MCQ 2016.1 Recalls - EmergencyPedia · PDF fileMCQ 2016.1 Recalls (WESTMEAD HOSPITAL...
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MCQ 2016.1 Recalls (WESTMEAD HOSPITAL REGISTRARS) www.emergencypedia.com Extended Matching 1) EMQ : Snake Bite with D dimer of 10, low fibrinogen levels- a. Taipan envenomation 2) EMQ: Snake Bite with INR 2.2, negative D Dimer: a. Black snake 3) EMQ: Step wise method of shoulder relocation- a. a) Kocher, b) Cunningham, c) ‘Spaso’ technique d) Milch 4) EMQ: PT prone on table with affected arm hanging down for shoulder reduction a. Stimson 5) EMQ: 4 year old girl with mass in middle of neck below hyoid bone, moves on movement of tongue- a. Thyroglossal Cyst 6) EMQ: 4 week old neonate with mass on rt side of neck under sternocleidomastoid muscle, head turned to right- 7) EMQ: 6 years old girl with mass on left side of neck over sternocleidomastoid, tender to touch 8) EMQ: Kid with tonsillitis and firm lump lateral of midline, overlying erythema Options for Paeds emq: a) Sialadenitis b) supparative lymphangitis c) Thyroglossal cyst 9) EMQ: neuro- Old woman with Wide base gait- Cerbellum 10)EMQ: neuro- IVDU with weakness to leg except hips 11)EMQ: Psychiatry- options are delusional disorder, bipolar T1 (manic) drug psychosis, illness related depression, schizophrenia 12)EMQ: 35 year old with hx of depression, is in the ed talking fast and loudly about how he is s part of ASIO and is part of a plot to kill the PM of NZ______________ 13)EMQ: 25 year old drops out of uni, doesnt see is friends, is unkept and ungroomed, hearing voices for 6 months 14)EMQ: 30 year old woman finishes her FACEM exam goes out on the town with friends and is arrested by police after being found running naked down the street breaking of car aerials saying they are controlling her thoughts Multiple Choice
Transcript of MCQ 2016.1 Recalls - EmergencyPedia · PDF fileMCQ 2016.1 Recalls (WESTMEAD HOSPITAL...
MCQ2016.1Recalls
(WESTMEADHOSPITALREGISTRARS)
www.emergencypedia.com
ExtendedMatching
1) EMQ:SnakeBitewithDdimerof10,lowfibrinogenlevels-
a. Taipanenvenomation2) EMQ:SnakeBitewithINR2.2,negativeDDimer:
a. Blacksnake
3) EMQ:Stepwisemethodofshoulderrelocation-
a. a)Kocher,b)Cunningham,c)‘Spaso’techniqued)Milch4) EMQ:PTproneontablewithaffectedarmhangingdownforshoulder
reduction a. Stimson
5) EMQ:4yearoldgirlwithmassinmiddleofneckbelowhyoidbone,movesonmovementoftongue-
a. ThyroglossalCyst6) EMQ:4weekoldneonatewithmassonrtsideofneckunder
sternocleidomastoidmuscle,headturnedtoright-7) EMQ:6yearsoldgirlwithmassonleftsideofneckoversternocleidomastoid,
tendertotouch8) EMQ:Kidwithtonsillitisandfirmlumplateralofmidline,overlying
erythemaOptionsforPaedsemq:a)Sialadenitisb)supparativelymphangitisc)
Thyroglossalcyst9) EMQ:neuro-OldwomanwithWidebasegait-Cerbellum10) EMQ:neuro-IVDUwithweaknesstolegexcepthips11) EMQ:Psychiatry-optionsaredelusionaldisorder,bipolarT1(manic)drug
psychosis,illnessrelateddepression,schizophrenia12) EMQ:35yearoldwithhxofdepression,isintheedtalkingfastandloudly
abouthowheisspartofASIOandispartofaplottokillthePMofNZ______________
13) EMQ:25yearolddropsoutofuni,doesntseeisfriends,isunkeptandungroomed,hearingvoicesfor6months
14) EMQ:30yearoldwomanfinishesherFACEMexamgoesoutonthetownwithfriendsandisarrestedbypoliceafterbeingfoundrunningnakeddownthestreetbreakingofcaraerialssayingtheyarecontrollingherthoughts
MultipleChoice
15) TheECGchangesinHypokalaemia:
a)ShorteningPRintervalb)STdepressionc)shorteningQTinterval
16) HowtodifferentiatebetweenisolatedperonealnerveinjuryandL5injury:a) Numbnessin1stwebspaceb) abletoevertfootc) Abletoinvertfoot
SomethingthingelsethatcleverpeopleunderstandandIdont...fuckthisquestion.
