EMQs 2001 - gen med

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Qu. 1: A pulse rate of 80/min with a regular rhythm but occasional extra beats followed by a longer pause Choose one of the following: Acute haemorrhage Pulsus alternans Aortic stenosis Pulsus paradoxus Aortic: Model Answer: Ventricular ectopic beats
Qu. 2: A pulse rate of 32/min regular but associated with episodes of syncope Choose one of the following: Acute haemorrhage Pulsus alternans Aortic stenosis Pulsus paradoxus Aortic incompetence Sinus a: Model Answer: Complete heart block
Qu. 3: A pulse rate of 80/min with a collapsing quality in the brachial artery Choose one of the following: Acute haemorrhage Pulsus alternans Aortic stenosis Pulsus paradoxus Aortic incompetence Sinus: Model Answer: Aortic incompetence
Qu. 4: A pulse rate of 80/min, which speeds up on inspiration and slows down on expiration Choose one of the following: Acute haemorrhage Pulsus alternans Aortic stenosis Pulsus paradoxus Aortic incompetence <: Model Answer: Sinus arrhythmia
Qu. 5: A pulse which is regular but diminishes in volume during inspiration and increases in volume in expiration Choose one of the following: Acute haemorrhage Pulsus alternans Aortic stenosis Pulsus paradoxus: Model Answer: Pulsus paradoxus
Qu. 1: Anterior chest pain with decreased breath sounds, hyper resonance on percussion and absent tactile fremitus on the same side Choose one of the following: Acute asthma Pericardial effusion Atelectasis of the lung: Model Answer: Pneumothorax
Qu. 2: Cardiomegaly, breathlessness, bilateral basal crackles with symmetrical normal chest movements and normal resonant percussion Choose one of the following: Acute asthma Pericardial effusion Atelectasis of the lung: Model Answer: Left ventricular failure
Qu. 3: Decreased chest movements, dullness to percussion with bronchial breathing in a febrile patient with cough and infected sputum Choose one of the following: Acute asthma Pericardial effusion Atelectasis of the lung: Model Answer: Lobar pneumonia
Qu. 4: Decreased chest movements on one side with stony dullness to percussion, absent breath sounds and absent tactile fremitus Choose one of the following: Acute asthma Pericardial effusion Atelectasis of the lung: Model Answer: Pleural effusion
Qu. 5: Difficulty breathing, over-inflated chest, resonant chest bilaterally and bilateral expiratory wheezing Choose one of the following: Acute asthma Pericardial effusion Atelectasis of the lung Pleural effusion: Model Answer: Acute asthma
Qu. 1: A young man loses 7 kg in weight over one month accompanied by thirst and polyuria Choose one of the following: Anorexia nervosa Malabsorption Bulimia Thyrotoxicosis Carcinoma of the stomach Tube: Model Answer: Diabetes mellitus
Qu. 2: A Somali immigrant who is severely wasted gives a history of night sweats, fever and persistent cough Choose one of the following: Anorexia nervosa Malabsorption Bulimia Thyrotoxicosis Carcinoma of the: Model Answer: Tuberculosis
Qu. 3: A man 60 years old, loses his appetite and loses 5 kg in weight over 6 weeks. He has epigastric discomfort and no change in bowel habit Choose one of the following: Anorexia nervosa Malabsorption Bulimia Thyro: Model Answer: Carcinoma of the stomach
Qu. 4: A woman who has always opened her bowels 2-3 times daily is about 10 kg underweight with glossitis and angular stomatitis Choose one of the following: Anorexia nervosa Malabsorption Bulimia Thyrotoxicosis: Model Answer: Malabsorption
Qu. 5: A thin underweight 50 year old woman with a normal appetite presents with uncontrolled atrial fibrillation. Her bowels are opened 2-3 times daily Choose one of the following: Anorexia nervosa Malabsorption Bulimia: Model Answer: Thyrotoxicosis
