Scenario
An 18 year old woman with a history of asthma since childhood presents with a one month history of weight loss, cough and malaise
She has been treated with two courses of antibiotics by her local GP. She now presents with increasing shortness of breath.
Question
a. Describe the X-ray. (50%) b. List your differential diagnosis. (50%)
Answer
FACEM VAQ Exam 2003.1 – Question 8
- Overall pass rate for this question was 65 / 83 (78.3%).
- This question also posed problems with image quality which made answering and marking difficult for candidates and examiners alike.
- Examiners noted that answers rarely had a systematic approach for describing the X-ray and for listing causes of fluid in the pleural space.

















