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Chapter: 2 / Q: 41
A 68-year-old woman presents with pain in her abdomen causing her to vomit. She states she has lost her appetite for food and can’t hold anything down. Examination of the abdomen reveals localised tenderness over the left iliac fossa. Digital rectal examination reveals flecks of blood mixed
Chapter: 2 / Q: 42
A 43-year-old man with known alcoholic liver disease presents to hospital with a distended abdomen, pain and yellow discolouration to his skin and sclera. On examination of the chest there are multiple blanching red raised lesions over the upper torso and arms, and loss of chest and axillary hair
Chapter: 2 / Q: 43
A 77-year-old man with known bibasal lung fibrosis is admitted to hospital for assessment of the need of long-term oxygen at home. He is already on home oxygen as required but his GP is concerned that he may need more regular therapy. Results of an arterial blood gas (ABG) taken on 35% oxygen via
Chapter: 2 / Q: 44
Whilst working on a busy medical firm at a teaching hospital you are asked to take some medical students to see interesting cases in order to improve their examination skills. You take them to see a 76-year-old gentleman who has the following clinical signs: unilateral ↓
Chapter: 2 / Q: 45
Whilst in surgical pre-assessment clinic you note that a 68-yearold lady who is coming in electively for a knee replacement operation is complaining of shortness of breath. On further questioning you note that this is a chronic problem which the GP has not investigated
Chapter: 2 / Q: 46
Whilst on placement at your local GP practice you are asked to see a 78-year-old man who is complaining of shortness of breath. He has no history of respiratory disease and denies use of inhalers. On examination you note that he has a temperature of 38ºC and auscultation findings are consistent
Chapter: 2 / Q: 47
Following making an accurate diagnosis of a community acquired pneumonia, which of the following antibiotics would you start as first-line treatment, bearing in mind that the patient has normal renal function and no known drug allergies?
Chapter: 2 / Q: 48
Mr Roberts is a 70-year-old man who has recently returned from a Mediterranean holiday. Over the past few days he has felt like he has the flu. He has been suffering with muscle aches, fever tiredness and has now developed a dry cough. He is becoming increasingly short of breath
Chapter: 2 / Q: 49
A young child presents with regurgitation of food and vomiting noticed by the mother to occur frequently after meals. She is worried that the child has failed to progress along the normal centile chart and finds that the vomiting is worse when the child lies horizontal after mealtimes
Chapter: 2 / Q: 50
Regarding factors associated with peptic ulcer disease, which of the following is NOT considered to be a risk factor for ulceration?
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