A 57-year-old man visits his GP for a blood pressure check. He has a medical history of hypothyroidism, asthma, and high cholesterol. He reports feeling well, and his QRISK score is calculated at 11%.
The patient is currently taking levothyroxine, atorvastatin, lercanidipine, beclomethasone, and salbutamol. He has no known allergies.
After taking three readings, his blood pressure averages at 146/92 mmHg.
What is the most appropriate course of action?
A 70-year-old woman is prescribed amlodipine 5mg once daily for hypertension. She has no significant medical history and her routine blood tests (including fasting glucose) and ECG were unremarkable.
What is the recommended target blood pressure for her while on amlodipine treatment?
A 70-year-old man with a history of treated hypertension comes in for a check-up. He experienced a 2-hour episode yesterday where he struggled to find the right words while speaking. This is a new occurrence and there were no other symptoms present. Upon examination, there were no neurological abnormalities and his blood pressure was 150/100 mmHg. He is currently taking amlodipine. What is the best course of action for management?
A 35-year-old woman with familial hypercholesterolaemia presents for a check-up. She is considering starting a family and seeks guidance on medication, as she is currently taking 80 mg of atorvastatin. What would be the most suitable recommendation?
An 80-year-old man comes in for a medication review. He has a history of ischaemic heart disease, cerebrovascular disease, and heart failure. Which of the following medications should be prescribed using brand names only?
A 68-year-old man is worried about his blood pressure and has used his wife’s home blood pressure monitor. He found his blood pressure to be 154/96 mmHg. During his clinic visit, his blood pressure was measured twice, with readings of 156/98 mmHg and 154/98 mmHg. He has no significant medical history. To assess his overall health, you schedule him for a fasting glucose and lipid profile test. What is the best course of action to take?
You are assessing a 67-year-old woman who is on amlodipine 10 mg and ramipril 2.5 mg for her hypertension. Her current clinic BP reading is 139/87 mmHg.
What recommendations would you make regarding her medication regimen?
Which of the following statements about the cause of venous thromboembolism (VTE) is accurate?
Which of the following combination of symptoms is most consistent with digoxin toxicity?
A 55-year-old man visits your clinic to request a refill of his sildenafil prescription, which he has been taking for several years. Upon reviewing his medical history, you discover that he suffered a heart attack four months ago. What course of action should you take?