Trial SAQ exam: 'trial exam' by Michael Devlin

You are taking part in a trial exam created by Michael Devlin. There are 30 SAQs in this exam (180 minutes).

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This SAQ is worth 12 marks

A 71 year old woman presents to your emergency department following a collapse.
The attached ECG was taken on arrival in the emergency department.

View attached:   Attachment 1

Question 1.
List three (3) features on history that are required for the diagnosis of syncope. (3 marks)

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________



Question 2.
List three (3) abnormalities on the ECG and a unifying diagnosis. (4 marks)

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

Unifying diagnosis: ______________________________________________________________



Question 3.
Give one (1) potential complication of the ECG changes. (1 mark)


_________________________________________________________________________________



Question 4.
Provide four (4) relevant management decisions based on your answer to questions (ii) and (iii). (4 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

4. _______________________________________________________________________________



 

This SAQ is worth 12 marks

A 71 year old woman presents to your emergency department following a collapse.
The attached ECG was taken on arrival in the emergency department.

Question 1.
List three (3) features on history that are required for the diagnosis of syncope. (3 marks)

Examiner Comments: Generally well done. Many candidates knew two but only a few knew all three defining features of syncope, with most omitting loss of postural tone or spontaneous recovery. It felt like some reference to absence of seizure was made in order to make up a third feature.

Question 2.
List three (3) abnormalities on the ECG and a unifying diagnosis. (4 marks)

ECG well interpreted, occasionally misdiagnosed as drug toxicology with consequences for answers to subsequent parts of the question.

Question 3.
Give one (1) potential complication of the ECG changes. (1 mark)



Question 4.
Provide four (4) relevant management decisions based on your answer to questions (ii) and (iii). (4 marks)