A 65-year-old man has a QRISK2 score of 14% and decides to start taking atorvastatin 20 mg after discussing the benefits and risks with his doctor. His cholesterol levels are as follows:
Total cholesterol: 5.6 mmol/l
HDL cholesterol: 1.0 mmol/l
LDL cholesterol: 3.4 mmol/l
Triglyceride: 1.7 mmol/l
When should he schedule a follow-up cholesterol test to assess the effectiveness of the statin?
A 65-year-old female with no prior medical history presents with a left-sided hemiparesis and is found to be in atrial fibrillation. Imaging reveals a cerebral infarction. What anticoagulation approach would be most suitable for this patient?
A 65-year-old man has been diagnosed with hypertension and has a history of chronic heart failure due to alcoholic cardiomyopathy (NYHA class I). Which medication should be avoided due to contraindication?
You are contemplating prescribing sildenafil to a patient who is experiencing erectile dysfunction. He suffered a heart attack earlier this year but is not presently taking nitrates or nicorandil. What is the duration of time that NICE suggests we wait after a heart attack before prescribing a phosphodiesterase type 5 inhibitor?
Which of the following is the least acknowledged in individuals who are prescribed amiodarone medication?
What is the most suitable amount of adrenaline to administer during a heart attack?
A 79-year-old man is being seen in the hypertension clinic. What is the recommended target blood pressure for him once he starts treatment?
A 17-year-old girl collapses and dies during a track meet at school. She had no significant medical history. Upon post-mortem examination, it is discovered that she had asymmetric hypertrophy of the interventricular septum. What is the probability that her sister also has this condition?
A 55-year-old man is concerned about experiencing palpitations. He reports that they occur twice a day and are fast and irregular, with a possible association with alcohol consumption. He denies any chest pain or fainting episodes. On examination, his cardiovascular symptoms are normal, with a pulse of 72/min and a blood pressure of 116/78 mmHg. Blood tests and a 12-lead ECG are unremarkable. What would be the most suitable course of action for managing this patient’s condition?
A 67-year-old man presents for a medication review after being discharged from the hospital three months ago following a cholecystectomy. He was started on several new medications due to hypertension and atrial fibrillation. Despite feeling well, he has noticed ankle swelling and suspects it may be a side effect of one of the new medications.
During the examination, his blood pressure is 124/82 mmHg, and his heart rate is 68/min irregularly irregular.
Which medication is most likely responsible for the observed side effect?