SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Snake envenomation with collapse

A 62-year-old woman collapses after a snake bite in southern NSW. She is first seen at a peripheral hospital and has an episode of collapse with no pulse.

1. State the immediate management including drug doses. 4 marks

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On arrival at a regional hospital, her GCS 15, mild bleeding from tongue and posterior pharyngeal wall.

2. List 4 elements of examination or investigations you would perform and what abnormality do you anticipate may be present in an envenomed patient 8 marks

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3. List two absolute indications for immediate antivenom administration prior to pathology test results 1 mark

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Her coagulation profile returns: PT >120 sec and APTT 150 sec

4. What is the diagnosis? List 2 species of snake that could have envenomed this patient. 3 marks

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5. List 2 delayed complications and features that could occur with snake envenomation and treatment in this patient. 2 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.