Quiz Trauma 004

FACEM VAQ Exam 2008.1 – Question 4

• Clinical photograph showing major knee dislocation.
• The overall pass rate for this question was 31/62 (50.0%).
• The examiners commented that this was a good quality clinical photograph which raised many consultant level issues.
• It was highly discriminative with marks ranging from 2 to 8. Most candidates described the photo adequately.
• High quality answers to Part b) addressed immediate reduction of the knee, appropriate methods of sedation/analgesia including RSI and suggested appropriate assessment for possible accompanying vascular and neurological injury.
• Poor answers failed to address the above areas or described assessment for injuries to other regions of the body despite this having been defined in the question as “an isolated knee injury”