Quiz Core 012

Scenario

A 30 year old known schizophrenic is brought in to the emergency department by police. He is aggressive and has been handcuffed.

Question

Describe how you would “medically clear” this patient.(100%)

Answer

FACEM SAQ Exam 2005.1 – Question 7

  • The overall pass rate for this question was 42 / 44 (95.5%)
  • Pass Criteria
    • Better answers began with some sort of definition of what “medically clear” meant or at least a rationale for the actions being undertaken.
    • It was also expected that an organized attempt would be made to differentiate organic delerium from an acute psychosis which includes elements of history, examination and investigation.
    • The mini-mental state exam was the most obvious way to make this differentiation.
    • The question was best answered in the context of the scenario presented with it being essential to consider drug intoxication and to gain extensive collateral history.
  • Features of unsuccessful answers
    • Failing answers did not include the elements outlined above.

ACEM Fellowship Short Answer Questions (SAQ)

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Co-founder of HealthEngine, iMeducate, and the GMEP. He writes more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact