SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Acute mastoiditis

A 12-month-old girl is brought into your Emergency Department with a painful left ear. She has been seen to pull at her left ear for the last 4 days and mum has been providing her with paracetamol and ibuprofen. She does not have any pre-existing medical conditions or regular medications. Her vital signs are:

  • RR 26/min
  • HR 160/min
  • BP 100/50
  • Temp 38.4

Acute mastoiditis

1. State the most likely diagnosis and (2) common causative organisms 3 marks

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2. List (5) clinical features associated with this condition 5 marks

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3. State your immediate management steps, including doses if appropriate. 4 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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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.