Quiz Paediatrics 008

Scenario

First time parents bring their distressed and crying six week old boy to the emergency department. They report that their child has been repeatedly vomiting all day.

Question

Describe your assessment of this patient.(100%)

Answer

FACEM SAQ Exam 2006.1 – Question 3

  • The overall pass rate for this question was 36/40 (90%).
  • Pass Criteria
    • Examiners noted that few candidates failed this question but few did well.
    • Answers needed to show an understanding of the likely diagnoses encountered in a small infant with vomiting.
    • With this done, the history/examination/investigation needed to focus on including or excluding these diagnoses.
    • Answers needed to be able to convey normal feeding, weight gain and bowel/bladder habits for such a child.
    • It was expected that a detailed antenatal, birth and perinatal history would be sought.
  • Features of unsuccessful answers
    • Unqualified

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