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Chapter: 1 / Q: 81
A 34-year-old woman is brought to hospital by a friend who is concerned that recently she has been acting bizarrely; going on shopping trips every other day and spending money in the local betting shop, which she never used to do. She has also been socialising more often than usual and had been
Chapter: 1 / Q: 82
A 42-year-old aid worker presents to his GP with 5-week history of inability to sleep, a feeling of being on edge and easily startled and nightmares of persecution and violence. He had previously returned from an aid mission overseas where he had to be evacuated due to unsafe conditions
Chapter: 1 / Q: 83
A 24-year-old man who has recently arrived in the United Kingdom is referred to the acute psychiatric clinic by his GP who is concerned that he has been experiencing auditory hallucinations telling him that the immigration officials have been monitoring his activities and are planning
Chapter: 1 / Q: 84
A 43-year-old woman presents to her GP complaining of feeling a sense of overwhelming fear associated with shortness of breath and a racing heart beat when she is asked to give a presentation or speak in front of lots of people. She says that the thought of having to do any kind of social
Chapter: 1 / Q: 85
A 67-year-old woman is brought to accident and emergency by her neighbour who has been increasingly worried about her behaviour. She is unkempt and was found by her neighbour at home in her chair where she had not moved for 3 days. She has been on antidepressant medication in the past started
Chapter: 1 / Q: 86
A 35-year-old keen gardener presents to her GP with a swollen left index finger. She states that it has caused her throbbing pain for the past 2 weeks and came on after she cut her finger on some rose thorns. There is swelling, redness and tenderness surrounding the nail itself on the left index
Chapter: 1 / Q: 87
A 43-year-old man presents with an extremely painful mass under one of the nails of his right hand. He states that he has become more aware of the mass over the past month. There is a bluish hue to the mass with lifting of the nailbed
Chapter: 1 / Q: 88
A 31-year-old woman is brought in to accident and emergency after cutting herself with a knife following a break-up with her partner. On examination of her hand there are multiple lacerations on the wrist by the base of the thumb. She complains of an inability to extend her wrist
Chapter: 1 / Q: 89
A 13-year-old boy falls onto concrete whilst roller-skating. He is seen by the out of hours GP and is found to have a tender swollen base of the thumb with tenderness in the anatomical snuffbox. He has weakness on making a pincer grip but has normal abductor pollicis brevis function
Chapter: 1 / Q: 90
A 54-year old man who is seen regularly in the endocrinology clinic presents with the complaint that during the night he wakes up with tingling and numbness in his hands that is only relieved by shaking them out. On further questioning he has otherwise been fit and well but states that in recent
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