MCQ2016.1Recalls
(WESTMEADHOSPITALREGISTRARS)
www.emergencypedia.com
ExtendedMatching
1) EMQ:SnakeBitewithDdimerof10,lowfibrinogenlevels-
a. Taipanenvenomation2) EMQ:SnakeBitewithINR2.2,negativeDDimer:
a. Blacksnake
3) EMQ:Stepwisemethodofshoulderrelocation-
a. a)Kocher,b)Cunningham,c)‘Spaso’techniqued)Milch4) EMQ:PTproneontablewithaffectedarmhangingdownforshoulder
reduction a. Stimson
5) EMQ:4yearoldgirlwithmassinmiddleofneckbelowhyoidbone,movesonmovementoftongue-
a. ThyroglossalCyst6) EMQ:4weekoldneonatewithmassonrtsideofneckunder
sternocleidomastoidmuscle,headturnedtoright-7) EMQ:6yearsoldgirlwithmassonleftsideofneckoversternocleidomastoid,
tendertotouch8) EMQ:Kidwithtonsillitisandfirmlumplateralofmidline,overlying
erythemaOptionsforPaedsemq:a)Sialadenitisb)supparativelymphangitisc)
Thyroglossalcyst9) EMQ:neuro-OldwomanwithWidebasegait-Cerbellum10) EMQ:neuro-IVDUwithweaknesstolegexcepthips11) EMQ:Psychiatry-optionsaredelusionaldisorder,bipolarT1(manic)drug
psychosis,illnessrelateddepression,schizophrenia12) EMQ:35yearoldwithhxofdepression,isintheedtalkingfastandloudly
abouthowheisspartofASIOandispartofaplottokillthePMofNZ______________
13) EMQ:25yearolddropsoutofuni,doesntseeisfriends,isunkeptandungroomed,hearingvoicesfor6months
14) EMQ:30yearoldwomanfinishesherFACEMexamgoesoutonthetownwithfriendsandisarrestedbypoliceafterbeingfoundrunningnakeddownthestreetbreakingofcaraerialssayingtheyarecontrollingherthoughts
MultipleChoice
15) TheECGchangesinHypokalaemia:
a)ShorteningPRintervalb)STdepressionc)shorteningQTinterval
16) HowtodifferentiatebetweenisolatedperonealnerveinjuryandL5injury:a) Numbnessin1stwebspaceb) abletoevertfootc) Abletoinvertfoot
SomethingthingelsethatcleverpeopleunderstandandIdont...fuckthisquestion.
17) 12leadECGshowingUwaves-Causea) RTAb) Addisonsdiseasec) TCAODd) Hyperkalaemia
18) Traumateams
a) singlevs.twotieredresultsinovertriageb) Mortalityimprovementin1stpartofillness
19) Simmedicinea) resultsinpeoplebeingcavalierastheresnorealpatientb) recentlyalotofevidencesaysitseffective
20) severeAShas....
a) Splits1-s2b) s3c) Athrilld) Systolicmurmurradiatingtoneck
21) WhathasmostPPVforappendicitis
a)painthatmigratedtoRIFc) Anorexia
22) WhichparaneoplasticconditionwouldyougetwithSquamouscellcarcinomaof
lungsa) Hypercalcaemiab)Hyperkalaemiac)Hyponatremia
23) WhatBPtoaimforinICHwhenSBPis220(210)
a)140b)150c)160d)180
24) A5yearoldand8yearoldpresentwithpustulesthatarenowcrustedaround
themoutha) HSVb) VSVc) Impetigo
25) 25Y/Mpresentslethargicworkinginthesun,Urea12,Creatinin180,(notsureif
Kwas6)a) ATNb) Dehydrationc) Intersitialnephritis
26) WhatisproventoimprovemortalityinARDS
a) Pronepositionb) LowTVsc) HighPEEPd) Somethingelse
27) ValiduseofATSdata
a) Comparingpeerhospitalsb) Assessingcomplexityofpatientloadc) Increasestaffingnumbersd) otheroptionsthatstruckmeasstupid
28) Anexternaldisasterisoccuringthemostimportantthingtodois
a) Getpatientstoanotherhospitalb) Maintainstandardofcarec) SomeotheroptionsthatIdidntlike
29) WhatisseeninEatenlambertmysthaneia
a) Theygetworsedistallyb) Theygetproximalfasiculationsc) Powergetsbetterwithrepeatedexamaniationd) Lossofreflexes?
