SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Swollen ear

You are the sole FACEM working in a small rural emergency department without surgical cover. A 13-year-old male presents with complaints of right ear pain following a clash with another player whilst playing rugby. He is otherwise well and reports no other injuries. A clinical photograph of the ear is below.

Swollen ear

1. Describe the clinical findings, providing a diagnosis. 2 marks

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You perform an auricular block as part of your pain management strategy.

2. List the four nerves that provide sensory innervation of the external ear. 4 marks

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3. Name a local anaesthetic agent, including its maximal safe dose that could be used. 1 mark

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4. In addition to providing adequate analgesia and a regional auricular block, outline three important steps in the emergency management of this patient. 3 marks

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5. State two potential complications of this condition. 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.

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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.