Qu. 1: A patient with an apical bronchial carcinoma with a ptosis and a small pupil on the same side Choose one of the following: 3rd cranial nerve palsy Left cerebral hemisphere infarction 6th cranial nerve palsy Op: Model Answer: Horner's syndrome
Qu. 2: Fixed dilated pupils bilaterally after resuscitation for a cardiac arrest Choose one of the following: 3rd cranial nerve palsy Left cerebral hemisphere infarction 6th cranial nerve palsy Opiate overdose: Model Answer: Brain stem death
Qu. 3: Right sided homonymous hemianopia Choose one of the following: 3rd cranial nerve palsy Left cerebral hemisphere infarction 6th cranial nerve palsy Opiate overdose Brain stem death Right cerebral: Model Answer: Left cerebral hemisphere infarction
Qu. 4: A deviated eye looking downwards and outwards with a ptosis and a large pupil Choose one of the following: 3rd cranial nerve palsy Left cerebral hemisphere infarction 6th cranial nerve palsy Opiate overdose: Model Answer: 3rd cranial nerve palsy
Qu. 5: Bilateral pin point pupils in a young comatose patient Choose one of the following: 3rd cranial nerve palsy Left cerebral hemisphere infarction 6th cranial nerve palsy Opiate overdose Brain stem death <: Model Answer: Opiate overdose
Qu. 1: Epigastric and abdominal right upper quadrant pain radiating through to the infrascapular region Choose one of the following: Appendicitis Renal colic Biliary colic Small bowel intestinal colic Duodenal: Model Answer: Biliary colic
Qu. 2: Epigastric pain, worse when hungry, awaking patient at night and relieved by milk Choose one of the following: Appendicitis Renal colic Biliary colic Small bowel intestinal colic Duodenal ulcer pain: Model Answer: Duodenal ulcer pain
Qu. 3: Epigastric and low retrosternal pain associated with acid regurgitation Choose one of the following: Appendicitis Renal colic Biliary colic Small bowel intestinal colic Duodenal ulcer pain Uterin: Model Answer: Gastro-eosphageal reflux pain
Qu. 4: Left loin and left upper abdominal quadrant pain radiating to the groin Choose one of the following: Appendicitis Renal colic Biliary colic Small bowel intestinal colic Duodenal ulcer pain Uterin: Model Answer: Renal colic
Qu. 5: Gripping central abdominal pain that comes and goes over relatively short intervals Choose one of the following: Appendicitis Renal colic Biliary colic Small bowel intestinal colic Duodenal ulcer pain <: Model Answer: Small bowel intestinal colic
Qu. 1: An anxious 25 year old woman complaining of breathing difficulties, lightheadedness, and carpopedal spasm Choose one of the following: Complete heart block Subarachnoid heamorrage Epileptic seizure Transient c: Model Answer: Hyperventilation attacks
Qu. 2: A 79 year old woman who has dizzy spells when looking up to hang out her washing Choose one of the following: Complete heart block Subarachnoid heamorrage Epileptic seizure Transient cerebral ischaemic attack: Model Answer: Vertebrobasilar ischaemia
Qu. 3: A 45 year old man who has had 2 attacks where he fell to the ground. He had bitten his tongue and been incontinent of urine. Choose one of the following: Complete heart block Subarachnoid heamorrage Epileptic seizure: Model Answer: Epileptic seizure
Qu. 4: A 37 year old man with a sudden onset of a severe headache at the occiput and collapse Choose one of the following: Complete heart block Subarachnoid heamorrage Epileptic seizure Transient cerebral ischaemic a: Model Answer: Subarachnoid heamorrage
Qu. 5: A 79 year old woman who had lost her speech for 2 hours but then recovered and was neurologically normal Choose one of the following: Complete heart block Subarachnoid heamorrage Epileptic seizure Transient ce: Model Answer: Transient cerebral ischaemic attack
