SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Hot swollen ankle

A 55-year-old man presents with acute atraumatic ankle pain and a low-grade fever.

Hot swollen ankle

1. State three clinical features demonstrated in the photograph. 3 marks

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2. List five differential diagnoses for his presentation and a definitive investigation finding for each. 5 marks

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A joint aspirate is performed: Appearance Cloudy yellow WCC 40,000 /uL %PMNs 70% Gram stain Negative Crystals negatively birefringent

3. State the diagnosis based on joint aspirate results. 1 mark

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4. List three medications with doses that could be used to manage this problem and provide a relative contraindication for each. 3 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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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.