17) 12leadECGshowingUwaves-Causea) RTAb) Addisonsdiseasec) TCAODd) Hyperkalaemia
18) Traumateams
a) singlevs.twotieredresultsinovertriageb) Mortalityimprovementin1stpartofillness
19) Simmedicinea) resultsinpeoplebeingcavalierastheresnorealpatientb) recentlyalotofevidencesaysitseffective
20) severeAShas....
a) Splits1-s2b) s3c) Athrilld) Systolicmurmurradiatingtoneck
21) WhathasmostPPVforappendicitis
a)painthatmigratedtoRIFc) Anorexia
22) WhichparaneoplasticconditionwouldyougetwithSquamouscellcarcinomaof
lungsa) Hypercalcaemiab)Hyperkalaemiac)Hyponatremia
23) WhatBPtoaimforinICHwhenSBPis220(210)
a)140b)150c)160d)180
24) A5yearoldand8yearoldpresentwithpustulesthatarenowcrustedaround
themoutha) HSVb) VSVc) Impetigo
25) 25Y/Mpresentslethargicworkinginthesun,Urea12,Creatinin180,(notsureif
Kwas6)a) ATNb) Dehydrationc) Intersitialnephritis
26) WhatisproventoimprovemortalityinARDS
a) Pronepositionb) LowTVsc) HighPEEPd) Somethingelse
27) ValiduseofATSdata
a) Comparingpeerhospitalsb) Assessingcomplexityofpatientloadc) Increasestaffingnumbersd) otheroptionsthatstruckmeasstupid
28) Anexternaldisasterisoccuringthemostimportantthingtodois
a) Getpatientstoanotherhospitalb) Maintainstandardofcarec) SomeotheroptionsthatIdidntlike
29) WhatisseeninEatenlambertmysthaneia
a) Theygetworsedistallyb) Theygetproximalfasiculationsc) Powergetsbetterwithrepeatedexamaniationd) Lossofreflexes?
30) Someduderocksupandsayshesrunoutofmethadonefor3days,Hehas
tremors,agitationandshakesa) Hehashighmortalityfromwithdrawlb) Hetookheroinc) HeshouldbegivenaBblockerd) Hiswithdrawalstatewilllastfor2weeks
31) Whichcarpalboneismostfractured(noscaphoidinoption)
a) Hamateb) Lunatec) Triquitriumd) Pisiform
32) OttawaAnklerule:
a) notapplicablefor<16b) post6cmtotipoffibula
33) 10yearOldboyhasaTib-fibfracture,howtodiagnosecompartmentsyndrome
a) Compartmentpressureis10b) Painimproveswithtractionandsplintc) Appearsinthefirstonehourd) Canberuledoutifdistalpulseispalpable
34) Whatsconsistentwithasupracondylarfracturewithposterolateraldislocation
a) UnabletomakeOKsignb) Wristdropc) Unabletoflexindexfinger
35) 85YNanhasaNOF
a) Tractionb) Morphinealiquotsuntilpainsubuside(orsheisdead)c) Femoralnerveblocd) TellhertoHTFU
36) Intusussception
a) Ileocolicinoriginb) age3-6yearsc) Bloodystoolseenearlyd) Itscolic,dischargethepatientandberatetheparentsforwastingyourtime
37) Priapism:
a) Pseudoephidrin120mgb) Icepacktonutstogiveemblueballsc) Prazocin
38) Needlejetventilationratio
a) 1:2b) 4:1c) allratios,cantrememberthenumbers
39) NormalLPinadult
a) Sugar55%ofserumb) Protein0.4g/lc) Lymphocytes10
40) SomedudehasRhabdo,CK55000
a) Mannitoliscontraindicatedifanuricb) NAHCO3untilurineph8c) Maintaineuvolaemiad) Othersmadenosense
41) 35Y/MHanging,GCS11,cause?a) Throatfractureb) Somethingaboutanarteryc) Venouscongestioncausevenousreturnwasobstructed
42) Sutures:a) Absorbablesuturesinfaceb) Verticalmattressisgoodforwoundedgeinversionc) Horizontalmattresssuturesaregoodforflapsandwoundedgesd) Justclosethedamnwound,notsureabouttheotheroptions
43) Ptpresentswithsyncope,nowalerandasymptomatic.whatincreasehisriskof
adverseoutcomeasperSanFransicoscorea) SOB
44) JMOfeedback
a) waituntiltheendoftermtogetmoreinfob) onlypositiveshouldbegiveninpublic
45) Kidfoundwithopenbottleofeucalyptusoil30minsago
a) ActivatedCharcoalb) DCifasymptomaticat6hoursc) Dialysisd) Someotheroptionthatsoundedretarded
46) HIV
a) Toxoplasmosismostcommoncauseencephalopathyb) DoaLPcausecantdifferentiateviralencephalitisvsviralmeningitisc) CTBchangeswithencephaloathyarehypodensetemproparetialsomething
47) NewonsetrapidAF
d) APPadse) sternoapicalpads
48) Dudefallsoffabikeandflexshisneckhegets
a) c3#atantaspectb) Centralcordsyndrome
49) 20yoldgirltakesamedicationfornauseaandhasabnormalmusclemovement.
