SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Haematemesis

A 60-year-old man has presented to your ED with a history of haematemesis. He is a chronic alcoholic. Vitals are as follows HR 100 BP 95/60 and he appears pale. FBC shows a Hb of 70g/L and MCV 105 fL (81-95)

1. List four causes of raised mean corpuscular volume. 2 marks

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2. List four medical comorbidities associated with alcohol use disorder. 4 marks

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You are concerned for variceal bleeding. The patient has another large haematemesis and is moved to the resus room and placed on monitoring. Large bore IV access has been obtained by your team. Vitals are now HR 105 BP 90/50 RR 24 Sats 97% RA GCS 15

3. Outline management priorities in suspected variceal bleeding. 6 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.