Ten-minute consult

1. A 59-year-old joiner has crushing central chest pain for 25 minutes, sweating and nausea. Saturations 97% on air. What is the most appropriate immediate action?

2. A 78-year-old man with a known 5.8 cm AAA has sudden severe back pain and a systolic BP of 88 mmHg. What is the most appropriate action? The most appropriate action is: Book community AAA surveillance scan in 3 months

3. A 32-year-old with a positive pregnancy test is dizzy, BP 86/50, with shoulder-tip pain. What is the most appropriate action? Select TWO correct statements.

Select all that apply.

4. A 7-year-old is rapidly unwell with a spreading non-blanching rash. Ambulance ETA 15 minutes. No penicillin anaphylaxis. What should you give if it will not delay transfer?

5. A 3-year-old has anaphylaxis. What is the usual IM adrenaline dose (RCUK)?

6. After IM adrenaline, a recovering patient wants to stand up quickly to ‘get some air’. What position advice is correct? Select TWO correct statements.

Select all that apply.

7. A 22-year-old with asthma has a silent chest, saturations 90% on air, and exhaustion. What is the most appropriate action?

8. A man with diabetes is unconscious with glucose 1.8 mmol/L. What must you not do? The most appropriate action is: Pour sugary drinks into the mouth

9. A 19-year-old took paracetamol in repeated doses over 8 hours, last tablet 2 hours ago. What is the most appropriate action?

10. A 24-year-old tall man has sudden dyspnoea, tracheal deviation and absent breath sounds on one side after a flight. What is the most appropriate action?