Qu. 1: A 75 year old smoker with intermittent central chest pain radiating to the jaw when he walks to the shops and relieved by rest Choose one of the following: Acute myocardial infarct Oesophagitis Acute pericarditis: Model Answer: Angina of effort
Qu. 2: A 53 year old man with a sudden onset of central chest pain radiating to the left arm associated with sweating which has been present for two hours Choose one of the following: Acute myocardial infarct Oesophagitis A: Model Answer: Acute myocardial infarct
Qu. 3: A 60 year old man with acute severe chest pain radiating through to the back with a wide mediastinum on chest X-ray Choose one of the following: Acute myocardial infarct Oesophagitis Acute pericarditis Pneumon: Model Answer: Dissecting thoracic aortic aneurysm
Qu. 4: A 76 year old obese man who presented with episodes of low retrosternal burning pain and discomfort on swallowing Choose one of the following: Acute myocardial infarct Oesophagitis Acute pericarditis Pneumonia: Model Answer: Oesophagitis
Qu. 5: A postoperative 40 year old woman who complains of right-sided chest pain, worse on deep breathing and coughing and haemoptysis Choose one of the following: Acute myocardial infarct Oesophagitis Acute pericarditis: Model Answer: Pulmonary embolus
Qu. 1: An internal jugular pulsation with 'a' and 'v' waves visible at the level of the clavicle Choose one of the following: A normal jugular venous pulsation Pericardial constriction Atrial fibrillation and congestive: Model Answer: A normal jugular venous pulsation
Qu. 2: Distended jugular veins bilaterally with distended veins on the upper thorax and no obvious venous pulsation Choose one of the following: A normal jugular venous pulsation Pericardial constriction Atrial fibrillation: Model Answer: Superior vena caval obstruction
Qu. 3: A jugular venous pressure of 15 cm with no 'a' wave in a patient with an irregular pulse, peripheral oedema and breathlessness Choose one of the following: A normal jugular venous pulsation Pericardial constriction A: Model Answer: Atrial fibrillation and congestive cardiac failure
Qu. 4: A patient with a heart rate of 32 beats per minute and occasional cannon waves visible in the internal jugular pulse Choose one of the following: A normal jugular venous pulsation Pericardial constriction Atrial fibr: Model Answer: Complete heart block
Qu. 5: Regular large waves distending the internal jugular coinciding with systole in a patient with a systolic murmur loudest at the lower end of the sternum Choose one of the following: A normal jugular venous pulsation Pericard: Model Answer: Tricuspid incompetence
Qu. 1: A healthy 50 year old woman on long term oral steroids for asthma who develops acute severe mid thoracic back pain Choose one of the following: Ankylosing Spondylitis Spinal cord compression Bony metastases Sp: Model Answer: Vertebral crush fracture
Qu. 2: A 25 year old banker who presents with an acute onset of severe low back pain and left-sided sciatica. On examination he has an absent left ankle jerk Choose one of the following: Ankylosing Spondylitis Spinal cord compress: Model Answer: L 4/5 Disc with S1 signs
Qu. 3: A 20 year old man presents with a long history of low back pain and stiffness in the morning with a very raised ESR Choose one of the following: Ankylosing Spondylitis Spinal cord compression Bony metastases S: Model Answer: Ankylosing Spondylitis
Qu. 4: A 65 year old woman with longstanding low back pain has an exacerbation of pain associated with urinary retention, saddle anaesthesia and absent ankle jerks Choose one of the following: Ankylosing Spondylitis Spinal cord co: Model Answer: Cauda Equina Syndrome
