Enviro. ~ Extended Matching

Question 1.

Options List

A.) Blue Bottle sting

B.) Blue-ringed octopus envenomation

C.) Box Jellyfish envenomation

D.) Irukandji envenomation

E.) Moon Jellyfish envenomation

F.) Platypus envenomation

G.) Stonefish envenomation

H.) White-spotted Jellyfish sting

 

Lead-in statement

For each presentation select the most likely diagnosis

 

Stems

  1. A 22 year old woman presents after snorkelling off the coast of North Queensland. She suddenly developed severe pain on the bottom of her right foot. ON examination the area is swollen and bruised and you can see a spine in the wound.

Show Answer

Answer: G

 

  1. A 34 year old man presents after snorkelling off the coast of North Queensland. He has developed blurred vision and difficulty swallowing. On examination he has ptosis, weak extra-ocular movements and dysarthria.

Show Answer

Answer: B

 

  1. A 10 year old girl presents after swimming off the coast of Queensland. She is complaining of burning pain on her leg which is now improving. ON exam there are some elliptical erythematous welts.

Show Answer

Answer: A

Author: J Haire

Ref: Tox Handbook p. 448-58


 

Question 2.

Options List

A.) Australian scorpion

B.) Death Adder envenomation

C.) Funnel Web spider envenomation

D.) Mouse spider envenomation

E.) Redback spider envenomation

F.) Red-bellied Black snake envenomation

G.) Tick envenomation

H.) Trap Door spider envenomation

 I.) White-tailed spider

 

Lead-in statement

For each presentation select the most likely diagnosis

 

Stems

A.) A 22 month old girl is brought in by her parents. Over the past day she has seemed unsteady on her feet, she is now unable to stand and drowsy. ON exam she has a flaccid paralysis of both legs.

Show Answer

Answer: G

 

B.) An 8 year old girl presents after playing in the backyard. She suddenly developed severe pain on her right foot which spread up her leg and into her abdomen. She is also complaining of headache and nausea. ON exam the skin on her right foot is red and sweaty.

Show Answer

Answer: E

 

C.) A 52 year old woman presents after being bitten by something. It occurred 3 days ago and she has had a mildly red painful lesion since.

Show Answer

Answer: I

 

D.) A 42 year old woman presents after being bitten but a big black spider. She is complaining of pain at the bite site, vomiting, headache and abdominal pain. ON exam she appears agitated, is sweating and is hypertensive and tachycardic.

Show Answer

Answer: C

Author: J Haire

Ref: Tox Handbook p. 430-448; 459-467

 


 

Leave a Reply

Your email address will not be published. Required fields are marked *