Professional Documents
Culture Documents
a)
MOST likely: refers to the response most likely for that clinical scenario
INITIAL: refers to the first step you would do in that specific clinical scenario
NEXT: refers to the next step you would do in that specific clinical scenario
ASSESSMENT: refers to the clinical assessment for that scenario, which would include
history, physical examination, bedside point of care testing (but would not include lab
investigations)
INVESTIGATIONS: refers to all investigations for that specific clinical scenario, and
may include laboratory, diagnostic imaging, ECG, referral to other specialties/
subspecialties, etc.
TREATMENT: refers to all therapies for that specific clinical scenario and may include
pharmacological treatments, non-pharmacological treatments, fluids and electrolytes,
nutritional therapies, education, counseling, and follow-up
MANAGEMENT: refers to the steps you would take in the clinical assessment,
investigations, and/or treatment for that specific clinical scenario
Written Component
The written component is made up of two three-hour papers. One paper consists of
approximately 150 multiple-choice questions and the other consists of 50 to 60 shortanswer questions. The questions are allocated on the basis of key features sampled
from the Specialty Training Requirements for Pediatrics.
.. .2
Correct answer: 1
2.
seizure disorder
intellectual disability
hearing loss
hemiparesis
Correct answer: 3
Sample of Short Answer Question (SAQ) Component
As a guideline, the number of lines for the answer indicates the number of responses. In
each question where a specific number of responses are required, only the first responses
listed will be marked (e.g., If the question says, "List Four", only the first four responses will
be counted. Indicate one response per line).
QUESTION
You are assessing a 14-year-old boy who has had two episodes of syncope. List FOUR
pieces of historical information that would indicate that he has an increased risk of
sudden cardiac death.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Acceptable answers:
1 mark for 1 answer, maximum 4 marks
1. episodes of syncope during exercise/exertion
2. family history of sudden cardiac death
3. past history of congenital heart disease - repaired complex congenital disease, aortic
stenosis with mod-severe gradient
4. family history of arrhythmia/prolonged QTc
5. past history of acquired cardiac disease - ie Kawasaki's with coronary involvement,
myocarditis, hypertrophic cardiomyopathy
6. SNHL (Jervell and Lange - Nielson Syndrome
7. medications known to prolonged QTC
8. personal history of prolonged QTC
...3
b)