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Best of Five MCQs for the Acute Medicine SCE$
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Nigel Lane, Louise Powter, and Sam Patel

Print publication date: 2016

Print ISBN-13: 9780199680269

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199680269.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021

Neurology and Ophthalmology

Neurology and Ophthalmology

Chapter:
(p.207) Chapter 8 Neurology and Ophthalmology
Source:
Best of Five MCQs for the Acute Medicine SCE
Author(s):
Nigel Lane, Louise Powter, Sam Patel
Publisher:
Oxford University Press
DOI:10.1093/oso/9780199680269.003.0012

1. A 25-year-old woman with partial seizures was admitted to the ITU from the neurology ward after a 45-minute generalized tonic-clonic seizure. The seizure had not resolved with benzodiazepines or phenytoin. It was decided to perform a rapid sequence induction in order to intubate, ventilate, and sedate the patient with a propofol infusion.

On examination, she was apyrexial with a heart rate of 120 beats per minute and a blood pressure (BP) of 105/80 mmHg. Her respiratory rate was set on the ventilator at 16 breaths per minute and oxygen saturation was 99% with FiO2 of 30%.

The patient had continuous EEG monitoring attached to her scalp.

What EEG pattern would indicate that the patient was sedated adequately?

Keywords:   Epley manoeuvre, Romberg’s test, Still’s disease, Tensilon test, botulism, claudication, diphtheria, eclampsia

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