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Chapter: 3 / Q: 41
A 63-year-old gentleman was admitted to hospital after suffering with a transient ischaemic attack (TIA). He noticed weakness in his right arm and some changes in his speech, both of which were completely resolved in the 24 hours after onset. On examination, he had no residual neurological
Chapter: 3 / Q: 42
A 63-year-old man is brought to hospital by ambulance following a fall at home. He lives alone and is unaccompanied to hospital. On arrival he is assessed by the emergency staff and appears confused and disorientated but moving all four limbs and communicating, albeit inappropriately
Chapter: 3 / Q: 43
A 43-year-old woman is brought to hospital by her husband after he found she had taken an overdose of her medication in her bathroom. Her past medical history is remarkable for hypertension and depression. She denies taking any medication overdose, stating that her husband is simply
Chapter: 3 / Q: 44
A 25-year-old man presents to his GP complaining of difficulty sleeping. He complains that he feels very hot at night and finds that his work is suffering during the day. Otherwise he complains of no problems, but on questioning he admits to slight weight loss and examination reveals
Chapter: 3 / Q: 45
A 70-year-old lady presents to her GP with vague aches and pains particularly in her back. Other symptoms include polyuria and constipation. She has noticed that she is more prone to picking chest infections over the past few months. An X-ray shows two crush fractures of her lumbar vertebrae
Chapter: 3 / Q: 46
A 45-year-old woman presents to accident and emergency with abdominal pain. She is tested for pregnancy, urinary tract infection and undergoes abdominal examination. She is found to have an enlarged spleen with pain localised to the left upper quadrant. Blood tests reveal a haemoglobin
Chapter: 3 / Q: 47
Which of the following modalities represents the most useful indicator of the severity of disease in a rheumatoid arthritis sufferer?
Chapter: 3 / Q: 48
A 32-year-old woman presents to hospital with weakness in her left leg and arm with an obvious facial droop on the left hand side. History taking reveals a sudden onset of loss of function of the left side of her body with no loss of consciousness, tongue-biting or associated incontinence
Chapter: 3 / Q: 49
A 23-year-old girl is referred to the breast clinic by her GP. She first sought advice when she noticed a solitary lump in the upper outer aspect of her left breast. She notes that the lump is not painful and there are no overlying changes to the skin. She has no history of breast problems
Chapter: 3 / Q: 50
A 69-year-old gentleman is seen by his GP for gradual onset gynaecomastia. The patient has tolerated the development of the condition hoping that it would resolve spontaneously although it continues to gradually worsen. He has a history of alcohol abuse, drinking approximately 70 units per
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