Qu. 5: An ill looking 75 year old English man who has an 8 week history of weight loss and persistent diffuse back pain, worse at night, with percussion tenderness Choose one of the following: Ankylosing Spondylitis Spinal cord co: Model Answer: Bony metastases
Qu. 1: A 75 year old man with sudden severe abdominal pain and an expansile pulsatile central abdominal mass Choose one of the following: Aortic Aneurysm Pancreatic pseudocyst Carcinoma of the caecum Polycystic kidne: Model Answer: Aortic Aneurysm
Qu. 2: A 71 year old woman with a severe iron deficiency anaemia and a mass in the right iliac fossa Choose one of the following: Aortic Aneurysm Pancreatic pseudocyst Carcinoma of the caecum Polycystic kidneys: Model Answer: Carcinoma of the caecum
Qu. 3: A 69 year old woman with a mass in the left upper quadrant and generalised lymphadenopathy Choose one of the following: Aortic Aneurysm Pancreatic pseudocyst Carcinoma of the caecum Polycystic kidneys C: Model Answer: Splenomegaly
Qu. 4: A 45 year old woman with bilateral loin masses. She has a family history of loin pain and hypertension Choose one of the following: Aortic Aneurysm Pancreatic pseudocyst Carcinoma of the caecum Polycystic kidn: Model Answer: Polycystic kidneys
Qu. 5: A 56 year old man with jaundice and spider naevi and a mass in the right upper quadrant Choose one of the following: Aortic Aneurysm Pancreatic pseudocyst Carcinoma of the caecum Polycystic kidneys Carc: Model Answer: Hepatomegaly
Qu. 1: A 68 year old man with loss of sensation to pin-prick up to the knee Choose one of the following: Arteriopathy Nephropathy Arthropathy Peripheral Neuropathy Autonomic neuropathy Retinopathy: Model Answer: Peripheral Neuropathy
Qu. 2: A 75 year old man with postural hypotension Choose one of the following: Arteriopathy Nephropathy Arthropathy Peripheral Neuropathy Autonomic neuropathy Retinopathy Charcots arthropathy: Model Answer: Autonomic neuropathy
Qu. 3: A 60 year old man with 3 cold black toes Choose one of the following: Arteriopathy Nephropathy Arthropathy Peripheral Neuropathy Autonomic neuropathy Retinopathy Charcots arthropathy: Model Answer: Arteriopathy
Qu. 4: An 80 year old man with a raised urea and creatinine Choose one of the following: Arteriopathy Nephropathy Arthropathy Peripheral Neuropathy Autonomic neuropathy Retinopathy Charcots arthr: Model Answer: Nephropathy
Qu. 5: A 70 year old woman with a gallop rhythm and intermittent nocturnal breathlessness Choose one of the following: Arteriopathy Nephropathy Arthropathy Peripheral Neuropathy Autonomic neuropathy Ret: Model Answer: Ischaemic Heart Disease
Qu. 1: A 65 year old man with shortness of breath, swollen legs and a raised JVP Choose one of the following: Acute viral hepatitis B Liver abscess Alcoholic liver disease Metastatic liver disease Congestive c: Model Answer: Congestive cardiac failure
Qu. 2: A 45 year old publican with spider naevi, multiple bruises, confusion and jaundice Choose one of the following: Acute viral hepatitis B Liver abscess Alcoholic liver disease Metastatic liver disease Con: Model Answer: Alcoholic liver disease
Qu. 3: A 50 year old woman treated 3 years previously with radiotherapy and chemotherapy for breast cancer Choose one of the following: Acute viral hepatitis B Liver abscess Alcoholic liver disease Metastatic liver d: Model Answer: Metastatic liver disease
Qu. 4: A 23 year old intravenous drug abuser with jaundice, abdominal pain and fever Choose one of the following: Acute viral hepatitis B Liver abscess Alcoholic liver disease Metastatic liver disease Congesti: Model Answer: Acute viral hepatitis B
Qu. 5: A 50 year old man with pigmented skin, diabetes and raised serum transaminases Choose one of the following: Acute viral hepatitis B Liver abscess Alcoholic liver disease Metastatic liver disease Congest: Model Answer: Haemochromatosis
