MRCGP AKT Category: Cardiovascular Health

AKT-0305

A 75-year-old patient comes in for her regular heart failure check-up. Upon reviewing her echocardiogram, it is found that she has a reduced ejection fraction of 40% and no significant valve disease. Her blood pressure is measured at 160/90 mmHg during the visit. There is no indication of fluid overload, and her weight has remained stable. The patient is currently taking bisoprolol and furosemide.

After reviewing her blood work, it is discovered that her potassium levels are slightly elevated at 5.3 mmol/L. What would be the most appropriate course of action for management?

AKT-0306

A worried mother brings her two-week-old baby to the clinic due to poor feeding. The baby was born at 37 weeks gestation without any complications. No central cyanosis is observed, but the baby has a slightly elevated heart rate, rapid breathing, and high blood pressure in the upper extremities. Oxygen saturation levels are at 99% on air. Upon chest auscultation, a systolic murmur is heard loudest at the left sternal edge. Additionally, the baby has weak bilateral femoral pulses. What is the most probable underlying diagnosis?

AKT-0307

A 55-year-old female patient presents to your morning clinic with complaints of pain and cramps in her right calf. She has also observed some brown discoloration around her right ankle. Her symptoms have been progressing for the past few weeks. She had been treated for a right-sided posterior tibial deep vein thrombosis (DVT) six months ago. Upon examination, she appears to be in good health.

What would be the best course of action for managing this patient?

AKT-0308

A 50-year-old woman has been diagnosed with an unprovoked proximal deep vein thrombosis. What are the available treatment options for this condition?

AKT-0309

A 52-year-old man comes to the clinic four weeks after being released from the hospital. He was admitted due to chest pain and was given thrombolytic therapy for a heart attack. Today, he experienced significant swelling of his tongue and face. Which medication is the most probable cause of this reaction?

AKT-0298

A 55-year-old man with predictable chest pain on exertion visits his doctor to discuss medication options. He has previously been diagnosed with angina and undergone necessary investigations. The doctor initiates treatment with aspirin and a statin.

Which medication would be the most suitable for prophylaxis?

AKT-0299

You are contemplating prescribing enalapril for a patient with recently diagnosed heart failure. What are the most typical side-effects of angiotensin-converting enzyme inhibitors?

AKT-0300

Raj is a 50-year-old man who has been prescribed an Antihypertensive medication for his high blood pressure. He visits you with a complaint of persistent bilateral ankle swelling for the past 3 weeks, which is causing him concern. Which of the following drugs is the probable cause of his new symptom?

AKT-0278

In a patient with atrial fibrillation, which option warrants hospital admission or referral for urgent assessment and intervention the most?

AKT-0294

A 72-year-old man visits his GP clinic with a history of hypertension. He reports experiencing progressive dyspnea on exertion and orthopnea for the past few months. Physical examination reveals no abnormalities. Laboratory tests including full blood count, urea and electrolytes, and CRP are within normal limits. Spirometry and chest x-ray results are also normal. The physician suspects heart failure. What is the most suitable follow-up test to conduct?