Other

Question 1

A 16yo boy, tall in stature presents to the ED with his 4th pneumothorax in a number of years. He is tall in stature and has a positive thumb sign. On examination, a murmur is heard

Answer 1

Marfan’s syndrome

Question 2

A 32yo Asian woman presents with fatigue and weight loss. On questioning, she was numerous, painless ulcers in her mouth. She has a rash on her chest (in sun-exposed areas) and a malar rash on her face

Answer 2

SLE

Question 3

A patient recently returned from PNG, presents with a febrile illness. Over the next few days they develop chills and myalgia. Thick and thin blood films are ordered

Answer 3

Malaria

Question 4

A 23yo travelling Indonesia has diarrhoea characterised by 4 loose stools/day. Over the next 3 days, the illness subsides

Answer 4

Travellers’ diarrhoea

Question 5

A 22yo with a known allergy presents distressed, with an inspiratory stridor and hoarseness. On examination, he is tachycardic

Answer 5

Anaphylaxis

Question 6

A patient from the Phillipines presents with a fever, maculopapular rash and myalgia/arthralgia. FBE reveals neutropaenia and thrombocytopaenia

Answer 6

Classic dengue fever

Question 7

A traveller returned from Africa 2 weeks previously presents with a non-specific febrile illness. Blood cultures show Gram negative bacilli

Answer 7

Typhoid fever

Question 8

A 27yo woman presents complaining of 7 months of fatigue so bad she feels she cannot get out of bed in the morning. She also has an associated sore throat, muscle pain, headache and has been having unrefreshing sleep in this time. All investigations performed are normal

Answer 8

Chronic fatigue syndrome