Trial SAQ exam: 'Trial' by Mat Oliver

You are taking part in a trial exam created by Mat Oliver. There are 9 SAQs in this exam (54 minutes).
 

This SAQ is worth 20 marks

A 6 month old boy is brought to the emergency department by his grandmother. Initial examination reveals bruising to the face, right buttock and right upper torso. The baby appears quiet and withdrawn. He cries upon handling and prefers to lie still in his grandmother’s arms.

Question 1.
Complete the following table listing four (4) potentially associated injuries for each region (face and torso) based on the initial examination. (8 marks)

  Face Torso
1    
2    
3    
4    



Question 2.
List and justify seven (7) separate investigations you would consider requesting. (7 marks)

   Investigations Justifications
1    
2    
3    
4    
5    
6    
7    



Question 3.
List five (5) people/services you will consult about this presentation. (5 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

4. _______________________________________________________________________________

5. _______________________________________________________________________________



 

This SAQ is worth 20 marks

A 6 month old boy is brought to the emergency department by his grandmother. Initial examination reveals bruising to the face, right buttock and right upper torso. The baby appears quiet and withdrawn. He cries upon handling and prefers to lie still in his grandmother’s arms.

Question 1.
Complete the following table listing four (4) potentially associated injuries for each region (face and torso) based on the initial examination. (8 marks)

Examiner Comments:
In general candidates recognised the major injuries possible as well as required investigations and consultations.

Good responses listed the major injuries that were of concern and listed a number of investigations focussing on major injury identification as well as causation.

Poor responses omitted to recognise intracranial haemorrhage as a possibility in the clinical context or investigations excluding non NAI causes such as coagulation abnormalities or sepsis. A lot of candidates just listed features of NAI. In particular, various bruising patterns, immersion/cigarette burns and other superficial injuries that were not consistent with the described case.


Question 2.
List and justify seven (7) separate investigations you would consider requesting. (7 marks)



Question 3.
List five (5) people/services you will consult about this presentation. (5 marks)