SAQ Library : Neurological
Free Open Access Short Answer Questions for ED Fellowship Study
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Acquired torticollis
A 6-year-old girl is brought in by her parents with neck pain and stiffness. She is unable to straighten her …
Infant status epilepticus
It is 11pm in your tertiary mixed emergency department and a 4-month-old baby arrives via ambulance with a generalised tonic-clonic …
Eclampsia and hypertensive emergency
You are the FACEM in charge in a tertiary ED. A 37-year-old woman, 35 weeks’ gestation, is brought in after …
VP shunt complication
A 10-year-old girl presents to your ED with headache and vomiting. She has a history of hydrocephalus and has a …
Cervical spine injury
A 35-year-old male presents to your tertiary ED after a mountain biking accident. Paramedics found him lying supine and unable …
Parkinson's and fever
A 75-year-old man with advanced Parkinson’s disease presents to the ED with fever, worsening rigidity, and confusion. He has had …
Progressive weakness
A 45-year-old man presents to the ED with progressive weakness, difficulty swallowing, and shortness of breath. He has no history …
Head injury
A 27-year-old man presents following an assault. He had a GCS of 5 at the scene and has been intubated …
Lumbar puncture
You have just performed a Lumbar Puncture on a 45 year old man with a 2 day history of a …
Interhospital transport
A 56-year-old male with a suspected subarachnoid haemorrhage in a regional hospital requires urgent transfer to a tertiary neurosurgical centre.
HIV with fever, cough and confusion
A 45-year-old man known to be HIV positive, presents to your department with fever, nonproductive cough, weight loss and mild …
Seizure with ring-enhancing brain lesions
You receive a BAT call of a 34-year-old male from a local shopping centre. When the ambulance arrived, he was …
Back pain, falls and urinary retention
You are the consultant on duty on Saturday evening in a busy major referral Emergency Department. You are approached by …
Intermittent diplopia
A 32-year-old female presents with intermittent diplopia. She describes no other symptoms. She has no past medical history. Your abnormal …
PNES and status epilepticus management
A 39-year-old woman has been brought into your tertiary ED with 2 x “seizure-like” episodes, each lasting approximately 1 minute. …
Ischaemic stroke thrombolysis complications
A 78-year-old woman presents to ED with acute onset dysphasia and right upper limb weakness. CT imaging is consistent with …
Seizure due to severe hyponatraemia
A 64-year-old female presents with an altered conscious state following a seizure. Initial ABG shows pH 7.32, PCO2 31 mmHg, …
Paediatric extradural haematoma transfer
A 6-year-old boy presents after being struck on the side of the head by a baseball. He has an isolated …
Acute confusion in an older adult
A 70-year-old female is brought in acutely confused. She is normally independent in her activities of daily living but has …
Neuroleptic malignant syndrome
A 24-year-old female is brought in by ambulance with fever and altered mental status. Paramedics report a psychiatric history, details …
Ventriculoperitoneal shunt failure
A 21-year-old woman with a VP shunt presents with worsening headache, nausea, lethargy and reduced GCS. Obs on arrival : …
Acute spinal cord compression
A 62-year-old man is brought to your Emergency Department by ambulance with flaccid paralysis of all four limbs without preceding …
Acute vertigo
A 79-year-old man presents to your Emergency Department with acute vertigo.