SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Ingested foreign body

A 3-year-old male has presented with a history of an ingested foreign body. He is comfortable and talking normally. His vital signs are all within the normal range.

1. In addition to button batteries, list (4) high risk ingested FBs that require emergent removal. (4 marks) 4 marks

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2. List (3) common sites of FB impaction at the oesophagus. (3 marks) 3 marks

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3. State (2) features on chest X-ray that may help identify a button battery. (2 marks) 2 marks

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Chest X-ray confirms a button battery in the oesophagus. You have made plans to transfer the patient to theatre for endoscopic removal. This is delayed for 60 minutes.

4. Give (1) oral agent that may have a role in reducing damage to the oesophageal mucosa pending endoscopic removal. (1 mark) 1 mark

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5. State (2) mechanisms by which button batteries can cause necrosis in the oesophagus. (2 marks) 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.