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Chapter: 1 / Q: 1
A 75-year-old gentleman is referred by his GP to a consultant cardiologist for management of his newly diagnosed atrial fibrillation (AF). Palpitations and occasional shortness of breath are the only symptoms he has noticed and he has no past history of cardiovascular disease
Chapter: 1 / Q: 2
A 38-year-old gentleman attends A&E at 9 p.m. during a busy medical take. He complains of chest pain which has intermittently been present since the morning. On further questioning his pain is central in location with no radiation and some associated nausea. His father suffered with
Chapter: 1 / Q: 3
An 84-year-old nun presented to A&E 2 weeks after discharge from hospital under the care of the cardiologists. Her presenting complaint is one of feeling faint and dizzy and intermittently short of breath. She mentions that during her last admission she was started on digoxin because she
Chapter: 1 / Q: 4
A 69-year-old man was admitted from A&E 3 days after suffering a myocardial infarction. He was complaining of increasing shortness of breath and on observation was tachypnoeic at rest whilst sitting up. On examination he had no peripheral signs of disease, his jugular venous
Chapter: 1 / Q: 5
A 45-year-old teacher was referred to the cardiologists after having been admitted with shortness of breath. Her past medical history consists of inflammatory bowel disease but no cardiac problems. On examination her apex was located in the anterior axillary line in the sixth
Chapter: 1 / Q: 6
The most appropriate diagnostic investigation in a patient presenting with chest pain and a widened mediastinum is:
Chapter: 1 / Q: 7
A 16-year-old man presents to hospital complaining of abdominal pain, nausea and vomiting. He has been feeling unwell for the last 3 days since he ‘caught a cold’ from his younger sister. His past medical history is remarkable only for childhood eczema and type I diabetes mellitus
Chapter: 1 / Q: 8
A 78-year-old woman is brought to accident and emergency from the warden-controlled accommodation where she resides. She was found in her apartment by the warden sitting on the floor and very confused. Past medical history is remarkable for pernicious anaemia, type II diabetes and vitiligo
Chapter: 1 / Q: 9
Which of the following associations is correct?
Chapter: 1 / Q: 10
A 53-year-old man presents to his GP with a 2-week history of headache and recent blurred vision. He has been having the headaches at more frequent intervals in the past week and describes them as a ‘tight band’ around his head. Fundoscopy is performed, which reveals arteriolar narrowing
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