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Chapter: 4 / Q: 21
A 45-year-old lady attends her GP practice because of worsening headaches. She suspects that they are actually migraines as she has a family history of this and they last in excess of 6 hours commonly despite taking adequate analgesia. As she is interested in finding out which stronger analgesia
Chapter: 4 / Q: 22
A 17-year-old girl presents to accident and emergency after suffering a witnessed blackout. Her friend who was with her at the time denied any seizure-like activity and the patient denied any aura or post-blackout symptoms. She has no known past medical history and takes no regular medications
Chapter: 4 / Q: 23
A 57-year-old gentleman presents to his GP generally feeling tired and complaining of weakness. He has no relevant past medical history and takes no regular medications. On direct questioning he denies any constitutional symptoms and has no family history of note. On examination the GP notices
Chapter: 4 / Q: 24
A 78-year-old man attends his GP practice complaining that his eyesight has recently been deteriorating. He notes that he has suffered with bilateral cataracts in the past, which were surgically removed but has never had any other problems with his eyesight. His other past medical history includes
Chapter: 4 / Q: 25
A 78-year-old man presents to his GP with a swelling in his scrotum associated with a dragging sensation. His past medical history is remarkable for episodes of haematuria under investigation by the urologists and a recent admission to hospital 2 months ago complaining of flank pain with a course
Chapter: 4 / Q: 26
Which of the following is NOT typically seen in nephrotic syndrome?
Chapter: 4 / Q: 27
A 45-year-old man with known chronic renal failure secondary to diabetic nephropathy presents to accident and emergency with shortness of breath, cough productive of green sputum and swollen ankles. Routine biochemistry is taken and reveals worsening of renal failure with a potassium level
Chapter: 4 / Q: 28
A 34-year-old man presents to hospital with episodes of severe nosebleeds and of ‘coughing up blood’. He has previously been referred to the ENT surgeons from his GP with episodic epistaxis and underwent nasal packing on an admission 2 months previously. Routine blood tests are taken
Chapter: 4 / Q: 29
Regarding renal disease and urinalysis results, which of the following associations is correct?
Chapter: 4 / Q: 30
A 50-year-old man presents to his GP for an annual medical check-up as offered by the practice and undergoes a physical examination and blood taking including lipid profile and diabetes screening. Blood pressure is found to be high with a raised creatinine and urea. Urine dipstick is suggestive
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