Scenario
A 55 year old man is brought to hospital by ambulance complaining of severe headache, vomiting and blurred vision. On initial examination his BP is 260 / 145, similar in both arms. His Glasgow Coma Score is 14.
CT scan reveals no abnormality.
Question
Discuss the pharmacological treatment options for the treatment of his hypertension. (100%)
Answer
FACEM SAQ Exam 2009.1 – Question 4
- The overall pass rate for this question was 63/81 (78%).
- Pass Criteria
- The examiner pair felt that this was an excellent question on a core EM presentation.
- Pass criteria included nominating an appropriate range of medications with appropriate dosages and routes of administration within the context of close physiological monitoring and safe BP reductions.
- Features of unsuccessful answers
- Inadequate answers suggested oral administration or inappropriate dosages.
About Mike Cadogan
