SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Resolved chest pain

You are the morning consultant in a rural hospital reviewing a 50-year-old male who self-presented overnight with recently resolved chest pain on a background of hypertension and hypercholesterolaemia. He has been treated with aspirin and his pain-free ECG is shown.

Resolved chest pain

1. State four key features of this ECG. 4 marks

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2. State your most likely diagnosis and the underlying pathology. 2 marks

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The patient’s troponin on arrival was negative and he was referred to the medical team by your overnight registrar. The medical registrar has asked that the patient be admitted directly to a non-telemetry bed on the ward as he is troponin negative and pain free. His current observations are : HR 85, BP 175/95, RR 16, Sats 98%RA

3. List six further actions you would undertake with the information provided. 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.