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Short Answer Questions for ED Fellowship Study

Case: Cavitating pneumonia in intravenous drug use

A 30-year-old man with a history of intravenous drug use presents with fever, productive cough, dyspnoea and haemoptysis. His obs are : T 38.6, RR 30, Sats 91% RA, HR 140 (SR), BP 90/55.

Cavitating pneumonia in intravenous drug use

1. List three important findings on the chest X-ray. 3 marks

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2. Complete the table listing three causative infective organisms in each patient group. 3 marks

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3. Give four non-infectious differentials for the chest X-ray appearance. 4 marks

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4. List and justify four important investigations that may assist in diagnosis or management. 4 marks

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5. Briefly outline your management priorities. 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.

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.