Trial SAQ exam: 'blood' by Raj

You are taking part in a trial exam created by Raj. There are 7 SAQs in this exam (42 minutes).
 

This SAQ is worth 21 marks

A 55 year old man with a history of diabetes mellitus presents with a one day history of increasing right knee pain.

Question 1.
Complete the reference table below regarding expected joint aspirate findings. (12 marks)

Lab findings Normal     Infective     Inflammatory Non-inflammatory
WBC / µL < 200      
Neutrophils (%) < 25%      
Microscopy No abnormal
features
     
Causes
(list 1 for each)
N/A      



Question 2.
List three (3) management options for this patient you undertake in the emergency department, with an example and rationale for each. (9 marks)

     Management
option
Example Rationale
1      
2      
3      



 

This SAQ is worth 21 marks

A 55 year old man with a history of diabetes mellitus presents with a one day history of increasing right knee pain.

Question 1.
Complete the reference table below regarding expected joint aspirate findings. (12 marks)

Examiner Comments: Candidates generally answered this question well – good answers were clearly able to identify the major causes and joint aspirate characteristics of the common causes of a unilateral joint effusion.

Poor answers incorrectly identified or were confused by what were the characteristics of inflammatory or non-inflammatory causes of effusion for example gout identified as being a non-inflammatory cause of joint effusion.

Infective causes were generally identified correctly.


Question 2.
List three (3) management options for this patient you undertake in the emergency department, with an example and rationale for each. (9 marks)