SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Ankle pain and fever

A 55-year-old man has presented with acute ankle pain and a low grade fever. A clinical photo is shown below :

Ankle pain and fever

1. State (3) clinical features demonstrated in the photograph. (3 marks) 3 marks

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2. List (5) differential diagnoses for his presentation. For each diagnosis, list a definitive investigation finding that would confirm its presence. (5 marks) 5 marks

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A joint aspirate is performed: Appearance: cloudy yellow WCC 40 000 % PMNs 70% Gram stain negative Crystals negatively birefringent

3. State the diagnosis. (1 mark) 1 mark

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4. List (3) medications, with doses, that could be used to manage this problem. Provide a relative contra-indication for each. (3 mark) 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.

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.