Thechanceofthisoccuringisa) 1/100b) 1/50c) 1/10d) 1/25
50) 30yroldwomantakesODofglicazideandmetforminwhatsthebestoption
a) CVCand50%Dextroseb) CVCwith50%Dextrose+octreotideinfusiononlyifmetforminsustained
releasec) Octreotideinfusion
51) 30yroldwoman,26wpregnant,MVA,noobvtraumawhattestismostimportant
a) USb) CTG4hrsc) Kleihauerd) CTGandUS
52) COPDexac,onBIPAPCO2was60nowits78whatsthebestsetting
a) FiO2.5and12/5b) FiO2.28and12/5c) FiO2.28and14/5d) FiO2.28and14/8
53) Na105,given5mls/kg3%NSnowwhatstheNa?weight70kg
a)115b)120c)110
54) 30yrolddudewithgastro,neverbeenoverseesa) Rotavirusb) Salmonellac) Camplybacterd) Shigella
55) 78yroldwithparkinsons,hasvishallucinations.Diagnosis?
a) FrontalCVAb) Psychosisc) UTId) EDH
56) 85yroldwomanhasfallathome
a) 50%mortalityinnextyearb) 25%chanceoffracturec) Highchanceofextradurald) WTFwastheanswer?
57) 6yearoldwithpainfulhip,afebrile,limpingESR20
a) Perthesb) Transsynovitisc) Septicarthritis
58) Distalradiusfracturenottoreduce-
a) 5mmimpactionb) 2mmintraarticular,c) 15angulationd) ulnarstyloidfracture
59) Stablefracture
a) flexionteardropfractureb) extensionteardropfracture
c) unilaterfacetjointdislocationd) completedecapitation(ifyouarepedanticabout4options)
60) USchest
a) normalscanb) pneumothoraxc) haemothorax
61) Youngmalewithfirstepisodeofshoulderdislocation
a) keepinshoulderimmobiliserfor4weekb) riskofrepeatdislocationis50%c) canstartdoingcompleterangeofmotion
62) 60Y/FwithRAhaslowerlimbpowerof4/5,cause
a) displacementofatlantoaxialjointb) mononeuritismultiplexc) muscledystrophy
63) Differencebetweenperipheralandcentralvertigo
a) Hallpikehighsensforperipheralb) Centralalwayshorizc) Bidirectionalnystagmusifperipheral
64) USfindings:
a) LVhyperdynamicmeanshypovolemicb) IVCchangesby60%duringexpirationc) Inischemianoregionalwallmovementmeansitsnotischemic(or
something)65) MDAC
a) Theophyllineb) Ironc) Lithium
66) Ingestionofwhichsubstancecausesalveloitisandrenalfailurea) Paraquatb) amiodarone
67) Whichoffollowinghasspecificantidotea) Salicylateb) Paracetamolc) Theophyllined) Iron
68) 2kids3and5yearsaccidentallyingestHashcookieslacedwithcannabisinaparty,broughtinbymothera) InformDOPSimmediatelyb) expectairwaycompromisec) sendthemhome
AFEWMOREQUESTIONSTHATWECANNOTREMEMBERTHEOPTIONSFOR
Kneeinjury-posteriordislocationwithpoplitealarterydissection,
AbloodgaswithCl40,PCO260andPh7.3?Koflike2
o Bulimiao (Iforgettheotheranswers)Otherchoiceswereendocrinethings
8yearoldwithswellingatangleofjawandpusinmouthcomingfromsomewhe
Botulismascendingordescending?
Brownsequardsydromepattern(?)–thinkthatwasintheresomewhere
Theotherstemwassomeguywith1monthlegweakness,difficultystandingupandhyperreflexive???motorneuronSomethingaboutaJeffersonorhangmansfracture....weforget-IthinkotherdescriptionwasofaHangman’sfracture
Somequestiononhypothermia-whichonemakessense(iforgettheactualstem)
o 28degandVTHR30andGCS3o 31degandAFandGCS10andtookclothesoffinthestreet
EBM-Sens/SpecPPVNPV/SpecifictestbesttoconfirmDx