30) Someduderocksupandsayshesrunoutofmethadonefor3days,Hehas
tremors,agitationandshakesa) Hehashighmortalityfromwithdrawlb) Hetookheroinc) HeshouldbegivenaBblockerd) Hiswithdrawalstatewilllastfor2weeks
31) Whichcarpalboneismostfractured(noscaphoidinoption)
a) Hamateb) Lunatec) Triquitriumd) Pisiform
32) OttawaAnklerule:
a) notapplicablefor<16b) post6cmtotipoffibula
33) 10yearOldboyhasaTib-fibfracture,howtodiagnosecompartmentsyndrome
a) Compartmentpressureis10b) Painimproveswithtractionandsplintc) Appearsinthefirstonehourd) Canberuledoutifdistalpulseispalpable
34) Whatsconsistentwithasupracondylarfracturewithposterolateraldislocation
a) UnabletomakeOKsignb) Wristdropc) Unabletoflexindexfinger
35) 85YNanhasaNOF
a) Tractionb) Morphinealiquotsuntilpainsubuside(orsheisdead)c) Femoralnerveblocd) TellhertoHTFU
36) Intusussception
a) Ileocolicinoriginb) age3-6yearsc) Bloodystoolseenearlyd) Itscolic,dischargethepatientandberatetheparentsforwastingyourtime
37) Priapism:
a) Pseudoephidrin120mgb) Icepacktonutstogiveemblueballsc) Prazocin
38) Needlejetventilationratio
a) 1:2b) 4:1c) allratios,cantrememberthenumbers
39) NormalLPinadult
a) Sugar55%ofserumb) Protein0.4g/lc) Lymphocytes10
40) SomedudehasRhabdo,CK55000
a) Mannitoliscontraindicatedifanuricb) NAHCO3untilurineph8c) Maintaineuvolaemiad) Othersmadenosense
41) 35Y/MHanging,GCS11,cause?a) Throatfractureb) Somethingaboutanarteryc) Venouscongestioncausevenousreturnwasobstructed
42) Sutures:a) Absorbablesuturesinfaceb) Verticalmattressisgoodforwoundedgeinversionc) Horizontalmattresssuturesaregoodforflapsandwoundedgesd) Justclosethedamnwound,notsureabouttheotheroptions
43) Ptpresentswithsyncope,nowalerandasymptomatic.whatincreasehisriskof
adverseoutcomeasperSanFransicoscorea) SOB
44) JMOfeedback
a) waituntiltheendoftermtogetmoreinfob) onlypositiveshouldbegiveninpublic
45) Kidfoundwithopenbottleofeucalyptusoil30minsago
a) ActivatedCharcoalb) DCifasymptomaticat6hoursc) Dialysisd) Someotheroptionthatsoundedretarded
46) HIV
a) Toxoplasmosismostcommoncauseencephalopathyb) DoaLPcausecantdifferentiateviralencephalitisvsviralmeningitisc) CTBchangeswithencephaloathyarehypodensetemproparetialsomething
47) NewonsetrapidAF
d) APPadse) sternoapicalpads
48) Dudefallsoffabikeandflexshisneckhegets
a) c3#atantaspectb) Centralcordsyndrome
49) 20yoldgirltakesamedicationfornauseaandhasabnormalmusclemovement.
