SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: HSV transverse myelitis

A 22-year-old woman presents to your Emergency Department with bilateral lower limb weakness that has progressed within the last 24 hours. She has a history of rheumatoid arthritis and is on methotrexate. On examination she has a vesicular rash on the right upper limb.

1. Other than transverse myelitis, complete the table providing (2) examples of conditions that could result in respiratory distress or respiratory failure under the following categories: spinal cord / peripheral nerve / neuromuscular junction disease. (6 marks) 6 marks

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You suspect HSV transverse myelitis.

2. What is an appropriate antimicrobial therapy including drug name, dose and route? (1 mark) 1 mark

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You want to assess her need for mechanical ventilation.

3. List and justify (5) signs and/or bedside investigations that you can utilise to guide this assessment. (5 marks) 5 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.