SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: SOB POCUS

You are performing a POCUS lung scan on a 65-year-old man with acute shortness of breath. He has a history of COPD and CCF. He has been in your ED for over 12 hours when he becomes more acutely dyspnoeic. Image A was obtained on arrival in the R upper zone of the chest. Image B was obtained in the same zone when his clinical state deteriorated.

SOB POCUS

1. Identify the main features labelled 1 to 4 in images A and B 4 marks

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2. List (4) points that define FEATURE 4 in question (a). 4 marks

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3. List (4) sonographic findings that indicate that FEATURE 4 is highly indicative of heart failure. 4 marks

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The patient appears distressed with the following observations : HR 120 regular BP 180/115 RR 36 Sats 88% 15L/min NRB GCS 14 Temp 37.4

4. Give your top (2) therapeutic measures with justification, dose/parameters/endpoints where appropriate. 6 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.