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Short Answer Questions for ED Fellowship Study

Case: Unilateral pleural effusion

A 75-year-old woman presents with increasing exertional dyspnoea over several weeks. Chest X-ray demonstrates a unilateral pleural effusion and a diagnostic pleural tap is performed.

1. State Light’s criteria which would confirm this effusion to be an exudate. 3 marks

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2. Give six causes of exudative pleural effusion. 3 marks

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3. What are three indications for chest drain insertion? 3 marks

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4. Give three risk factors for re-expansion pulmonary oedema following chest drain insertion. 3 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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