Qu. 1: A 25 year old patient from the Indian subcontinent with fever and night sweats and a single enlarged cervical node Choose one of the following: Carcinoma of the lung Sarcoidosis Chronic lymphocytic leukaemia S: Model Answer: Tuberculous lymphadenitis
Qu. 2: A 65 year old man with an enlarged spleen and a very high total white cell count Choose one of the following: Carcinoma of the lung Sarcoidosis Chronic lymphocytic leukaemia Systemic lupus erythematosus: Model Answer: Chronic lymphocytic leukaemia
Qu. 3: A 30 year old woman with joint pain, fever and a facial rash Choose one of the following: Carcinoma of the lung Sarcoidosis Chronic lymphocytic leukaemia Systemic lupus erythematosus Glandular fever: Model Answer: Systemic lupus erythematosus
Qu. 4: An 18 year old student with a three week history of sore throat, fever, malaise and enlarged lymph nodes Choose one of the following: Carcinoma of the lung Sarcoidosis Chronic lymphocytic leukaemia Systemic lu: Model Answer: Glandular fever
Qu. 5: A 45 year old smoker with weight loss and clubbing Choose one of the following: Carcinoma of the lung Sarcoidosis Chronic lymphocytic leukaemia Systemic lupus erythematosus Glandular fever Toxopla: Model Answer: Carcinoma of the lung
Qu. 1: A distended abdomen in a patient who lies still with rebound tenderness, guarding and absent bowel sounds Choose one of the following: Ascites Intestinal ileus Carcinoma of the sigmoid colon Large bowel obstru: Model Answer: Peritonitis
Qu. 2: A distended abdomen in a postmenopausal woman with a midline mass arising from the pelvis and no urinary symptoms Choose one of the following: Ascites Intestinal ileus Carcinoma of the sigmoid colon Large bowe: Model Answer: Ovarian tumour
Qu. 3: A distended tympanitic abdomen 4 days after an abdominal operation with absent bowel sounds and no flatus passed P.R. Choose one of the following: Ascites Intestinal ileus Carcinoma of the sigmoid colon Large: Model Answer: Intestinal ileus
Qu. 4: A distended abdomen with dullness to percussion in the flanks and suprapubically which shifts on rolling the patient from side to side Choose one of the following: Ascites Intestinal ileus Carcinoma of the sigmoid co: Model Answer: Ascites
Qu. 5: A distended tympanitic abdomen in a patient with 2 days of vomiting, central abdominal colicky pain, increases bowel sounds, and absent faeces and flatus Choose one of the following: Ascites Intestinal ileus Carcinom: Model Answer: Small bowel obstruction
Qu. 1: A 24 year old woman with type I diabetes presenting to A&E who is comatose with a blood glucose of 1.5 mmol/L Choose one of the following: 0.9% saline and short-acting insulin IV Gliclazide 0.9% saline, sh: Model Answer: 50ml 50% glucose IV
Qu. 2: A 30 year old man with type I diabetes with a metabolic acidosis, raised blood glucose, and serum potassium Choose one of the following: 0.9% saline and short-acting insulin IV Gliclazide 0.9% saline, short-ac: Model Answer: 0.9% saline and short-acting insulin IV
Qu. 3: A 64 year old woman with maturity onset (type II) diabetes who is unconscious with a very raised blood glucose and a raised serum sodium who has already been started on intravenous insulin and saline Choose one of the following: 0: Model Answer: Heparin
Qu. 4: A conscious 18 year old man with type I diabetes who developed sweating, anxiety and tachycardia due to hypoglycaemia in a GP surgery Choose one of the following: 0.9% saline and short-acting insulin IV Gliclazide: Model Answer: Oral glucose solution
Qu. 5: A 70 year old diabetic man taking only metformin who has a persistently high blood glucose and HbA1C Choose one of the following: 0.9% saline and short-acting insulin IV Gliclazide 0.9% saline, short-acting in: Model Answer: Gliclazide
