A 53-year-old female visits her GP after experiencing a brief episode of right-sided weakness lasting 10-15 minutes. During examination, the GP discovers that the patient has atrial fibrillation. If the patient continues to have chronic atrial fibrillation, what is the most appropriate type of anticoagulation to use?
A 60-year-old man presents to his General Practitioner complaining of shortness of breath during physical activity. He has a medical history of hypertension and has experienced a STEMI in the past. Upon examination, his pulse is 68 beats per minute, his blood pressure is 122/72 mmHg, and he displays bilateral pitting ankle edema. Which medication is most likely to decrease mortality in this patient? Choose ONE answer.
A 65-year-old man comes to his General Practitioner complaining of erectile dysfunction. He has a history of angina and takes isosorbide mononitrate. What is the most suitable initial treatment option in this scenario? Choose ONE answer only.
A 68-year-old man visits his General Practitioner for a check-up. He is taking warfarin for a mechanical aortic valve and has a history of trigeminal neuralgia, depression, and COPD. During an INR check, his INR is found to be subtherapeutic at 1.5. Which drug is most likely to cause a decrease in his INR if co-prescribed with warfarin therapy? Choose ONE answer.
A 60-year-old man presents with congestive heart failure.
Which of the following drugs may be effective in reducing mortality?
A 62-year-old man has recently started taking a new medication for his hypertension. He has noticed swelling in his ankles and wonders if it could be a side effect of the medication. Which drug is most likely responsible for his symptoms?
Which of the following statements about warfarin is accurate?
A 60-year-old man has recently been discharged from hospital with a new diagnosis of heart failure with reduced ejection fraction. His symptoms of breathlessness and ankle swelling have now resolved and he has been commenced on ramipril, bisoprolol and furosemide. He also has type 2 diabetes, for which he is already taking metformin and gliclazide. His renal function is normal and his serum potassium is 4.9 mmol/L.
What ongoing care interventions should be included for this patient?
Sarah is a 42-year-old woman who has been experiencing acid reflux. Despite making lifestyle changes, her symptoms have not improved and she has returned to seek advice. She doesn’t smoke or drink alcohol.
Sarah’s medical history includes peripheral vascular disease, high cholesterol, and hypertension. She is currently taking clopidogrel 75 mg, amlodipine 5mg, and atorvastatin 40 mg.
What would be an appropriate prescription for Sarah?
A 67-year-old man presents for follow-up. Despite being on ramipril 10 mg od, amlodipine 10 mg od, and indapamide 2.5mg od, his latest blood pressure reading is 168/98 mmHg. He also takes aspirin 75 mg od and metformin 1g bd for type 2 diabetes mellitus. He has a BMI of 34 kg/m², smokes 10 cigarettes/day, and drinks approximately 20 units of alcohol per week. His most recent HbA1c level is 66 mmol/mol (DCCT – 8.2%). What is the most probable cause of his persistent hypertension?