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Logo of emermedjEmergency Medical JournalVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Emerg Med J. 2007 September; 24(9): 618.
PMCID: PMC2464662

Coordinator: Gavin Lloyd

See page 684 for answers

This month we are introducing a new section to the journal, its title being self‐explanatory. We aim to provide three questions on discrete themes each month with the answers available elsewhere in the journal. We hope to offer some challenges and, dare we say it, even mild entertainment for the readers of Emergency Medicine Journal. However, this does not mean that the questions or topics covered will be frivolous.

The questions are being published informally—that is, they are not linked to a continuing professional development or medical education (CPD or CME) programme of any institution or organisation. Perhaps in time linkages will develop, as indeed we hope the format and content will also evolve and change. We welcome your comments and feedback.

We thank Gavin Lloyd for agreeing to be the coordinator and lead for this new project, which is based on an original idea from him.

Question 1

Theme: Resuscitation room interventions

From the list below pick the resuscitation room intervention with a number needed to treat (NNT) of less than 10.

  1. Percutaneous coronary intervention (PCI) coronary angioplasty for acute myocardial infarction
  2. Bolus thrombolytic rather than streptokinase for acute myocardial infarction
  3. Clopidogrel for acute coronary syndrome
  4. Therapeutic hypothermia for unconscious ventricular fibrillation survivors

Question 2

Theme: Angioedema

A 62‐year‐old woman presents with an acutely swollen tongue. Her medications include ramipril. Which of the following statements regarding ACE inhibitor‐associated angioedema is/are false?

  1. ACE inhibitors are the most common cause of angioedema
  2. The diagnosis is most unlikely if the patient has been on an ACE inhibitor for more than 1 month
  3. It is typically limited to the face and oral cavity
  4. It is unlikely to progress once treatment has been initiated

Question 3

Theme: Major trauma

Which of the following statements regarding major trauma is/are true?

  1. Pelvic fractures in children are rare and are clinically apparent, making the routine screening pelvic x ray obsolete
  2. Hypertonic saline is beneficial in hypotensive patients with severe head injury
  3. Steroids are beneficial for patients with head injuries and Glasgow Coma Scale score of <15
  4. Patients intubated without the need for anaesthetic drugs have a survival rate of about 2%

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