Professional Documents
Culture Documents
Instructions to candidate
You will be given 2 minutes to prepare a short case presentation on an interesting patient
you met during your clinical rotation in 2017 and 2018.
Questions relating to your case presentation will be asked along the way – the examiner will
interject at regular intervals to test your medical knowledge and understanding of the topic
you have chosen.
TAN Tony
DOB: 1-1-1949
S1234567H
ABG report
pH 7.30
PaCO2 7.25
HCO3 20
Solutions:
https://lifeinthefastlane.com/investigations/acid-base/ and
https://lifeinthefastlane.com/wp-content/uploads/2012/08/acid-base-disorders-
worksheet3.pdf
CXR 1 – 85yo Male with acute on chronic SOB, known IHD, previous CABG
CXR 2: 20yo Female presents with 1 month of cough, fever, and weight loss
Answer: https://tinyurl.com/ybcf3aaq
Answer: https://tinyurl.com/y956o66v
Answer: https://tinyurl.com/ycjwe9t4
ECG answers
1. Pericarditis
a. Widespread concave ST elevation and PR depression in V2-V6 and I, II, aVL
and aVF
b. Reciprocal ST depression and PR elevation in aVR
c. Management: NSAIDS colchicine
d. If purulent: percutaneous pericardiocentesis + systemic antibiotics
e. Consider complications (e.g. tamponade, pericardial effusion, constrictive
pericarditis)
2. AV block; 2nd degree mobitz I (Wenckebach)
a. Asymptomatic do not require treatment
b. If symptomatic, consider atropine
c. Permanent pacing rarely required
3. Digoxin effect
a. Downsloping ST depression – Salvador dali sagging
b. Flattened T waves
c. Shortened QR interval