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Chapter: 3 / Q: 51
A 74-year-old woman is referred to accident and emergency with a history of pain and redness in her right eye that is associated with blurred vision and distortion of her vision leading her to see ‘haloes’ around objects. When asked if anything makes the pain better or worse she tells you
Chapter: 3 / Q: 52
A 59-year-old man presents to hospital with progressive deterioration in visual acuity over as period of weeks such that he had trouble focussing on even the closest of objects and had had to stop driving completely. He found that he was experiencing glare when in bright sunlight and had taken
Chapter: 3 / Q: 53
A 72-year-old woman presents to hospital with shortness of breath. She is found to have a significant cardiac history of ischaemic heart disease with previous coronary artery bypass grafting and ventricular arrhythmias, which she has had for many years. As part of the work-up for shortness
Chapter: 3 / Q: 54
Regarding hyperthyroidism, which of the following statements is correct?
Chapter: 3 / Q: 55
A 75-year-old gentleman is admitted to hospital following intermittent chest pain for the past 24 hours. His chest pain was central in location with no radiation but was relieved by GTN spray in 3 minutes. His troponin level was positive and ECG showed fixed inverted T waves laterally
Chapter: 3 / Q: 56
A 78-year-old lady was referred to the cardiologist during her inpatient stay for increasing attacks of angina. She is currently using PRN GTN spray, verapamil and enalapril. She has noticed that the frequency of her angina attacks is increasing and her symptoms are becoming more severe at rest
Chapter: 3 / Q: 57
An 81-year-old gentleman is admitted to hospital with chest pain and a diagnosis of a Non-ST Elevation MI (NSTEMI) is made. Which of the following is the most appropriate immediate medical management?
Chapter: 3 / Q: 58
A 58-year-old man presents with new-onset chest pain and shortness of breath. ECG shows atrial fibrillation with a rate of 180 beats per minute. He has no past cardiac history. The most appropriate management would be:
Chapter: 3 / Q: 59
A 70-year-old man presents with chest pain. His ECG shows an acute myocardial infraction (MI) with a new left bundle branch block. On admission he is given 100% oxygen, morphine, metoclopramide, GTN spray and aspirin. On further questioning you elicit that he suffered a haemorrhagic stroke
Chapter: 3 / Q: 60
Which of the following is NOT a contraindication to thrombolysis following a diagnosis of an acute MI?
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