MCQ 57

Which of following shows best outcome on superficial burn patient?

1. Application of ice
2. Urgent medical intervention
3. Application of cold water for 20 minutes
4. Application of burnaid 
5. Surgical intervention like skin graft 

MCQ 56

If you are being ask to request only one blood test for anaphylaxis, what of following will you order?

1. FBC
2. Tryptase
3. IgE
4. CK
5. Electrolytes

MCQ 55

Which of following is not common sign of anaphylaxis reaction?

1. Hypotension
2. Abdominal pain
3. Wheeze in chest
4. Cold and clammy skin
5. Tachycardia

MCQ 53

In MCQ 52, you diagnosed that this person is having anaphyxis. What is your next step?

1. Give 0.5 mg of 1:1000 adrenalin IV
2. Give 0.5 mg of  1:10000 adrenalin IV
3. Give 0.5 mg of 1:1000 adrenalin IM in thigh
4. Give 0.5 mg of 1:10000 adrenalin IM
5. Give 0.5 mg of 1:1000 adrenalin IM in deltoid

(Note - If you don't the answer of above question, I would recommend that you visit ASCIA website and consider doing free e-training. Follow the link ASCIA website )

MCQ 52

25 year old male presented with difficulty in breathing. He mentioned that he is allergic to peanuts and he probably had peanuts with his lunch. On examination, he was flushed with tachycardia and widespread wheeze on lung auscultation. What would be the correct diagnosed?

1. Allergic reaction to peanut
2. Anaphylaxis to peanut
3. Asthma exacerabation
4. Septic shock
5. Cannot tell, he will need further investigation including blood and CXR prior to making diagnose. 

MCQ 40

What will be your next step to manage patient in MCQ 39?

1. Admit patient for endoscopy
2. Discharge patient with GP follow up
3. Admit for serial ECG and troponin
4. Commence patient on PPI
5. Advise patient that he can go home without any further intervention

MCQ 39

56 year old male presented with 10 min epigastric pain which relieved with rest. He has recently been diagnosed with hypertension. He is exsmoker. He presented as his wife wanted him to present to ED. He is not painfree. Examination is unremarkable. Initial ECG and troponin were unremarkable. What will be the likely diagnose?

1. Aortic dissection
2. Pneumonia
3. NSTEMI
4. Gastritis
5. Peptic ulcer disease