EM Quiz 17

EM Quiz 17

EM Quiz 17 EM Quiz 17

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EM Quiz 16 Summary – review your personal results below.

To learn more about any of the topics covered in this EM QUIZ – see the following RCEMLearning content listed:

Q1: Acute Pericarditis – Learning Session

Q2: Alcoholic Liver Disease – Learning Session

Q3: More dental emergencies – Learning Session

Q4: ST Elevation without Infarction – Learning Session

Q5: Thoracic Injuries – Learning Session

Q6: Vaginal Bleeding in the Non-Pregnant Patient – Learning Session

Q7: Acute Coronary Syndromes: Pathophysiology ad Presentation – Learning Session

Q8: Chest Drain Insertion – Learning Session

Q9: Congenital Heart Disease – Learning Session

Q10: Echo in life support – Learning Session

Why not try another RCEMLearning EM Quiz

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Question 1 of 10

1. Question
Which one of the following features of chest pain is the most specific for acute pericarditis?
- Radiation of the pain to the jaw
- The pleuritic nature of the pain
- The retrosternal site of the pain
- Radiation of the pain to the trapezius ridge
- Radiation of the pain to the back
Correct

Incorrect
Question 2 of 10

2. Question
A 65-year-old male presents to the ED with abnormal LFTs. On questioning he admits to prolonged heavy alcohol intake. An ultrasound scan reveals fatty liver.

With regard to prognosis, which one of the following is correct?
- Fatty liver represents irreversible ALD
- If cirrhosis develops then prognosis not improved by abstinence from alcohol
- 80% of alcoholic patients will develop cirrhosis
- Five-year mortality for those with decompensated ALD is approximately 30%
- Opportunistic advice regarding drinking given in the ED has been shown to improve prognosis in alcoholics
Correct

Incorrect
Question 3 of 10

3. Question
A 75 year old patient on warfarin attends following an extraction done at his local dentist. He is complaining of bleeding which has not stopped with simple pressure alone. Which of the following would be incorrect in the management of this patient?
- To continue the use of pressure with damp gauze
- To take INR, FBC and clotting bloods and consider the use of a reversal agent.
- The use of topical tranexamic mouthrinse to help stop bleeding
- To encourage the patient to use regular saline mouthrinses to clean out the blood from his mouth
- To place local haemostatic measures, such as haemocollagen and resorbable sutures
Correct

Incorrect
Question 4 of 10

4. Question
A 35-year-old man presents to the ED with chest pain; it is reproducible on pressing on the chest wall. He looks well, he has no associated features and your diagnosis is musculoskeletal chest pain. His ECG shows ST segment elevation which looks like BER. He has an old ECG from 6 months ago which is similar.

Which one of the following statements about BER is True?
- It is more common in Afro-Caribbean people than Caucasians
- It is equally common in men and women
- The incidence decreases with age
- Over a 10 year period ECG findings remain unchanged
- The ST segment elevation seen in BER is in the right coronary artery territory.
Correct

Incorrect
Question 5 of 10

5. Question
A 20-year-old man has fallen from a third-floor window. Which of the following statements regarding the diagnosis of aortic injury is correct?
- The incidence is highest in young males
- If he complains of chest pain, this is likely to be due to an aortic injury
- A BP difference between both arms is likely if he has an aortic injury
- A normal, good quality erect chest x-ray in his case effectively rules out the diagnosis
- A thoracic CT scan with IV contrast demonstrating a mediastinal haematoma confirms the diagnosis
Correct

Incorrect
Question 6 of 10

6. Question
The last day of the menstrual cycle marks the first day of the next menstrual cycle.
- True
- False
Correct

Incorrect
Question 7 of 10

7. Question
An 81-year-old lady arrives by ambulance to the emergency department having had an unwitnessed collapse at home at some point over the preceding 24 hours. She has a history of previous myocardial infarction and has had a transient ischaemic attack (TIA) in the past. On examination her pulse is 95, BP is 105/80, respiratory rate 28, her oxygen saturation is 89% on air and her temperature is 35.9ÂºC. She has a third heart sound and bilateral basal crackles.

ECG is shown (click on image to enlarge) and the chest x-ray shows bilateral basal infiltrates.

Which one of the following statements is most appropriate?
- AMI is a possible underlying diagnosis and she should receive urgent reperfusion therapy
- Additional ECG leads are likely to clarify the diagnosis and determine the need for urgent reperfusion therapy
- Old notes should be ordered in order to confirm whether the ECG changes are new and hence whether urgent reperfusion therapy is indicated
- AMI is a possible underlying diagnosis but urgent reperfusion therapy is not indicated
- An urgent troponin should be ordered to determine whether urgent reperfusion therapy is indicated
Correct

Incorrect
Question 8 of 10

8. Question
Which of the following facts about the triangle of safety is true?
- Bordered anteriorly by Pectoralis minor
- Bordered posteriorly by Teres major
- Bordered inferiorly by Superior aspect of 6th rib
- Use of anatomical landmarks is superior to ultrasound guided insertion
Correct

Incorrect
Question 9 of 10

9. Question
Which of the following is a common side effect of Prostaglandin infusions to be aware of?
- Apnoea
- Fever
- Tachycardia
- Thromboembolic events
- Hypotension
Correct

Incorrect
Question 10 of 10

10. Question
Providing the marker dot is on the right side of the image, which of the following statements is correct for parasternal long axis view:

Select one option from the answers below.
- The aortic root would appear on the left
- The cardiac apex would always appears in parasternal long axis view
- The left ventricular outflow tract diameter is best seen in this view
- A pleural effusion would appear as a hypoechogenic collection superior to the descending aorta
- The tricuspid valve is often visualized
Correct

Incorrect

2 Comments

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Dr Syed Shahbaz Ahmer March 19, 2024 at 1:14 pm

Great Quiz

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Dr Sujith M November 9, 2024 at 2:40 am

Great quiz

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