When, according to evidence base, GP IIb IIIa inhibitors inhibitors be utilised?
NSTEMI and awaiting angiography
Unstable Angina
Continued chest pain following thrombolysis
Along with Thrombolysis
Pain free with ECG changes
A 68 year old man is agitated and is suffering from insomnia during a hospital admission for an elective operation. He is very sensitive to noise and bright lights, and complains of sore muscles. He has a long history of anxiety and controlled hypertension. Examination and blood results are normal. What is the most likely problem?
Benzodiazepine withdrawal z
Sepsis
Anxiety
PTSD
Anaesthetic reaction
A23-year-old woman is diagnosed with mitral
valve prolapse as seen on echocardiography
for evaluation of a systolic murmur. Which of
the following is most characteristic of mitral
valve prolapse?
(A) a pansystolic murmur
(B) usually a benign course
© sudden death
(D) infective endocarditis
(E) highest incidence in men over age 50
What therapies are used as a bridge to definitive therapy in cyanotic congenital heart disease?
. . . . . a. Prostaglandin E1 infusion
. . . . . b. Mechanical ventilation
. . . . . c. Inotropic agents
. . . . . d. All of the above
A 2 year old is brought to his GP. His parents have noticed he is very small for his age. He has only just begun to walk and is not keen to. He complains of pain when he is walking. On examination there is evidence of frontal bossing of the skull and bowing of the legs. Bloods reveal a slightly low calcium, low phosphate and high alkaline phosphatase. There is increased urinary phosphate. What is the most likely diagnosis?
X linked dominant hypophosphataemic rickets
X linked recessive hypophosphataemic rickets
Osteomalacia
Vitamin D resistant rickets type 1
Vitamin D resistant rickets type 2
A 28 year old male presents with recurrent mouth and genital ulcers, diarrhoea and red eye. On examination there is evidence if apthous ulcers in his mouth and genital ulcers. His eye appears injected around the iris and he is photophobic. He has raised inflammatory markers. What is the most likely diagnosis?
Behcets disease
SLE
Crohns disease
Secondary syphilis
Ulcerative colitis
A 70 year old female has a past medical history of hypertension. she has had 2 syncopal episodes and was found to have an ejection systolic murmur and bibasal crackles and a blood pressure of 165/115 mmHg. An ECHO was arranged and revealed aortic stenosis. Cardiac catheterisation revealed a gradient of 50mmHg across the aortic valve. Which is the most contributory to your decision for referral for valve replacement?
Presence of symptoms
Age of patient
Evidence of heart failure
Gradient
Left Ventricular Hypertrophy
A 12 day old infant, exclusively fed cow’s milk formula, presents to the ER appearing greyish/cyanotic. With 5L/minute oxygen by mask, his radial artery paO2 is 236 torr. His most likely diagnosis is:
. . . . . a. Tetralogy of Fallot
. . . . . b. Persistent Pulmonary Hypertension
. . . . . c . Methemoglobinemia
. . . . . d. Transposition of the Great Vessels