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Chapter: 5 / Q: 21
A 74-year-old man is 1-day post-transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. The nurse calls a doctor to review this gentleman as he is uncomfortable and in pain on the ward. There is nothing remarkable on general examination; however, on inspecting the catheter
Chapter: 5 / Q: 22
A 78-year-old non-smoker with a history of chronic obstructive pulmonary disease (COPD) has been admitted to the day assessment unit for home oxygen assessment. She has noticed increasing breathlessness of late both on exertion and intermittently at rest. You perform an arterial blood gas (ABG)
Chapter: 5 / Q: 23
A 25-year-old Afro-Caribbean office worker has been referred to the respiratory clinic for investigation of dry cough, mild chest pain and reduced exercise tolerance. He is complaining of a rash on his shins and occasional joint aches. A chest X-ray performed shows bilateral hilar lymphadenopathy
Chapter: 5 / Q: 24
Which of the following associations is incorrect?
Chapter: 5 / Q: 25
Whilst looking through the past medical history notes of one of your inpatients (admitted for ENT surgery) you note that she suffers with fibrosing alveolitis. Causes of this include all of the following EXCEPT:
Chapter: 5 / Q: 26
A 69-year-old lady is admitted on your medical take. She has had two other admissions earlier this year for recurrent pleural effusions, on both occasions samples of fluid failed to reveal a cause for the effusion. On this occasion she is short of breath, chest X-ray shows a right-sided pleural
Chapter: 5 / Q: 27
During your pre-operative assessment clinic a patient notes that he feels incredibly tired during the day and his wife mentions that he occasionally stops breathing at night and wakes up gasping for breath. He is being admitted for hip surgery under spinal anaesthesia but you suggest that he sees
Chapter: 5 / Q: 28
A 65-year-old gentleman sees his GP on his wife’s recommendation as she has noticed that he is becoming increasingly short of breath on exertion. At rest he is asymptomatic and he has noticed that everything seems to take his a little bit longer but hasn’t noticed that he is having difficulty
Chapter: 5 / Q: 29
A 65-year-old gentleman presents acutely short of breath. He has no history of respiratory disease and is having further difficulty with every inspiration. On examination you note use of accessory muscles and tracheal deviation to the left-hand side. On the right you note increased resonance
Chapter: 5 / Q: 30
A 56-year-old homeless man presents with abdominal pain and mild shortness of breath. After appropriate questioning and examination chest and abdominal radiology is requested. Chest X-ray demonstrates a right-sided pleural effusion and the abdominal X-ray shows an absent psoas shadow
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