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Chapter: 1 / Q: 41
A 37-year-old lady is admitted to hospital with what the A&E doctors suspect is a SEVERE asthma attack. Which of the following signs or symptoms is consistent with that diagnosis? a. Silent chest, peak expiratory flow rate (PEFR) 33% of predicted
Chapter: 1 / Q: 42
A 57-year-old lady is seen complaining of acute onset shortness of breath. She is known to suffer from asthma, which is normally well controlled. Regularly she takes inhalers, both bronchodilators and inhaled steroids. She hasn’t suffered an exacerbation of her asthma for a number
Chapter: 1 / Q: 43
A 25-year-old woman presents to accident and emergency after a sudden onset of shortness of breath. She has a past medical history of asthma and dysmenorrhoea. She denies any current medication apart from the oral contraceptive pill since her menarche. On examination she is a tall thin
Chapter: 1 / Q: 44
A 34-year-old man is brought in by his colleagues with acute dyspnoea following an office summer party. Regular medications include salbutamol inhaler and over the counter antihistamines for allergic rhinitis. On examination there is evidence of stridor and some peri-oral swelling
Chapter: 1 / Q: 45
A 22-year-old man is brought in to hospital following a highspeed road traffic accident where he was the driver. On initial assessment he is found to be drowsy with marked facial injury, chest injury consistent with steering wheel impact and multiple areas of subcutaneous emphysema
Chapter: 1 / Q: 46
A 63-year-old gentleman presented to casualty with chest pain and shortness of breath. He described the chest pain as right sided and intermittent. The pain and shortness of breath were exacerbated by deep respiratory effort but ameliorated by shallow breathing. He has no risk
Chapter: 1 / Q: 47
A 16-year-old girl presents to accident and emergency having taken 35 paracetamol tablets that morning. She is tearful and upset and history taking is difficult as she does not answer questions easily. Her past medical history is of depression and self-harm and childhood eczema
Chapter: 1 / Q: 48
A 68-year-old woman is admitted to the ward after an elective hip replacement for osteoarthritis. On post-operative day 3 her respiratory function starts to deteriorate and she starts to complain of profuse diarrhoea. A sputum sample is obtained and sent off to the laboratory and appropriate
Chapter: 1 / Q: 49
A 23-year-old woman presents to hospital feeling nauseated, unwell, with loss of appetite. She tells you that this occurred over a month and she was very worried she was pregnant as she had missed her last period. Further questioning reveals no recent history of travel, she drinks
Chapter: 1 / Q: 50
A 63-year-old man presents to his GP with a month’s history of regurgitating food, foul-smelling breath and a sensation of gurgling in her neck when he eats. He describes the regurgitated food as slightly changed but denies any blood or pain when he eats. He has not lost any weight recently
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