Qu. 1: A 55 year old man presenting with a three hour history of severe chest pain and an ECG showing acute inferior myocardial infarction with ST segment elevation and bradycardia Choose one of the following: Aspirin Intravenous: Model Answer: Aspirin, streptokinase
Qu. 2: A 70 year old woman with asthma presenting with a one hour history of chest pain and an ECG showing anterior ST segment depression indicative of ischaemia Choose one of the following: Aspirin Intravenous glyceryl trinitrate: Model Answer: Aspirin, heparin, glyceryl trinitrate
Qu. 3: A 45 year old man with a blood pressure of 240/140mmHg, grade IV hypertensive retinopathy and proteinuria Choose one of the following: Aspirin Intravenous glyceryl trinitrate Aspirin, atenolol LMW heparin: Model Answer: Oral atenolol
Qu. 4: A 60 year old woman with an acute thrombotic stroke Choose one of the following: Aspirin Intravenous glyceryl trinitrate Aspirin, atenolol LMW heparin Aspirin, atenolol , streptokinase Low molecu: Model Answer: Aspirin
Qu. 5: A 55 year old man with acute pulmonary oedema and a blood pressure of 160/105mmHg Choose one of the following: Aspirin Intravenous glyceryl trinitrate Aspirin, atenolol LMW heparin Aspirin, atenolol , s: Model Answer: Intravenous glyceryl trinitrate
Qu. 1: A 60 year old man with a seven day history of palpitations and an ECG showing atrial fibrillation with a ventricular rate of 120/min Choose one of the following: Amiodarone and warfarin Intravenous adenosine Atenolol: Model Answer: Digoxin and warfarin
Qu. 2: A previously healthy 30 year old woman with a four hour history of palpitations and an ECG showing atrial fibrillation with a ventricular rate of 140/min Choose one of the following: Amiodarone and warfarin Intravenous aden: Model Answer: Flecainide
Qu. 3: A 60 year old woman with ischaemic heart disease presenting with a ventricular tachycardia and a blood pressure of 180/90 mmHg Choose one of the following: Amiodarone and warfarin Intravenous adenosine Atenolol and h: Model Answer: Lignocaine
Qu. 4: A 70 year old man with pulseless ventricular tachycardia Choose one of the following: Amiodarone and warfarin Intravenous adenosine Atenolol and heparin Lignocaine DC shock and adrenaline Low mol: Model Answer: DC shock and adrenaline
Qu. 5: A 40 year old man with a regular narrow-complex tachycardia of uncertain type Choose one of the following: Amiodarone and warfarin Intravenous adenosine Atenolol and heparin Lignocaine DC shock and adre: Model Answer: Intravenous adenosine
Qu. 1: A 60 year old man 3 months after an acute myocardial infarction with hypercholesterolaemia, normal left-ventricular function and mild exertional angina Choose one of the following: Aspirin and atenolol Bendrofluazide: Model Answer: Aspirin, atenolol and simvastatin
Qu. 2: A 25 year old man with familial hypercholesterolaemia and a family history of premature cardiovascular disease Choose one of the following: Aspirin and atenolol Bendrofluazide Methyldopa and enalapril Aspirin: Model Answer: Simvastatin
Qu. 3: A 70 year old woman with mild hypertension and COPD Choose one of the following: Aspirin and atenolol Bendrofluazide Methyldopa and enalapril Aspirin and simvastatin Bendrofluazide and enalapril: Model Answer: Bendrofluazide
Qu. 4: A 55 year old man with mild hypertension and gout Choose one of the following: Aspirin and atenolol Bendrofluazide Methyldopa and enalapril Aspirin and simvastatin Bendrofluazide and enalapril Si: Model Answer: Atenolol
Qu. 5: A 50 year old man with poorly controlled hypertension despite taking bendrofluazide and atenalol Choose one of the following: Aspirin and atenolol Bendrofluazide Methyldopa and enalapril Aspirin and simvastati: Model Answer: Bendrofluazide and enalapril
