B: Name 2 other clinical features you would look for that might support this diagnosis (1mark) C: Name 1 investigation that might be indicated and give 4 treatments she is likely to require (5 marks) Question 5 Question 6 A 55 year old man is brought in with fatigue and headache. He had been working in a and found that the gas oven was derelict building’s kitchen leaking. He has no past medical problems. His vital signs are; pulse 120, BP 125/80, respiratory rate 22. Examination of his heart, chest and abdomen are otherwise unremarkable. The SHO has done arterial blood gases on air which show pH 7.30 PC02 2.92 kPa PO2 12.5 kPa Na 135.2 mmol/l Ca 1.3 mmol/l K 4.2 mmol/l Carboxyhaemoglobin 23% H+ 50 nmol/l BE -6 mmol/l HC03 21 mmol/l
B: Name 2 other clinical features you would look for that might support this diagnosis (1mark) C: Name 1 investigation that might be indicated and give 4 treatments she is likely to require (5 marks) Question 5 Question 6 A 55 year old man is brought in with fatigue and headache. He had been working in a derelict building’s kitchen and found that the gas oven was leaking. He has no past medical problems. His vital signs are; pulse 120, BP 125/80, respiratory rate 22. Examination of his heart, chest and abdomen are otherwise unremarkable. The SHO has done arterial blood gases on air which show pH 7.30 PC02 2.92 kPa PO2 12.5 kPa Na 135.2 mmol/l Ca 1.3 mmol/l K 4.2 mmol/l Carboxyhaemoglobin 23% H+ 50 nmol/l BE -6 mmol/l HC03 21 mmol/l
120118q_rtd_saqs_jan_2012_questions.docx