SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Post-splenectomy sepsis

A 54-year-old man presents to emergency with general lethargy, fatigue and fevers and chills. He had a splenectomy following a motor vehicle accident 10 years ago. On examination: Temp 38°C, HR 130, BP 90/55, RR 24, Sats 95% RA.

1. What organism is most likely to be responsible for his presentation? 1 mark

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2. List four other important causative organisms in post-splenectomy sepsis. 4 marks

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3. State two immediate priorities in the management of this patient. 2 marks

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4. List five causes for refractory shock and briefly outline how you would manage each. 10 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.