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Chapter: 1 / Q: 1
A 45 year-old lady has 10 months history of shortness of breath. She is found to have irregularly irregular pulse and loud P2 with fixed splitting and ejection systolic murmur in left 2nd ICS. What is the probable diagnosis?
Chapter: 1 / Q: 2
A 64-year-old man has recently suffered from an MI and is on aspirin, atorvastatin and ramipril. tired easily and can’t concentrate on anything. What is the most appropriate treatment?
Chapter: 1 / Q: 3
A 75 year old man collapsed while walking in his garden. He recovered fully within 30 minutes diagnostic investigation that will assist you with his condition?
Chapter: 1 / Q: 4
A 65 year old man with hypertension presents with lower abdominal pain and back pain. An expansive abdominal mass is palpated lateral and superior to the umbilicus. What is the single most discriminating investigation?
Chapter: 1 / Q: 5
A 54 year old man has recently been diagnosed with moderate depression. He has history of MI and is suffering from insomnia. What is the drug of choice for him?
Chapter: 1 / Q: 6
Which finding, on clinical examination of the pulse, suggests a diagnosis of hypertrophic obstructive cardiomyopathy (HOCM)?
Chapter: 1 / Q: 7
A man with prosthetic heart valve underwent hemicolectomy and after some days complains of left hypochondriac pain, fever and has a systolic murmur. What is the next investigation to ascertain the cause of HF?
Chapter: 1 / Q: 8
A 45 year old lady has 10m history of SOB (shortness of breath). She is found to have irregularly irregular pulse and loud P2 with fixed splitting and ejection systolic murmur in left 2nd ICS. What is the probable diagnosis?
Chapter: 1 / Q: 9
A 72yo man has been advised to have antibiotic prophylaxis for some years now before dental treatment. He has never experienced chest pain. Three weeks ago, he noticed breathlessness on exertion and for one week he had orthopnea. His pulse is normal. What is the most probable diagnosis?
Chapter: 1 / Q: 10
A 67 year old man presents with palpitations. ECG shows an irregular rhythm and HR=140bpm. He is otherwise stable, BP=124/80mmHg. What is the most appropriate management?
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