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Chapter: 2 / Q: 21
A 64-year-old woman is seen by her GP for a very red, itchy and painful eye. She describes the eye as having the sensation of there being a bit of ‘grit stuck in it’. When she is asked about these symptoms she says she has had these symptoms on and off for a long time but never this badly
Chapter: 2 / Q: 22
A 69-year-old man with type II diabetes mellitus is brought to hospital with confusion, drowsiness and aggressive behaviour. He lives with his daughter who noticed that he had become ‘not himself’ and had checked his blood sugar, finding it to be 2.3mmol/L. Which of the following
Chapter: 2 / Q: 23
A 58-year-old woman presents to the thyroid clinic to have a check-up for long-term hypothyroidism for which she is taking thyroxine 100µg once daily. She tells you in the clinic that she has read about a novel therapy for thyroid disease that doesn’t involve tablets and would like to try
Chapter: 2 / Q: 24
Mid-ward round a nurse asks you to review one of your wellknown patients with acute onset shortness of breath. The nurse is concerned that the patient looks unwell and requests your opinion. You remember that the patient recently suffered an myocardial infarction, on assessment you note that
Chapter: 2 / Q: 25
Which of the following is not a clinical finding associated with infective endocarditis?
Chapter: 2 / Q: 26
An 84-year-old gentleman was given an urgent outpatient cardiology appointment by his GP. He was concerned about the increasing swelling of his legs and his shortness of breath. On examination he was able to walk with sticks but oedema had spread up to his groin. He was notably short of breath
Chapter: 2 / Q: 27
A 35-year-old lady attended accident and emergency with chest pain. She had no history of cardiovascular disease and denied any risk factors. Blood tests showed a positive troponin and ECG showed antero-lateral ischaemic changes. Which of the following illegal drugs are associated
Chapter: 2 / Q: 28
A patient on the coronary care unit is a 30-year-old lady. Your consultant suggests that you examine her as she has interesting findings. As you look over you notice that she is a tall slim lady wearing glasses. What would you expect to find on auscultation?
Chapter: 2 / Q: 29
In patients newly diagnosed with arterial fibrillation on digoxin therapy, which of the following electrolytes is most important to monitor?
Chapter: 2 / Q: 30
A 54-year-old man presents to hospital with lethargy, shortness of breath and complaining of itching all over. His previous notes state he is well known to the renal physicians for chronic renal failure secondary to diabetic nephropathy and is followed up in the joint diabetic/renal clinic
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