A 46-year-old man presents with acute onset severe abdominal pain and shock. He takes warfarin for atrial fibrillation. His INR is 6.8. CT shows retroperitoneal hematoma. What is the most appropriate immediate management?
AVitamin K 10mg IV
BFresh frozen plasma
CProthrombin complex concentrate
DStop warfarin only
ETranexamic acid
A 46-year-old man presents with acute severe epigastric pain and vomiting. His amylase (1800 U/L). He has a history of alcohol excess. What is the most important initial assessment?
ACT abdomen
BERCP
CSeverity scoring
DNutritional assessment
EPsychiatric evaluation
A 39-year-old man presents with acute onset severe headache during sexual intercourse. CT head is normal. What is the most appropriate next investigation?
AMRI brain
BLumbar puncture
CCT angiogram
DCarotid Doppler
EEEG
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