Thechanceofthisoccuringisa) 1/100b) 1/50c) 1/10d) 1/25
50) 30yroldwomantakesODofglicazideandmetforminwhatsthebestoption
a) CVCand50%Dextroseb) CVCwith50%Dextrose+octreotideinfusiononlyifmetforminsustained
releasec) Octreotideinfusion
51) 30yroldwoman,26wpregnant,MVA,noobvtraumawhattestismostimportant
a) USb) CTG4hrsc) Kleihauerd) CTGandUS
52) COPDexac,onBIPAPCO2was60nowits78whatsthebestsetting
a) FiO2.5and12/5b) FiO2.28and12/5c) FiO2.28and14/5d) FiO2.28and14/8
53) Na105,given5mls/kg3%NSnowwhatstheNa?weight70kg
a)115b)120c)110
54) 30yrolddudewithgastro,neverbeenoverseesa) Rotavirusb) Salmonellac) Camplybacterd) Shigella
55) 78yroldwithparkinsons,hasvishallucinations.Diagnosis?
a) FrontalCVAb) Psychosisc) UTId) EDH
56) 85yroldwomanhasfallathome
a) 50%mortalityinnextyearb) 25%chanceoffracturec) Highchanceofextradurald) WTFwastheanswer?
57) 6yearoldwithpainfulhip,afebrile,limpingESR20
a) Perthesb) Transsynovitisc) Septicarthritis
58) Distalradiusfracturenottoreduce-
a) 5mmimpactionb) 2mmintraarticular,c) 15angulationd) ulnarstyloidfracture
59) Stablefracture
a) flexionteardropfractureb) extensionteardropfracture
c) unilaterfacetjointdislocationd) completedecapitation(ifyouarepedanticabout4options)
60) USchest
a) normalscanb) pneumothoraxc) haemothorax
61) Youngmalewithfirstepisodeofshoulderdislocation
a) keepinshoulderimmobiliserfor4weekb) riskofrepeatdislocationis50%c) canstartdoingcompleterangeofmotion
62) 60Y/FwithRAhaslowerlimbpowerof4/5,cause
a) displacementofatlantoaxialjointb) mononeuritismultiplexc) muscledystrophy
63) Differencebetweenperipheralandcentralvertigo
a) Hallpikehighsensforperipheralb) Centralalwayshorizc) Bidirectionalnystagmusifperipheral
64) USfindings:
a) LVhyperdynamicmeanshypovolemicb) IVCchangesby60%duringexpirationc) Inischemianoregionalwallmovementmeansitsnotischemic(or
something)65) MDAC
a) Theophyllineb) Ironc) Lithium
66) Ingestionofwhichsubstancecausesalveloitisandrenalfailurea) Paraquatb) amiodarone
67) Whichoffollowinghasspecificantidotea) Salicylateb) Paracetamolc) Theophyllined) Iron
68) 2kids3and5yearsaccidentallyingestHashcookieslacedwithcannabisinaparty,broughtinbymothera) InformDOPSimmediatelyb) expectairwaycompromisec) sendthemhome
AFEWMOREQUESTIONSTHATWECANNOTREMEMBERTHEOPTIONSFOR
Kneeinjury-posteriordislocationwithpoplitealarterydissection,
AbloodgaswithCl40,PCO260andPh7.3?Koflike2
o Bulimiao (Iforgettheotheranswers)Otherchoiceswereendocrinethings
8yearoldwithswellingatangleofjawandpusinmouthcomingfromsomewhe
Botulismascendingordescending?
Brownsequardsydromepattern(?)–thinkthatwasintheresomewhere
Theotherstemwassomeguywith1monthlegweakness,difficultystandingupandhyperreflexive???motorneuronSomethingaboutaJeffersonorhangmansfracture....weforget-IthinkotherdescriptionwasofaHangman’sfracture
Somequestiononhypothermia-whichonemakessense(iforgettheactualstem)
o 28degandVTHR30andGCS3o 31degandAFandGCS10andtookclothesoffinthestreet
EBM-Sens/SpecPPVNPV/SpecifictestbesttoconfirmDx
