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 27 marks

A 46 year old woman weighing 50kg presents to the emergency department 4 hours after ingesting 100 aspirin 300mg tablets. She has a past history of alcohol abuse and had been drinking heavily prior to ingesting the aspirin tablets. She is complaining of tinnitus but has no other symptoms at present.

On arrival her vital signs are:
HR 125 beats/min
RR 22 /min
BP 130/70 mmHg
O2 Saturation 95 % on room air
Temperature 37 C

Question 1.
List five (5) factors on history that form part of a toxicological risk assessment and give the specific examples in this patient’s presentation.
(10 marks)

   Risk Example in this patient
1    
2    
3    
4    
5    



Question 1.
Using your risk assessment and the vital signs outline three (3) conclusions about this presentation.
(3 marks)

1. ____________________________________________________________________________

2. ____________________________________________________________________________

3. ____________________________________________________________________________



Question 1.
List two (2) factors that affect your management of this patient’s airway and breathing. Provide your action to address each factor based on this patient’s presentation.
(4 marks)

   Factor Action to address
1    
2    



Question 1.
List five (5) options for decontamination and/or enhanced elimination you could use in the management of this patient. Complete the table and provide a rationale for each option.
(10 marks)

   Options for decontamination
and/or enhanced elimination
Rationale
1    
2    
3    
4    
5    



 

This SAQ is worth 27 marks

A 46 year old woman weighing 50kg presents to the emergency department 4 hours after ingesting 100 aspirin 300mg tablets. She has a past history of alcohol abuse and had been drinking heavily prior to ingesting the aspirin tablets. She is complaining of tinnitus but has no other symptoms at present.

On arrival her vital signs are:
HR 125 beats/min
RR 22 /min
BP 130/70 mmHg
O2 Saturation 95 % on room air
Temperature 37 C

Question 1.
List five (5) factors on history that form part of a toxicological risk assessment and give the specific examples in this patient’s presentation.
(10 marks)



Question 1.
Using your risk assessment and the vital signs outline three (3) conclusions about this presentation.
(3 marks)

Examiner Comments: Generally adequately answered, but few candidates gave a clear statement about the likely lethality of the OD, the airway risk posed by the co-ingestion of alcohol and the need for urgent aggressive therapy.

Question 1.
List two (2) factors that affect your management of this patient’s airway and breathing. Provide your action to address each factor based on this patient’s presentation.
(4 marks)



Question 1.
List five (5) options for decontamination and/or enhanced elimination you could use in the management of this patient. Complete the table and provide a rationale for each option.
(10 marks)