EM Quiz 7

A 3-year-old child (weight 16 kg) presents with a 24-hour history of fever, diarrhoea and vomiting. His parents report a “tummy bug” has affected several of the children at nursery, they have not been overseas and his urine output is unchanged.

At triage he appears unwell and is tachycardic but normotensive. On examination he is pink, has warm extremities and a CRT of 2 seconds. His eyes appear sunken and he has a dry tongue.

According to NICE guidelines, which of the following management options is the most appropriate?

Regarding treatments for vertigo, which statement is most accurate:

With regard to the anatomy of the anorectum, which one of the following is correct?

When considering the presentation of Bell’s palsy to the emergency department (ED), which one of the following statements is correct?

Which of the following combinations may be considered maximal initial medical treatment of COPD?

A patient with multiple sclerosis (MS) presents with a painful left eye and reduced visual acuity. The eye appears macroscopically normal and no abnormalities are seen on fundoscopy. She is apyrexial and inflammatory markers are within normal limits.

Which one of the following therapeutic options is correct?

Who is most at risk of damaging their suprascapular nerve?

An obese 80-year-old female presents with a 6-hour history of a cold, painful left leg. On examination, she is found to have an irregular pulse, her left leg is white with a palpable weak femoral pulse, but no pulses palpable distal to this. Her right leg is slightly warmer and she has palpable pedal pulses on that side.

What is the most likely underlying pathology?

Which one of the following is true in jaundice caused by cholangiocarcinoma?

Ryan is a 3 year old boy who was playing in the garden with his older sister when a cry was heard. His parents rushed outside to find he was holding his left arm down straight and his older sister states that she was simply trying to pull him away from the paddling pool because she thought it was dangerous.

In this situation, x-ray: