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Hayder is a 9-month-old who fell from his high chair. You go to do your primary survey. He’s currently wriggling around, staring intently at you as you walk around the room. A is fine – so you move on to consider his c-spine.  

What is the most appropriate way of managing his c-spine?

 Keep him in parent's arms and arrange a CT scan
 Keep him comfortable with a parent, and complete your primary survey
 Lie him on a trolley, apply collar, blocks and tape
 Lie him on a trolley, provide manual immobilisation

Hayder is a 9-month-old who fell from his high chair. You go to do your primary survey. He’s currently wriggling around, staring intently at you as you walk around the room. A is fine – so you move on to consider his c-spine. What is the most appropriate way of managing his c-spine? Keep him in parent's arms and arrange a CT scan Keep him comfortable with a parent, and complete your primary survey Lie him on a trolley, apply collar, blocks and tape Lie him on a trolley, provide manual immobilisation

Our first #SundayQuestion of 2026. What is the most appropriate way of managing his c-spine?

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A 67-year-old man presents to the Emergency Department (ED) with a painful swollen left knee. He looks systemically unwell, cannot actively move his left knee and does not allow any passive movement either. There is no history of trauma.
Observations:
Oxygen Saturations 90% on room air
Respiratory rate 24 breaths per minute
Heart rate 128 beats per minute
Blood pressure 92/60 mmHg
Temperature 39 degrees Celsius
He is usually independent. He has a background of diabetes, gout and chronic obstructive pulmonary disease (COPD).

A 67-year-old man presents to the Emergency Department (ED) with a painful swollen left knee. He looks systemically unwell, cannot actively move his left knee and does not allow any passive movement either. There is no history of trauma. Observations: Oxygen Saturations 90% on room air Respiratory rate 24 breaths per minute Heart rate 128 beats per minute Blood pressure 92/60 mmHg Temperature 39 degrees Celsius He is usually independent. He has a background of diabetes, gout and chronic obstructive pulmonary disease (COPD).

Which of the following options is the most likely diagnosis?

a). Fracture
b). Osteoarthritis
c). Rheumatoid arthritis
d). Sepsis

Which of the following options is the most likely diagnosis? a). Fracture b). Osteoarthritis c). Rheumatoid arthritis d). Sepsis

First #SundayQuestion of December!

Which of the following options is the most likely diagnosis?

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Which of the following is not a risk factor for decompression illness?
a). A long deep dive
b). Diving over multiple days
c). Diving on 100% oxygen
d). A rapid ascent

Which of the following is not a risk factor for decompression illness? a). A long deep dive b). Diving over multiple days c). Diving on 100% oxygen d). A rapid ascent

Time for the #SundayQuestion

Which of the following is not a risk factor for decompression illness?

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A 42-year-old man presents to the Emergency Department (ED) at 4am with a severe headache. He is pacing up and down and says that he has been woken up by a similar headache every night for the last 4 nights. Paracetamol has had no effect.
The headache is right sided and frontal. There is no nausea or visual disturbance. He is complaining of sinus congestion but no nasal discharge.
On examination his right eye is watering slightly. There is no focal neurology; blood pressure is 165/103 with no papilloedema.

A 42-year-old man presents to the Emergency Department (ED) at 4am with a severe headache. He is pacing up and down and says that he has been woken up by a similar headache every night for the last 4 nights. Paracetamol has had no effect. The headache is right sided and frontal. There is no nausea or visual disturbance. He is complaining of sinus congestion but no nasal discharge. On examination his right eye is watering slightly. There is no focal neurology; blood pressure is 165/103 with no papilloedema.

What is the most likely diagnosis?
a). Sinusitis
b). Tension Headache
c). Glaucoma
d). Cluster Headache

What is the most likely diagnosis? a). Sinusitis b). Tension Headache c). Glaucoma d). Cluster Headache

First #SundayQuestion of October! Comment below with the correct answer!

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An elderly gentleman is brought into the ED by his daughter. She says he has been confused for 3 days since starting a new drug. His five medications are listed below.

Which one is most likely to be the new drug?

An elderly gentleman is brought into the ED by his daughter. She says he has been confused for 3 days since starting a new drug. His five medications are listed below. Which one is most likely to be the new drug?

a). Digoxin
b). Aspirin
c). Paracetamol
d). Quinine

a). Digoxin b). Aspirin c). Paracetamol d). Quinine

Last #SundayQuestion of September

Answer below with the correct answer!

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You make a provisional diagnosis of Bell’s palsy in a child presenting to the ED.
For which of the following management options is there currently good available evidence for cure/resolution of symptoms?

a). Acyclovir orally for 7 days
 b). Prednisolone and acyclovir orally for 7 days
c). Paracetamol as needed for pain
d). None of the above

You make a provisional diagnosis of Bell’s palsy in a child presenting to the ED. For which of the following management options is there currently good available evidence for cure/resolution of symptoms? a). Acyclovir orally for 7 days b). Prednisolone and acyclovir orally for 7 days c). Paracetamol as needed for pain d). None of the above

We have the first #SundayQuestion for August!!

Answer below with the correct answer.

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A 37-year-old man presents to the ED with a history of recurrent palpitations of variable duration which began about 12 months previously. He is otherwise very fit. At the time of presentation his symptoms had settled and you perform an ECG.
Which one of the following findings would be most concerning in this context?
a). Prolonged PR interval
b). Prolonged QT interval
c). Sinus bradycardia
d). Benign early repolarisation

A 37-year-old man presents to the ED with a history of recurrent palpitations of variable duration which began about 12 months previously. He is otherwise very fit. At the time of presentation his symptoms had settled and you perform an ECG. Which one of the following findings would be most concerning in this context? a). Prolonged PR interval b). Prolonged QT interval c). Sinus bradycardia d). Benign early repolarisation

You know the drill! It's our RCEMLearning Sunday Question

Answer below with the right answer

#SundayQuestion #Quiz #EMlearning

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You are assessing a 45-year-old male who has given a history of LIF pain and altered bowel habit for two days, tending towards constipation. Past medical history includes gastro-oesophageal reflux and gout. His observations are all within normal physiological parameters.

You are assessing a 45-year-old male who has given a history of LIF pain and altered bowel habit for two days, tending towards constipation. Past medical history includes gastro-oesophageal reflux and gout. His observations are all within normal physiological parameters.

Which of the following findings is most likely to influence your management of this patient?
a) Localised LIF tenderness and guarding
b) Quiet bowel sounds
c) Empty rectum on digital rectal exam
d) Serum amylase 120 U/L

Which of the following findings is most likely to influence your management of this patient? a) Localised LIF tenderness and guarding b) Quiet bowel sounds c) Empty rectum on digital rectal exam d) Serum amylase 120 U/L

Our first #SundayQuestion for July, answer below!

And if you want to test your skills even further, try our Curriculum Cup: Surgical Emergencies - www.rcemlearning.co....

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SUNDAY QUESTION: A 51-year-old female presents with severe acute haematemesis. 

Which of the following does not suggest a variceal bleed?

a. Jaundice
b. Encephalopathy
c. Chronic alcohol use
d. Ascites

SUNDAY QUESTION: A 51-year-old female presents with severe acute haematemesis. Which of the following does not suggest a variceal bleed? a. Jaundice b. Encephalopathy c. Chronic alcohol use d. Ascites

#SundayQuestion

Answer below with the correct answer!

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SUNDAY QUESTION: A 33-year-old female presented to the Emergency Department (ED) with a painful left index finger after being bitten by a pet rat while visiting a friend 4 days ago. The patient has no past medical history and no known drug allergies.
She was seen by her GP on the day of presentation who prescribed a 7-day course of co-amoxiclav. The patient’s pain progressed over the next few hours and now her pain is unbearable.
Vitals: BP 135/80 mmHg, PR 93 bpm, Temp 37.3, RR 16 bpm, O2 Saturation of 96% on air.

SUNDAY QUESTION: A 33-year-old female presented to the Emergency Department (ED) with a painful left index finger after being bitten by a pet rat while visiting a friend 4 days ago. The patient has no past medical history and no known drug allergies. She was seen by her GP on the day of presentation who prescribed a 7-day course of co-amoxiclav. The patient’s pain progressed over the next few hours and now her pain is unbearable. Vitals: BP 135/80 mmHg, PR 93 bpm, Temp 37.3, RR 16 bpm, O2 Saturation of 96% on air.

