SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Septic shock

A 68-year-old man presents to your ED in septic shock secondary to urosepsis. He remains hypotensive (MAP < 65 mmHg) despite 30 mL/kg of crystalloid resuscitation. You are planning to initiate vasopressor support.

1. Define shock. (1 mark) 1 mark

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2. State (2) physiologic complications of untreated shock. (2 marks) 2 marks

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3. List (3) scoring systems or tools which may be used to assess severity or prognosis in patients with shock. For each, state one (1) key feature or variable it includes. (3 marks) 3 marks

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4. Compare noradrenaline, adrenaline and metaraminol in the management of septic shock by stating (1) advantage and (1) disadvantage of each. (6 marks) 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.