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Dr Tim McGahan - Vascular Emergencies
Your patient with a known asymptomatic AAA of 6cm diameter, currently undergoing workup for repair, presents (perhaps to your practice or to the small hospital A/E where you work ) with signs of rupture (sudden severe abdominal and back pain, tachycardia, palor). BP 80/40.
While waiting for the ambulance you should?:
A: Insert large bore IV line and IDC and call the receiving tertiary hospital and speak to on call vascular surgeon or registrar B: Run IV N/ Saline 1 to 2 litres to resuscitate C: Give IV Pain relief D: All of above E: A & B
Dr Peter Fanning - Approach to the adult patient with persistent diarrhea
An adult patient presents with diarrhea that has troubled them for over 4 weeks. What is the most useful part of your initial assessment in terms of predicting the likely cause of his/her symptoms?:
A. Accurate medical history B. Physical examination C. Blood tests D. Stool tests E. Abdominal x-ray F. Sigmoidoscopy G. Referral to a gastroenterologist H. Colonoscopy I. Barium enema
Dr Martin Wood – Managing a patient with radicular pain
Question 1 A 37 year old male presents with low back pain, pain in the left buttock, calf and dorsum of the foot of one week’s duration. There is 3/5 power in dorsiflexion of the left foot and normal reflexes. Rate each of the following statements as true or false:
A) Treatment with paracetamol, ibuprofen and endone is likely to provide good analgesia:	TrueFalse
B) A lesion of the L5 nerve root is suspected:	TrueFalse
C) Spontaneous recovery of the motor deficit is likely with conservative treatment and physiotherapy:	TrueFalse
D) He should be referred for an urgent specialist review within one week:	TrueFalse
E) Plain films of the lumbar spine will aid the diagnosis in the majority of cases:	TrueFalse
Question 2 In the patient with a C5/6 disc prolapse which of the following statement is true or false?
A) Pain in the thumb on the affected side is common:	TrueFalse
B) Symptoms can mimic those of ulnar nerve entrapment:	TrueFalse
C) A history of precipitating injury is usually apparent:	TrueFalse
D) Weakness, when present, typically affects the triceps:	TrueFalse
E) A short course of oral steroids is often useful for analgesia:	TrueFalse
Dr Stuart Philip – Blood and bugs
Microscopic haematuria (please chose one of the answers below):
a. Is rare b. Does not need to be routinely investigated c. Can be related to exercise d. Is diagnosed on 1 of 2 correctly collected specimens e. Is less common in older men
Haematospermia is (please chose one of the answers below):
a. Commonly associated with an underlying malignancy b. Rare c. More common in young men d. Diagnosed on semen analysis e. Rarely associated with significant pathology
Urinary tract infections in men are (please chose one of the answers below):
a. Common b. Usually self-limiting c. Associated with poor hygiene d. Complicated e. Associated with prostate cancer
Dr Andrew Bell – The acute anus in general practice
The most common acute anal symptom presented to a general practitioner is haemorrhoids?:	TrueFalse
Dr Michael Adsett – Atrial Fibrillation
A 70 year old patient is incidentally noted to be in AF at time of consultation. After an initial examination and discussion of the implications with him, which of the following would be appropriate management options? You may tick more than one option:
a. Send him to the emergency room for further management b. Start aspirin and an antiarrhythmic agent and plan review in your surgery in near future. c. Start warfarin and refer for cardiologic assessment d. Start warfarin, refer for echo and follow-up in your surgery to review result e. Start aspirin, organize echo and review result in your surgery

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