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Short Answer Questions for ED Fellowship Study

Case: Collapse after vomiting

A 21-year-old female presents after collapse following a 3-day history of vomiting. ABG: pH 7.65 pCO2 55 PO2 80 HCO3 60 BE > + 30 K 2.3 Cl 69

Collapse after vomiting

1. State (4) major abnormalities on the blood gas with interpretation for each. 4 marks

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2. List (4) potential causes for these blood gas findings. 4 marks

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The patient’s current vitals are : BP 80/50 RR 12 Sats 95%RA GCS 14 T 36.5

3. Briefly outline your principles of management. 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.

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.