Crowdly

Check to see if the patient has any alerts on their file

Make sure security officers are with you

Seek help immediately, if you feel threatened by the patient

Do not carry your stethoscope as it may inadvertently cause harm

Which of the following conditions requires time-critical (emergent) management?

Borderline personality disorder

Which of the following medical conditions is not commonly assoiciated with an acute behavioural disorder?

Alcohol withdrawal

For patients presenting to the Emergency Department with an acute behaviour disturbance, a medical assessment by an ED doctor is important to:

Urinary tract infection

Look for an underlying medical condition that could manifest as an acute behavioural disturbance

Seek a mental health diagnosis

Look for evidence of domestic violence

Seek out psychological trauma

Take a detailed substance abuse history

Which of the following has the highest priority when assessing a patient with acute behaviour disturbance?

Safety measures are in place for the healthcare team

Ensure police officers are present

Ensure personal protection equipment is worn

Ensure all exits from the Emergency Department (ED) are sealed

Make sure the patient is seen in a room with no windows

A 70-year-old obese woman has left knee pain after a trip and fall. She is unable to weight bear. She had very swollen knee with limited range of motion. Her leg is neurovascularly normal. An Xray of her knee is attached. What is the next most appropriate step in her care?

Xray knee

^{Image from Radiopaedia}

CT knee

Straight leg brace (Zimmer splint) and discharge

Outpatient MRI knee

Crutches, mobility assessment and discharge for GP follow up

Orthopaedic referral

A 30-year-old male has a left ankle fracture as seen below. What is the most appropriate management in the Emergency Department?

Xray ankle

CAM boot, crutches and weight bear as tolerated

Ice, elevate and orthopaedic referral

Long leg POP backslab and orthopaedic referral

Short leg POP backslab and orthopaedic referral

Closed reduction In ED and orthopaedic referral

^{Image from BMJ Online}

A 5-year-old boy presents with right wrist pain after tripping and falling. What is the appropriate management?

Xray wrist

Long arm POP backslab

Closed reduction POP backslab

ORIF

Short arm POP backslab

Removable wrist splint

^{Image from Radiopaedia}

An 18-year-old woman presents with a left elbow dislocation as seen in the Xray below. Which of these can be associated with this injury? Select all that apply.

Xray elbow

Median nerve neuropathy

Radial nerve neuropathy

Trochlear fracture

Olecranon fracture

Ulna nerve neuropathy

Volkmann’s ischaemic contracture

Radial head fracture

Brachial artery injury

Coronoid fracture