Acute

Question 1

Meningitis Mx

Answer 1

ABC
High flow O2 and fluid resus
Cefotaxime 2g IV

Question 2

Mx of burns

Answer 2

Assess
Resuscitate (airway)
Fluids

Question 3

Acute Asthma Mx

Answer 3

Sit up
O2
Nebulised salbutamol
Hydrocortisone

ITU
MgSO4
IV salbutamol
Aminophylline

Question 4

Pleural effusion Tx

Answer 4

Provide O2 and resuscitate as necessary, according to the underlying pathology

Emergency therapeutic pleural aspirations are rarely required in the ED except where haemothorax is suspected

Question 5

PE Mx (DVT too)

Answer 5

LMWH continued for 5 days (until the INR > 2 for at least 24 hours)

Thrombolysis for massive PE

Warfarin given within 24 hours, continued for 3, 6 months

Question 6

Score used for TIA

Answer 6

ABCD2

Question 7

Mx of haemorrhagic stroke

Answer 7

Neurosurgical consultation to advise further management
Vast majority of patients are not suitable for surgical intervention
Management is therefore supportive for haemorrhagic stroke

Warfarin and antithrombotic agents e.g. Clopidogrel should be stopped to minimise further bleeding

Question 8

Status epilepticus

Answer 8

Lorazepam
Lorazepam repeat after 10 minutes
After 2 doses give IV Phenytoin

Question 9

UGI bleed Mx

Answer 9

15L of high flow oxygen
Bloods: FBC, U&E, LFT, Cross-match
Fluids resus
PPI
Terlipressin
Endoscopy

Question 10

UGI bleeding risk scores

Answer 10

Glasgow Blatchford - the need for admission and endoscopic Tx

Rockall score - risk of re-bleed and mortality after endoscopy

Question 11

Hyperkalaemia mx

Answer 11

Calcium gluconate 30ml 10% over 10 mins
Insulin and glucose
Salbutamol