SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Spontaneous bacterial peritonitis

A 58-year-old woman presents with abdominal discomfort, fever and altered mental status. She has a history of liver cirrhosis with ascites. You suspect spontaneous bacterial peritonitis with hepatic encephalopathy.

1. List (4) features in the history and examination suggestive of hepatic encephalopathy. (4 marks) 4 marks

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2. In addition to infection, list (4) common triggers of hepatic encephalopathy you would seek in your assessment. (4 marks) 4 marks

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3. OTHER than liver cirrhosis, list (2) risk factors for SBP (2 marks) 2 marks

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4. Complete the table below comparing primary and secondary bacterial peritonitis. (8 marks) 8 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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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.