Which of the following is a typical clinical finding of the most likely diagnosis?

a)    Pain on passive flexion of the affected finger
b)    Delayed capillary refill time
c)    Erythema and heat to the left hand
d)    Fixed flexion of the affected finger

Which of the following is a typical clinical finding of the most likely diagnosis? a) Pain on passive flexion of the affected finger b) Delayed capillary refill time c) Erythema and heat to the left hand d) Fixed flexion of the affected finger

#SUNDAYQUESTION
Taken from the SBA, A Complex Wound (but don't cheat!)


Answer below:

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Pretty sure I found Earthsea. You ever find a place that reminds you of a story?

#SundayQuestion #shamelessfarming #WritingCommunity #halfbadpoetry #photography #Earthsea

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If you could have one magical ability in Glimeria, what would it be?

#SundayQuestion #KarmaJonar #GlimeriaStudios

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A 60-year-old woman attends the Emergency Department (ED) with tongue swelling that has developed over the previous few hours. She has no signs of impending airway compromise and no wheeze or rash.
She has never had this before and she has not started any new medication.
The Patient is generally fit and well but tells you she takes medication for blood pressure, a statin, aspirin and vitamin D.
You suspect acute angioedema.

A 60-year-old woman attends the Emergency Department (ED) with tongue swelling that has developed over the previous few hours. She has no signs of impending airway compromise and no wheeze or rash. She has never had this before and she has not started any new medication. The Patient is generally fit and well but tells you she takes medication for blood pressure, a statin, aspirin and vitamin D. You suspect acute angioedema.

What is the mechanism of ACE inhibitor induced angioedema?

a) Bradykinin-mediated
b) IgE-mediated mast cell degranulation (histamine)
c) C1-esterase-inhibitor deficiency

What is the mechanism of ACE inhibitor induced angioedema? a) Bradykinin-mediated b) IgE-mediated mast cell degranulation (histamine) c) C1-esterase-inhibitor deficiency

SUNDAY QUESTION: It's that time again for our weekly #SundayQuestion

Comment with the right answer below

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SUNDAY QUESTION: A 74-year-old male presents to the Emergency Department at 10:00 with a recent history of painless flashes and floaters in his right eye. He experienced intermittent flashing lights which are now subsiding. His past medical history is significant for eye surgery as a teenager for short-sightedness and type II diabetes mellitus with proliferative diabetic retinopathy.

SUNDAY QUESTION: A 74-year-old male presents to the Emergency Department at 10:00 with a recent history of painless flashes and floaters in his right eye. He experienced intermittent flashing lights which are now subsiding. His past medical history is significant for eye surgery as a teenager for short-sightedness and type II diabetes mellitus with proliferative diabetic retinopathy.

SUNDAY QUESTION: On examination, visual acuity in his right eye is 6/12, and in his left eye is 6/6. His visual field is reduced in his right eye and he has experienced a curtain-like shadow across his field of vision.
He is examined using a slit lamp and your findings include an accumulation of vitreous humour in the sub-retinal space.

SUNDAY QUESTION: On examination, visual acuity in his right eye is 6/12, and in his left eye is 6/6. His visual field is reduced in his right eye and he has experienced a curtain-like shadow across his field of vision. He is examined using a slit lamp and your findings include an accumulation of vitreous humour in the sub-retinal space.

What is the most likely diagnosis?

a) Retinal detachment
b) Stroke
c) Uveitis
d) Amaurosis fugax

What is the most likely diagnosis? a) Retinal detachment b) Stroke c) Uveitis d) Amaurosis fugax

It's Sunday, so you know what time it is... #SundayQuestion

Answer below

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#SundayQuestion

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Curious 🧐 - what is your favorite book of all time? Comment below. #SundayQuestion

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a man 's head is sticking out of a door with a chain around it Alt: Joey Tribbiani's head is sticking out of a door with a chain around it

#SundayQuestion

“You don’t own a TV, where’s all your furniture pointed at?”

Origin of this question - a reply I made to a post yesterday (coincidentally , threads is quickly becoming X)

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#SundayQuestion

How would the man I am now judge the earlier man?

Gerald Murnane
Tamarisk Row

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#alertepirate RT @Indixit: How to stream @PopcornTimeApp for Android to a TV? #SundayQuestion

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