MRCEM SBA Preview Quiz

Question 1

You provided procedural sedation with propofol for a 32-year-old man with a shoulder dislocation 45 minutes ago. He is still in a Resuscitation cubicle and there are other high priority patients for whom this cubicle would be valuable.

Which would be the most accurate statement regarding discharge?

Question 2

A 70yr-old-woman has been brought to the ED with a sore throat and noisy breathing. On assessment she appears ill and has marked stridor. Her husband says that she first complained of a sore throat a few days ago, but that she is much worse today.

What is the most likely explanation for her stridor?

Question 3

An 82-year-old female has presented after a fall. She describes increasing pain in her left knee over six weeks and progressive loss of mobility.

On examination this was the appearance of her left knee:

What is the explanation for this appearance?

Question 4

A 74-year-old female presents with bleeding from a dental extraction site. She had a tooth removed three days ago and is now bleeding from the socket. She is taking warfarin and has an INR of 5.4

Which is the most appropriate action with respect to the INR?

Question 5

You need to transfer a breathless patient to the CT scanner for a CT pulmonary angiogram. The patient is currently on 15 L/minute oxygen by facemask. The only oxygen cylinder immediately available is a CD size (see picture).

What volume of oxygen does this contain when full?