SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Acute aortic dissection

A 28-year-old man is BIBA to your tertiary with sudden onset severe tearing chest pain radiating through to his back which started an hour ago at rest. He is a triage Cat 2 to your resus bay. On examination he is distressed with pain and diaphoretic. Vitals as follows : HR 125 BP 160/90 RR 28 Sats 96%RA T 36.5

1. List predisposing risk factors for aortic dissection in his age group. 3 marks

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2. List and justify imaging modalities that can be useful for investigating aortic dissection. 3 marks

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3. Prioritise a list of medications you would use, stating therapeutic action, dose and endpoints. 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.

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.