Red flags

Question 1

First and worst headache of life

Answer 1

SA haemorrhage

Question 2

Thunderclap headache

Answer 2

SA haemorrhage

Question 3

Unilateral headache and eye pain

Answer 3

cluster headache // Acute glaucoma

Question 4

Unilateral headache and Ipsilateral symptoms

Answer 4

Migraine // Tumour // Vascular

Question 5

Cough-initiated headache

Answer 5

Raised ICP // Venous thrombosis

Question 6

Persisting headache with scalp tenderness in >50s // Raised ESR

Answer 6

Giant cell arteritis

Question 7

Headache with fever or neck stiffness

Answer 7

meningitis

Question 8

Pre-eclampsia // especially if proteinuria and Raised BP

Answer 8

Pregnancy

Question 9

Neck pain and cerebellar/medulary signs

Answer 9

Vertebral Artery Dissection

Question 10

Wheezing diff.

Answer 10

Asthma // COPD // HF // Anaphylaxis

Question 11

Stridor diff.

Answer 11

Tumour // acute epiglottitis // anaphylaxis // Trauma

Question 12

Crepitations diff.

Answer 12

HF // pneumonia // Bronchiectasis // Fibrosis

Question 13

Key investigations for Resp

Answer 13

O2
Stats
Pulse 
temp
peak flow
ABG (sats <94%)
ECG (PE, LVH, MI)
CXR
glucose, FBC, U&amp;E

Question 14

Chest pain diff.

Answer 14

Acute MI
Angina/ACS
Aortic Dissection
Tension Pneumothorax
Pulmonary Embolism
GORD

Question 15

Key Cardio investigations

Answer 15

CXR
ECG
FBC
U&E
Troponin

Question 16

Treatment of ACS

Answer 16

Aspirin - failing that prasugrel no Stroke hx
Morphine - must give anti-emetic
GTN - unless hypertensive or acute LVF
Oxygen - <95% 
Anticoag - enoxaparin/bivalirudin
Betablocker - bisoprolol