You are working in a busy Emergency department and are asked to urgently review an arterial blood gas result for a patient with Guillain-Barre syndrome. You are told by the nurse that the patient is acutely unwell and suspected to have gone into respiratory failure. What would you expect the result to show?
Nina is being reviewed in the Emergency department following an anaphylactic reaction at a restaurant. She responded to IM adrenaline given by paramedics and your team discuss whether she should also receive slow intravenous Hydrocortisone. What dose of intravenous Hydrocortisone would be appropriate to administer in this situation?
A 33 year old lady is rushed into A&E following a severe road traffic collision in which she sustained severe burns. Which one of the following options correctly calculates the total fluid resuscitation amount needed over 24hours from the time of the burn itself, according to the Parkland formula? TBSA refers to the %Total Body …
You work in General Practice and saw an elderly patient yesterday who had been generally unwell for the past few days. Urgent bloods were arranged, and the laboratory call you just before you are due to depart for your weekly training programme teaching. The patient’s results show clear evidence of acute kidney injury along with …
You are urgently alerted to the GP practice waiting room where an elderly patient has collapsed. The medical student has already commenced cardiopulmonary resuscitation (CPR). What is the correct rate of chest compressions that should be carried out?
A 15 year old boy has just arrived with his worried father to the GP surgery. He is wheezy and his tongue has become swollen. He has a severe nut allergy and he admits he had a bite of his friend’s chocolate bar on the way home from school just now. What dose of adrenaline …
Marcus is 27 years old and is being treated in A&E for anaphylaxis after having a suspected allergic reaction to a cereal bar. He has already been administered IM Adrenaline and following initial resuscitation the team decide to prescribe intramuscular Chlorphenamine. What dose of Chlorphenamine should he be administered?
You see a 14 year old boy at the GP surgery who is unwell with a non-blanching rash and you suspect meningococcal meningitis. An urgent blue light ambulance is called. What is the correct dose of IM Benzylpenicillin to administer?
Mr Salloway is admitted to A&E with confusion and malaise. His daughter found him lying on the dining room floor and it is unclear when he fell as she last spoke to him on the telephone 2 days ago. He complains of generalised myalgia but denies any chest pain, shortness of breath or palpitations. He …
Maya is 26 years old and requests an emergency appointment at her GP surgery due to increasing shortness of breath and cough over the last few days. She is known to have Asthma and has had several flares over the last few months. She has already used her Salbutamol inhaler 5 times today. Upon assessment …
