SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Spontaneous pneumothorax

A 20-year-old male smoker presents with right-sided pleuritic chest pain. No past medical history. Hobbies include scuba diving. Exam: absent breath sounds on the right and hyper-resonant percussion. Vitals: HR 80 BP 125/70 RR 20 SpO2 95% RA.

1. What is the most common risk factor for spontaneous pneumothorax? 1 mark

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You perform a lung ultrasound to try and evaluate for the diagnosis of pneumothorax.

2. State three findings you would look for on ultrasound that would confirm or exclude pneumothorax. 3 marks

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3. Complete the table with two justifications for two possible treatment options for primary spontaneous pneumothorax. 4 marks

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4. State four pieces of advice you would give the patient upon discharge. 4 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.

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