SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Early pregnancy bleeding and collapse

A 23-year-old female presents to your Emergency Department with lower abdominal discomfort and some per-vaginal bleeding. Her LMP was 5 weeks ago and her urine β-hCG is positive.

1. List (6) predisposing factors for ectopic pregnancy. 6 marks

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2. List (4) examination findings that make ectopic rather than intra-uterine pregnancy more likely. 4 marks

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An ultrasound confirms and intrauterine pregnancy. On return from imaging, she becomes unwell with systolic BP 65 and HR 40. She is placed in resus and is on a monitor.

3. State (3) likely reasons for the bradycardia. 3 marks

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4. BRIEFLY outline your immediate management. 5 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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