High Yield

Question 1

Brugada

Question 2

Wolf Parkinson white

Answer 2

Delta wave and short PR
Refer to cardiology

Question 3

Pregnancy and chicken pox

Answer 3

Mother had chicken pox?
If unsure to blood for Ab test
Give Ig if necessary
Separate from child if possible

Question 4

Tetanus

Question 5

DIC

Question 6

Haemophiliac management

Question 7

Risk stratify chest pain

Question 8

Ophthalmia Neonatotum

Answer 8

Any conjunctivitis
Ddx
- blocked lacrimal duct (first 24h)
- chlamydia or gonnorhea (5 days)
- herpes (1-2weeks)
Management
- regular cleansing sterile water
+- referral and Abx (top/parenteral)

Question 9

Resus station 1st 2 things to do

Answer 9

Call for help
SoL? +- pulse

Question 10

Teaching station

Answer 10

Set - department safe
Introduce; grade
Patient safe?
What do you know about x…
What would you like to take away?
We won’t be able to cover all of that subject today… let’s focus on x
And if you want to email later we can arrange further teaching for all your peer group.
Check learning; test knowledge, watch skill
Any questions?
Give resources
Plan future session ?CBD
? Check back later for further teaching

Question 11

Mental health depression MSE

Answer 11

Unkempt
Poverty of speech an low volume
Low mood
No hallucinations
Suicidal thoughts
Reasonable insight
Slow cognition

Question 12

Manic MSE

Answer 12

Colourful or flamboyant appearance
Pressure of speech
Euphoric
Grandiose delusions
Flight of ideas
Tangential thinking
No insight
Manic cognition

Question 13

Psychotic MSE

Answer 13

Normal appearance
Scared or angry speech
Low mood
Auditory hallucinations
Delusional
Thought block, insertion, withdrawal, broadcast
No insight
Normal cognition

Question 14

Sickle cell crisis management

Answer 14

Oxygen
IVF
IV morphine
?abx
CXR
?ICU and cell exchange

Question 15

After management plan ask

Answer 15

Do you have any questions Or concerns

Question 16

Testicular torsion

Answer 16

Always ask about testis esp if vomiting, abdo pain or any undifferentiated pain

Question 17

Before exam

Answer 17

Wash hands!

Question 18

After exam of joint

Answer 18

Would examine the joint above and below
And assess neurovasc status

Question 19

CRITIOL

Answer 19

Capitelum 1
Radial head 3
Internal epicondyle 5
Trochlea 7
Olecranon 9
Lateral epicondyle 11

If trochlea present should be able to see medial epicondyle. If not present it is displaced #

Question 20

Soft tissue limits on c spine X-ray

Answer 20

Under 50% above C4
Under 100% below C4

Question 21

Consent information to discuss

Answer 21

Set, intro
Discuss procedure and reason
Benefits and risk
Alternatives
Checks understanding
PIL
consented to Proceed?

Question 22

Procedure checklist

Answer 22

CEPAC
Consent
Equipment
Position
Aseptic; field and hands
Checklist; loccsip

Question 23

Prep Paeds resus

Answer 23

Paediatric peri arrest, trauma, arrest
WETFLAG
Team roles
Prep: Expected interventions A to E

Question 24

Mental health scenario

Answer 24

Diagnosis; depression, psychosis, mania
Self harm - risk
Capacity
Dependents
Drugs and alcohol

Question 25

Resources

Question 26

Follow up

Question 27

Bloods

Answer 27

VBG
FBC
CRP
U&E
LFT
Amylase
Bone profile
Clotting
G+S