute
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Atrial Fibrillation: Diagnosis
A 35 year old man presents with a 1 day history of palpitations and dizziness. His ECG is shown. What is the diagnosis?
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Mental Capacity
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
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Valvular Heart Disease: Aortic Stenosis
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
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Acute Coronary Syndrome: Definition
A 43 year old woman presents to the Emergency Department with a history of central chest pain. After further history taking and examination
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Aortic Dissection: Risk Factors
A 30 year old man presents to the Emergency Department with a 1 hour history of chest pain radiating to the back. He describes a "tearing" p
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Long QT Syndrome: Clinical Features
You are giving some bedside teaching to a medical student working in the Emergency Department. She has reviewed a patient who presented foll
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Angioedema: Aetiology
A 54 year old woman presents to the Emergency Department with a 3 hour history of lip and tongue swelling. Which of the following causes of
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Peri-Arrest Arrhythmias: Bradyarrhythmia
You have been asked to give a teaching session to a group of final year medical students. The topic is "Management of bradyarrhythmias". Whi
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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: ECG Changes
A 54 year old man presents to the Emergency Department complaining of a 1 hour history of central, crushing chest pain. He is diaphoretic an
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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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Non-Accidental Injury
You are giving a teaching session about child maltreatment and non-accidental injury to your junior colleagues. You are discussing how to re
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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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Acute Coronary Syndrome: Management
A 64 year old man presents to the Emergency Department with a 2 hour history of central chest pain. His ECG shows ST elevation in leads V5-6
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Atrial Fibrillation: Risk Stratification
A 73 year old man presents to the Emergency Department complaining of 3 days of palpitations and occasional shortness of breath. His ECG at
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Acute Coronary Syndrome: Management
A 56 year old woman presents to the Emergency Department with a history of chest pain radiating to the left arm 4 hours earlier. She is now
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Infective Endocarditis: Clinical Features
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
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Heart Block and Conduction Abnormalities: Diagnosis
A 55 year old woman presents to ED following an episode of syncope that occurred while making breakfast. Her ECG is shown. What is the diagn
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Acute Behavioural Disturbance: Management
A 32 year old man is brought to the Emergency Department by his concerned mother. She tells you that for the past 2 weeks he has been lockin
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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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Pericarditis: Diagnosis
A 23 year old woman presents to the Emergency Department with a 1 day history of central, sharp chest pain. An ECG is performed at triage. W
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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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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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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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Acute Coronary Syndrome: Management
A 67 year old man presents to the Emergency Department with a history of chest pain radiating to the left arm 1 hour ago. He is now pain fre
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Female Genital Mutilation
A 14 year old girl of Somalian descent presents to ED complaining of pain and difficulty passing urine. The patient seems distant and will n
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Acute Coronary Syndrome: ECG Changes
A 54 year old man is brought to the Emergency Department complaining of central chest pain. He is overweight (BMI 33) and smokes 20 cigarett
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Valvular Heart Disease: Aortic Regurgitation
A 68 year old woman presents to the Emergency Department following a collapse episode at home. Your Consultant performs a focussed bedside e
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