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

















