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Emergency Medicine Journal 2008;25:195
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY MEDICINE QUESTIONS (EMQ)

Emergency Medicine Questions (EMQ)

245

The first 150 words of the full text of this article appear below.

COORDINATORS: KATE EVANS AND GAVIN LLOYD

THEME: RHEUMATOLOGY

QUESTION 1

Which of the following statements regarding septic arthritis are true?

  1. Not one of the following signs or symptoms have an individual sensitivity of greater than 85%: joint pain, joint swelling and fever.
  2. Peripheral white blood cell count, erythrocyte sedimentation rate and C-reactive protein level are useful tests in that both their respective sensitivities and specificities are high.
  3. Joint aspiration is contraindicated in patients anticoagulated with warfarin.
  4. Aspiration of the joint can negate the need for surgery.

QUESTION 2

Which of the following statements about gout are true?

  1. Allopurinol should be stopped during an acute attack of gout.
  2. Corticosteroids should be avoided in acute gout.
  3. The presence of crystals in the synovial fluid rules out septic arthritis.
  4. The presence or absence of hyperuricaemia is helpful in establishing the diagnosis of gout.

QUESTION 3

Which of the following statements regarding back pain are true?

  1. The majority of patients with cauda equina syndrome present with an acute . . . [Full text of this article]


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Emerg. Med. J. 2008 25: 245. [Extract] [Full Text] [PDF]

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The journal is co-owned by and the official journal of College of Emergency Medicine

Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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