SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Early pregnancy bleeding

A 30-year-old lady presents to your emergency department with lower abdominal pain and vaginal bleeding. She reports a positive urinary pregnancy test and her last menstrual period was 6 weeks ago.

1. List four potential causes for her symptoms. 4 marks

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The patient’s bHCG is 7000. Your registrar asks if they can use the departmental ultrasound to ascertain the aetiology of her symptoms

2. Outline four important points when asked whether departmental ultrasound can be used to ascertain the aetiology. 4 marks

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The patient has a formal ultrasound showing an intrauterine, 32 mm gestational sac with no foetal pole seen. The bleeding has stopped.

3. Outline your initial approach to counselling and educating the patient regarding a diagnosis of blighted ovum. 5 marks

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4. Outline three possible management options for this scenario. 3 marks

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5. Give two further aspects of management for 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.

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.