Want to track your progress? You can complete this SAQ as a guest, but logging in to a free account lets you save attempts, review scores, and see your progress by category. Log in or create an account .

An 82-year-old man has presented with fever, dyspnoea, chest pain and a productive cough. He was discharged from hospital 5 days ago after a week-long hospital admission with influenza A. He is on long-term steroids for rheumatoid arthritis.

Fever and Breathlessness

1. Give (2) relevant findings in the X-ray and your interpretation. 4 marks

β˜… β˜… β˜… β˜… β˜…

Vital signs: HR 120/min, BP 85/60 mmHg, O2 sats 85% on 6 L/min oxygen via Hudson mask, RR 40/min, Temp 38.8Β°C.

2. Provide your antibiotic strategy with rationale. 3 marks

β˜… β˜… β˜… β˜… β˜…

3. State (5) other components of your management. 5 marks

β˜… β˜… β˜… β˜… β˜…

Despite management, he continues to deteriorate and cannot communicate due to severe distress.

4. State (6) key components of the discussion you will have with the patient’s family regarding the patient’s current situation. 6 marks

β˜… β˜… β˜… β˜… β˜