Download 500 Single Best Answers in Medicine by Sukhpreet Singh Dubb; et al PDF

By Sukhpreet Singh Dubb; et al

500 SBA-style questions supply useful counsel and exam perform for these in education for scientific finals and beyond.

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Whether to start anticoagulation (A) is a decision that has to be tailor-made for each individual patient. The CHAD2 score is a quick and dirty but very useful way of predicting risk of subsequent stroke as a result of atrial fibrillation and helps guide the prescription of prophylactic antiplatelets or anticoagulants. Other factors, such as ease of taking and monitoring warfarin, risk of falls and important risk factors, such as vascular disease, should be taken into account. Congestive heart failure Hypertension: blood pressure consistently above 140/90 mmHg (or treated hypertension on medication) Age ≥75 years Diabetes mellitus Previous stroke or TIA 1 1 1 1 2 A score of 0 is low risk (2 per cent of patients/year will have a stroke without treatment), aspirin is considered adequate.

Treatment of aspergillosis 31. Acute management of chronic obstructive pulmonary disease 32. Hyponatraemia 33. Severity of chronic obstructive pulmonary disease 34. Management of stable chronic obstructive pulmonary disease 35. Exacerbation of asthma 36. Haemoptysis 37. Management of respiratory disease 38. Side effects of tuberculosis treatment 39. Acute respiratory distress syndrome 40. Pyrexia and tachypnoea Answers 40 41 41 41 42 42 42 43 43 43 44 44 44 45 45 46 Questions 33 QUESTIONS 1. Breathlessness You see a 68-year-old man in clinic, with a 40 (cigarette) pack year history, who has been experiencing breathlessness on exertion and a productive cough of white sputum over the last four months.

E. Bronchiectasis Pulmonary fibrosis Bronchogenic carcinoma Bronchitis COPD 21. Asthma A 25-year-old woman is admitted to accident and emergency with a severe exacerbation of asthma. 2°C. As you feel the peripheral pulse, the volume falls as the patient inspires. Which of the following explains this clinical sign? A. B. C. D. E. Increased left atrial filling pressures on inspiration Decreased right ventricular filling pressures on inspiration Peripheral vasodilation Decreased right atrial filling pressures on inspiration Decreased left atrial filling pressures on inspiration 22.

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