A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?
You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation
Which receptors are most likely to be targeted by this treatment?
A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero
Which organism is most likely to cause this clinical presentation?
A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?
A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?
A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?
A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?
A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring
Which nerve are you most likely to need to block?
