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Chapter: 4 / Q: 41
A 79-year-old lady is seen by her GP for her annual blood tests. She notes that she has been increasingly tired of late but attributed it to her age. Her full blood count shows a macrocytic anaemia with a normal B12 and folate level, low platelet count and a neutropaenia. Blood film showed
Chapter: 4 / Q: 42
A 48-year-old gentleman presents to his GP complaining of tiredness, headaches and visual disturbance. Having excluded any hard neurological symptoms the GP organised blood tests that show an Hb of 20g/dL. He smokes 30 cigarettes a day and has done for many years. Which of the following
Chapter: 4 / Q: 43
A 6-year-old child is brought into see the GP because of ear pain. He is complaining of constant dull pain in his right ear with some associated tinnitus and hearing loss. He has no other medical problems of note and has been fully vaccinated to date. His mother mentions that he is just making
Chapter: 4 / Q: 44
A 15-year-old boy presents to accident and emergency complaining of a sore throat. On further questioning, he explains that he has had a sore throat for the previous 2 days with associated discomfort when swallowing food or drinks. Direct questioning reveals an associated headache and objectively
Chapter: 4 / Q: 45
A 36-year-old woman presents to the GP with widespread muscle aches, left-sided chest pain and cough, and a rash on her face that has appeared over the past months. She is a known epileptic and has been taking medication for many years. Which of the following medications is NOT associated
Chapter: 4 / Q: 46
Regarding antiphospholipid syndrome, which of the following autoantibodies is most strongly associated with this condition?
Chapter: 4 / Q: 47
Which of the following facts about ductal carcinoma in situ is incorrect?
Chapter: 4 / Q: 48
Mastectomy is usually the treatment of choice for breast cancer in all of the following situations EXCEPT:
Chapter: 4 / Q: 49
A 67-year-old diabetic man is seen by his GP for follow-up of glycaemic control and monitoring. He is overweight and slightly hypertensive and as part of his screening fundoscopy is undertaken, which demonstrates changes documented as being consistent with those seen in proliferative diabetic
Chapter: 4 / Q: 50
An 18-month-old boy is brought to hospital by his mother who is worried that he looks ‘cross-eyed’. She describes a history in her family of eye problems and says that she thinks her father had his right eye taken out at a young age. On clinical examination of the eye there is a white reflective
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