Qu. 1: Immediate relief of exertional chest pain in a 50 year old man with chronic stable angina Choose one of the following: Adenosine Indomethacin Atenolol Intravenous low molecular weight heparin Atr: Model Answer: Sub-lingual GTN
Qu. 2: Treatment of hypertension in a 70 year old man with symptoms of angina Choose one of the following: Adenosine Indomethacin Atenolol Intravenous low molecular weight heparin Atropine Low do: Model Answer: Atenolol
Qu. 3: Thrombolytic therapy for a 50 year old man with an acute myocardial infarction Choose one of the following: Adenosine Indomethacin Atenolol Intravenous low molecular weight heparin Atropine: Model Answer: Streptokinase
Qu. 4: Anticoagulation therapy for a patient admitted with unstable angina Choose one of the following: Adenosine Indomethacin Atenolol Intravenous low molecular weight heparin Atropine Low dose: Model Answer: Subcutaneous low molecular weight heparin
Qu. 5: Anti-platelet therapy for a patient with known coronary atherosclerosis Choose one of the following: Adenosine Indomethacin Atenolol Intravenous low molecular weight heparin Atropine Low d: Model Answer: Low dose aspirin
Qu. 1: A 57 year old obese man with maturity onset (type II) diabetes mellitus who has poorly controlled blood sugars despite dietary changes and is taking no other medication Choose one of the following: Chlorpheniramine Low-dose: Model Answer: Metformin
Qu. 2: Control of peri-operative blood glucose in a 75 year old woman with maturity onset (type II) diabetes mellitus Choose one of the following: Chlorpheniramine Low-dose aspirin Frusemide Metformin Glibencl: Model Answer: Short-acting insulin
Qu. 3: Alternative hypoglycaemic therapy for a 60 year old man who has poorly controlled blood sugars despite maximum doses of a oral hypoglycaemic drugs Choose one of the following: Chlorpheniramine Low-dose aspirin Frusem: Model Answer: Long-acting insulin
Qu. 4: A 40 year old overweight man with mild type II diabetes and mild hypertension Choose one of the following: Chlorpheniramine Low-dose aspirin Frusemide Metformin Glibenclamide Reduced calorie diab: Model Answer: Reduced calorie diabetic diet with low sodium content.
Qu. 5: A 45 year old man with maturity onset (type II) diabetes mellitus who has symptoms of hyperglycaemia and has recently been diagnosed with chronic renal failure Choose one of the following: Chlorpheniramine Low-dose aspirin: Model Answer: Glibenclamide
Qu. 1: Initial treatment in hospital of a 22 year old woman with a high fever, rigors and abdominal pain caused by acute pyelonephritis Choose one of the following: Amoxycillin and flucloxacillin Intravenous erythromycin Ce: Model Answer: Intravenous cefuroxime
Qu. 2: Initial treatment in hospital of a 67 year old man with community acquired lobar pneumonia Choose one of the following: Amoxycillin and flucloxacillin Intravenous erythromycin Cefotaxime Oral gentamicin: Model Answer: Erythromycin and amoxycillin
Qu. 3: Initial treatment in hospital of meningitis in a teenager Choose one of the following: Amoxycillin and flucloxacillin Intravenous erythromycin Cefotaxime Oral gentamicin Clarithromycin Oral nitro: Model Answer: Cefotaxime
Qu. 4: Out patient prophylaxis of recurrent urinary tract infections in a 30 year old woman Choose one of the following: Amoxycillin and flucloxacillin Intravenous erythromycin Cefotaxime Oral gentamicin Clari: :Model Answer: Oral nitrofurantoin
Qu. 5: Treatment in hospital of osteomyelitis caused by Staph. aureus infection in a 40 year old intravenous drug abuser Choose one of the following: Amoxycillin and flucloxacillin Intravenous erythromycin Cefotaxime: Model Answer: Flucloxacillin and fusidic acid
