SAQ Library : Cardiovascular
Free Open Access Short Answer Questions for ED Fellowship Study
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Tetralogy of Fallot with hypercyanotic spell
A 5-month-old boy with known Tetralogy of Fallot presents cyanosed and distressed and is awaiting definitive surgical repair.
Presumed renal colic
A 75-year-old man is referred by his GP for presumed renal colic. He has worsening flank pain and is now …
Acute aortic dissection
A 28-year-old man is BIBA to your tertiary with sudden onset severe tearing chest pain radiating through to his back …
MI thrombolysis
A 50-year-old man presents to a peripheral ED without access to cardiac catheterisation with 1.5 hours of chest pain, hypotension …
Paced syncope
An 85-year-old woman with a history of ischaemic heart disease and a DDD pacemaker presents with palpitations and syncope.
Loperamide misuse and long QT
A young man presents with palpitations after chronic loperamide misuse (400–600 mg/day). An ECG is performed.
Carotid artery dissection
A 34-year-old man presents with sudden onset left-sided neck pain and headache after carrying his child on his shoulders. On …
Superior vena cava syndrome
A 76-year-old male has been referred to ED by his GP with concern for a 6cm occlusive SVC thrombus on …
Blunt chest trauma with shock
A 46-year-old man is brought to the resuscitation bay following a 3-metre fall from a work platform onto a horizontal …
Acute limb ischaemia
An 85-year-old man presents with a painful and pulseless right lower leg. You suspect an ischaemic limb.
Aortic dissection
A 50-year-old man presents distressed and diaphoretic with severe chest pain radiating to the back. You are concerned about aortic …
Chest pain
You are the ED consultant in a small rural hospital 2 hours from the nearest tertiary centre. A 60-year-old female …
Syncope
A 49-year-old man presents with syncope. He collapsed without warning or prodrome and recovered within a few minutes. No injuries …
Syncope
An 84-year-old man is brought in from a nursing home following syncope. His ECG is shown. The monitor later alarms …
Very Fast Tachycardia
A 50-year-old man is brought into your resus bay with palpitations. A 12-lead ECG is performed.
Cardiac tamponade post valve replacement
A 55-year-old man self-presents to your regional ED with new onset shortness of breath on exertion and presyncope post bovine …
10yo lethargic after recent URTI
A 10-year-old girl presents to your District Hospital ED with lethargy, subjective fevers, vomiting, diarrhoea and upper abdominal pain worsening …
Dizzy and Short of Breath
A 62-year-old female is brought into the resuscitation area of your department by ambulance. She woke from sleep this morning …
Lethargy and dizziness
An 87-year-old male from home, presents with 3 days of lethargy and intermittent dizziness. He has a history of type …
SOB POCUS
You are performing a POCUS lung scan on a 65-year-old man with acute shortness of breath. He has a history …
MI post thrombolysis
A 45-year-old man has been transferred to your tertiary ED atier being diagnosed with a myocardial infarction. He was thrombolysed …
Pericardial effusion
A 55-year-old woman has presented with chest pain and shortness of breath. Bedside cardiac ultrasound has revealed a large pericardial …
Syncope during tennis
A 22-year-old male presents with an episode of syncope during a game of tennis. He reports no prodromal symptoms prior …
CVC Complication
A 50-year-old female was seen in your tertiary ED 1 week prior with a deliberate OD of sustained release verapamil. …