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The SBA questions on RCEMLearning are designed to support revision and self-directed learning in Emergency Medicine.

While they reflect the style and format of RCEM examinations, performance on these questions should not be interpreted as an indication of success or failure in any official RCEM examination.

  • SBA

My eyes have gone funny!

A 65-year-old man presents with sudden-onset flashes and floaters in his right eye over two days, maintaining good vision and no pain, prompting assessment for vitreoretinal pathology.
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Doctor, Eye have a Problem

A patient presents with sudden, painful loss of vision. Can you diagnose the problem and provide emergency management?
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Collapsed Neonate

A neonate that suddenly collapses leaves us all with dread.
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Emergency Treatment of Anaphylaxis

1 in 300 people will experience anaphylaxis at some point in their lives. RCUK anaphylaxis guidelines provide an updated consensus for the recognition and management of anaphylaxis in all age groups.
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Childhood Forearm Injury

Buckle / Torus fractures in children
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Breathlessness and Oedema: A Diagnostic Challenge in the ED

A 55-year-old presents with bilateral lower leg pitting oedema and heart failure symptoms. Unremarkable initial investigations lead to digging deeper for the correct diagnosis.
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Epistaxis on Warfarin

A bleeding patient on anticoagulation
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Drug Overdose

A young woman, who walks into the ED with Propranolol overdose, suddenly collapses.
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Bronchiolitis

This SBA will test your knowledge about bronchiolitis – are you ready?
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Wound Management

Test your knowledge on managing an animal bite!
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An Electrical Storm

A 68-year-old man with a prior history of MI is pre-alerted to hospital as having had a pre-syncopal episode with an abnormal ECG.
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Haemetemesis in Anticoagulated Patient

A 75-year-old gentleman on an anticoagulant, presents with haematemesis to the emergency department, in shock. How will you manage this patient?
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Retinal Detachment

A 58-year-old man presents to your Emergency Department with a headache and right sided vision loss.
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Feeling weak

An elderly woman attends with a vague history of weakness and confusion but an unremarkable clinical examination. How will you proceed?
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Post Chemotherapy Seizure

A 40-year-old male with B-cell lymphoma presents to the ED complaining of lethargy, dry mouth and generalized weakness. The patient has no fever. How will you manage this?
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Painful Knee

A patient presents to the Emergency Department with a painful swollen knee. He cannot move his knee fully and has a fever.
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Silver Shock

An elderly lady is brought to your ED by ambulance after falling at home. She is hypotensive, tachypnoeic and agitated. She has a wound on her right shin with no active bleeding.
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Another Chest Pain

You think this is a regular day at the office and a very straight forward case, but is it?
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Eye Pain and Redness

A 55-year-old woman presents with acute left eye pain, blurred vision, redness, headache and halos around lights that started when she was watching TV in a dimly lit room.
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Management of Diverticulitis in the Emergency Department

A 60-year-old man presents with 2 days of constant left lower quadrant pain, low-grade fever, and loose stools. He is haemodynamically stable with mild C-reactive protein elevation and no peritonism.
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Seeing Double

A woman with diplopia needs your help. Can you identify the cause and include or exclude any red flags?
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Acute Opioid Toxicity

A young adult presents with an opioid overdose, how will you manage this patient?
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Ingestion of Magnets

Small magnets in small people.
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Pelvic Inflammatory Disease in the ED

When will you admit a patient with PID?

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