1. Question 5

2. question Elderly female from home unwell 24 hours Meds ARB
Presents –shocked, cold and low GCS
T32
HR 60 BP
Sats
GCS

3. DDX 1 point Septic shock Cardiac event with shock Hypothyroid
Event with exposure hypothermia
Ingestion if provided agent and comment that not her own medication
Electrolyte abnormality if clarified rational

4. ddx 0.5 point PE ( unless with clarification)
Focal infection eg UTI, pneumonia
CNS event if provided location
Zero section score if sepsis not mentioned

5. investigation
Ideally question would have included rationale – hard to fail
1 point
Septic workup or part thereof
Glucose
Trop
Echo
CXR
TFT
ECG
Specific electrolyte if related to DDx

6. investigation 0.5 points VBG/ABG with no clarification
CTB with no clarification

7. Mx 1 point Warm with method
Something logical about fluid with an endpoint
Something about O2 with an end point
Antibiotic broad spectrum
Something about goal of care or referral to inpatient unit ( not a point for both)
GCS – intubation not accepted unless qulaified

8. Performance of the question pass mark 9 90% pass rate