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Chapter: 5 / Q: 61
A 58-year-old secretary with a past history of hypertension presents with intermittent new-onset chest pain. This was first noticed during a holiday to the United States. Whilst on holiday an ECG was taken which showed lateral T-wave inversions. An ECG repeated on admission showed some
Chapter: 5 / Q: 62
A 74-year-old lady complains of periods of dizziness with occasional associated blackouts. She is on no regular medicines
Chapter: 5 / Q: 63
A 69-year-old lady with a recent diagnosis of atrial fibrillation (AF) enquires about the risks associated with the condition. She is concerned that a cerebrovascular accident is associated with AF and asks about anticoagulation. Which of the above investigations would aid your decision about
Chapter: 5 / Q: 64
A 68-year-old man who was admitted with troponin negative chest pain but T-wave inversion asks about his risks of progressing onto cardiac problems. Which investigation would aid in stratifying his risk?
Chapter: 5 / Q: 65
A 72-year-old lady is admitted for shortness of breath. On examination pulmonary oedema is diagnosed. This is medically treated but she complains of intermittent dizziness and periods of her heart racing. On examination you note that her heart rate is 60 beats per minute, the observation chart
Chapter: 5 / Q: 66
An 80-year-old lady with a history of chronic obstructive pulmonary disease and heart failure is admitted via her GP with a 2-day history of cough and fever with a suspicion of a pneumonia. Her chest X-ray shows a right lower lobe pneumonia
Chapter: 5 / Q: 67
A 30-year-old man with a history of cystic fibrosis presents to the GP with a 5-day history of worsening productive cough and fever. Which of the bacteria is likely to be the cause of his pneumonia?
Chapter: 5 / Q: 68
A 24-year-old man presents to his GP feeling generally under the weather, complains of myalgia, headaches and malaise. He has noticed a productive cough and some mild shortness of breath, although on auscultation there is very little to hear. The GP refers him to casualty as he is unsure about
Chapter: 5 / Q: 69
A 34-year-old street dweller presents to accident and emergency with a productive cough and fever. He is keen to be treated and leave but on examination he is an unkempt man with signs of needle marks on his forearms, although he denies any drug abuse. On auscultation there are inspiratory
Chapter: 5 / Q: 70
A 45-year-old businessman who has recently returned from a business trip to Europe presents to his GP with a 3-day history of a dry cough and associated chest pain and diarrhoea. He mentioned that he felt like he had the ‘flu for a few days before the cough came on but persisted
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