Qu. 1: A 50 year old man being treated for atrial fibrillation presents with nose bleeds Choose one of the following: Diamorphine Low-dose aspirin Digoxin Simvastatin Doxazosin Verapamil Ibuprofe: Model Answer: Warfarin
Qu. 2: A 60 year old man presents with unsteadiness and falls. Measurement of his BP shows a postural drop Choose one of the following: Diamorphine Low-dose aspirin Digoxin Simvastatin Doxazosin Verapam: Model Answer: Doxazosin
Qu. 3: A 46 year old man complains of muscle aches and pains 3 months after a myocardial infarction Choose one of the following: Diamorphine Low-dose aspirin Digoxin Simvastatin Doxazosin Verapamil: Model Answer: Simvastatin
Qu. 4: A 65 year old woman on monotherapy for hypertension presents with constipation and ankle swelling Choose one of the following: Diamorphine Low-dose aspirin Digoxin Simvastatin Doxazosin Verapamil: Model Answer: Verapamil
Qu. 5: Two weeks after treatment for atrial fibrillation was increased a 75 year old woman complains of nausea, constipation, abdominal discomfort and disturbed vision Choose one of the following: Diamorphine Low-dose aspirin: Model Answer: Digoxin
Qu. 1: reduce leg oedema in a 60 year old man with chronic heart failure Choose one of the following: Digoxin Nifedipine Enalapril Oral frusemide Ibuprofen Salbutamol Intravenous adenosine: Model Answer: Oral frusemide
Qu. 2: reduce long term mortality in a 50 year old woman with chronic heart failure caused by ischaemic heart disease Choose one of the following: Digoxin Nifedipine Enalapril Oral frusemide Ibuprofen S: Model Answer: Enalapril
Qu. 3: reduce ventricular rate in a patient with heart failure and atrial fibrillation Choose one of the following: Digoxin Nifedipine Enalapril Oral frusemide Ibuprofen Salbutamol Intravenous a: Model Answer: Digoxin
Qu. 4: prevent embolic stroke in a 57 year old man with heart failure caused by dilated cardiomyopathy Choose one of the following: Digoxin Nifedipine Enalapril Oral frusemide Ibuprofen Salbutamol: Model Answer: Warfarin
Qu. 5: cause deterioration in symptoms in a 46 year old man with severe left ventricular dysfunction on multiple treatments for heart failure Choose one of the following: Digoxin Nifedipine Enalapril Oral frusemide <: Model Answer: Ibuprofen
Qu. 1: Which treatment would be most useful to reduce his anxiety levels A 70 year old man presents with sudden onset shortness of breath. He is very anxious and distressed, unable to lie flat and is coughing up frothy sputum. His jugular veno: Model Answer: intravenous diamorphine
Qu. 2: Which treatment would be expected to reduce his venous pressure most effectively A 70 year old man presents with sudden onset shortness of breath. He is very anxious and distressed, unable to lie flat and is coughing up frothy sputum. H: Model Answer: intravenous glyceryl trinitrate
Qu. 3: Which treatment has been shown in randomised controlled trials to reduce mortality in this situation A 70 year old man presents with sudden onset shortness of breath. He is very anxious and distressed, unable to lie flat and is coughing: Model Answer: none of the above
Qu. 4: Which treatment is absolutely contraindicated in this case A 70 year old man presents with sudden onset shortness of breath. He is very anxious and distressed, unable to lie flat and is coughing up frothy sputum. His jugular venous pres: Model Answer: intravenous atenolol
Qu. 5: An ECG shows that he has had a completed Q wave myocardial infarction in the past. Which treatment would you now add A 70 year old man presents with sudden onset shortness of breath. He is very anxious and distressed, unable to lie flat: Model Answer: oral aspirin

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Number of cards 120