EM Quiz 10

Which one of the following estimated rates of re-warming is correct?

A 68-year-old woman presents to the emergency department following a brief grand mal seizure preceded by headache and confusion. She is known to have hypertension and has had a previous acute myocardial infarction. On examination, she has the following positive findings:

BP = 215/120, Temp = 37.6 degrees centigrade, GCS = 14/15.

Which one of the following is the LEAST likely diagnosis?

Of the anti-psychotic medications listed below, which has the highest risk of dystonic reaction?

Which of the following must be available during all ED procedural sedations?

Regarding hand extensor tendon anatomy, which of the following statements is correct?

Which one of the following is least likely to be associated with hypotension?

Regarding Hep B post exposure prophylaxis following a needlestick injury, which of the management plans is appropriate in the clinical situation?

*Hepatitis B prophylaxis table adapted from Public Health England. Hepatitis B: the green book, chapter 18. 2013.  [accessed June 2020]

Competence in emergency medicine ultrasound involves which of the following?

A 50-year-old woman presents with a first episode of collapse when getting out of bed in the middle of the night. She has now recovered but tells you that she has recently started Atenolol 50 mg o.d. for hypertension and says she has felt dizzy and tired since. Her ECG shows a sinus bradycardia of 50 with a lying BP of 125/70 and standing BP of 110/65. The rest of the examination is normal and she is not on other medication.

Which one of the following would be an appropriate course of action?

With regards to management of patients presenting to the emergency department with jaundice, which of the following statements is correct?