SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Ataxia, confusion and headaches

A 65-year-old man presents with ataxia, confusion and headaches.

Ataxia, confusion and headaches

An axial image from his non-contrast CTB is shown.

1. List (4) relevant findings and provide an interpretation. 5 marks

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The patient is on apixaban for atrial fibrillation.

2. What is the mechanism by which apixaban has its therapeutic effect? 1 mark

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3. Outline (2) agents you would consider giving the patient in this situation with a dosage regimen. Note, Andexanet alpha is not available. 4 marks

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The patient’s GCS drops suddenly and you are concerned for uncal herniation.

4. Outline (2) physical signs you would seek to confirm this clinically. 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.