SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Chest pain and syncope

A 35-year-old woman presents to the ED with central chest pain and two syncopal episodes.

Chest pain and syncope

1. List (3) positive findings on the above ECG. 3 marks

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2. Apart from PE, list (4) possible differential diagnoses, taking into account the patient’s presentation and ECG finding. 4 marks

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3. List (4) features on cardiac POCUS that would suggest pulmonary embolus. 4 marks

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RV dysfunction is noted on POCUS. The patient’s BP falls to 80/40

4. State (6) management steps for this patient. 6 marks

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The patient suffers a cardiac arrest and has been provided with appropriate pharmacotherapy.

5. State (1) modification that you would make to standard ACLS for this patient. 1 mark

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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.