SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Climbing Everest

You are a newly qualified FACEM excited about the relaxation of pandemic international travel restrictions and as such have agreed to be the expedition doctor for a trek to the Everest Base Camp (altitude 5300m). During Day 3 of the trek, you note one of your trekkers lagging behind the rest of the group, has a new cough and appears to be breathless even whilst resting.

1. State the most concerning diagnosis. 1 mark

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2. List (4) risk factors for the development of this condition. 4 marks

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The trekker appears to have deteriorated when you stop to set up camp that night, he remains breathless, the cough is now productive of pink frothy sputum and his lips appear cyanosed.

3. State your management priorities in this patient. 5 marks

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4. List (2) other complications that can occur at high altitude. 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.