110 free questions tagged Management, each with a full explanation of every option.
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A 66-year-old man with ischaemic cardiomyopathy attends for review. Echocardiography shows a left ventricular ejection fraction of 30%, and he remains breathles…
A 71-year-old woman with chronic obstructive pulmonary disease presents with two days of worsening breathlessness and purulent sputum. She is treated with 28% o…
A 24-year-old woman with asthma since childhood attends for review. Her only treatment is a salbutamol inhaler, which she now uses three to four times a week fo…
A 59-year-old man presents 90 minutes after onset of severe central chest pain with sweating and nausea. The ECG shows 3 mm ST-segment elevation in leads II, II…
A 64-year-old man with type 2 diabetes has an HbA1c of 62 mmol/mol (7.8%) despite maximal-dose metformin and attention to diet and activity. He had a myocardial…
A 62-year-old woman who takes sertraline for depression is brought to the emergency department after a witnessed generalised tonic-clonic seizure at home. She i…
A 76-year-old woman taking perindopril for hypertension and regular ibuprofen for knee osteoarthritis presents after three days of vomiting and watery diarrhoea…
A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…
A 45-year-old woman has a 7-mm calculus in the distal ureter on non-contrast CT. Her pain is controlled with oral analgesia, creatinine is normal, and she is af…
A 70-year-old man with diabetic kidney disease takes ramipril and spironolactone. Routine testing shows potassium 6.4 mmol/L, confirmed on a non-haemolysed samp…
A 46-year-old woman presents with a generalised tonic-clonic seizure. Serum sodium is 112 mmol/L, serum osmolality is 240 mOsm/kg and glucose is 5.2 mmol/L. She…
A 42-year-old man presents with haemoptysis, fatigue and rapidly worsening renal function. Creatinine is 486 micromol/L, urine microscopy shows dysmorphic red c…
An 8-year-old child has written documentation of two valid diphtheria-tetanus-acellular pertussis doses given at 2 and 4 months of age, but no subsequent doses…
A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…
A 34-year-old woman with known autoimmune Addison disease presents with vomiting, abdominal pain and profound weakness. Her blood pressure is 82/48 mmHg, sodium…
A 61-year-old man has a 1.5-cm thyroid nodule with a solid markedly hypoechoic appearance, irregular margins and punctate echogenic foci on ultrasound. His TSH…
A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…
A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…
A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otosc…
A 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupil…
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