AKT-0224
Which lipid profile result would warrant the strongest recommendation for referral to a specialist lipid clinic?
MRCGP AKT Category: Cardiovascular Health
AKT-0225
A 65-year-old man presented, having had an episode of right-sided weakness that lasted 10 minutes a fortnight earlier and fully resolved.
Examination reveals that he is in atrial fibrillation.
Assuming he remains in atrial fibrillation which of the following is the most appropriate management regime?
AKT-0211
A 46-year-old Caucasian man has consistently high blood pressure readings above 155/95 mmHg. Despite being asymptomatic, he doesn’t regularly monitor his blood pressure at home. His cardiovascular exam and fundoscopy are unremarkable, and his 12-lead ECG doesn’t indicate left ventricular hypertrophy. He is currently taking a combination of amlodipine, ramipril, indapamide, and spironolactone. What is the most appropriate next step in his treatment plan?
AKT-0212
A 45-year-old male presents at your clinic following a recent admission at the cardiac unit of the local general hospital. He suffered a myocardial (MI) infarction three weeks ago and has been recovering well physically, but he cries a lot of the time.
You find evidence of low mood, anhedonia and sleep disturbance.
The man feels hopeless about the future and has fleeting thoughts of suicide. He has suffered from depression in the past which responded well to antidepressant treatment.
Which antidepressant would you choose from the following based on its demonstrated safety post-myocardial infarction?
AKT-0213
A 48-year-old man with controlled angina complains that he is experiencing nightmares, constant fatigue, and impotence. Upon reviewing his medication, you note that he is taking ramipril, isosorbide mononitrate, atenolol, and simvastatin.
What is the most suitable approach to managing this issue?
AKT-0201
A 67-year-old man presents with shortness of breath.
An ECG shows atrial fibrillation (AF).
He takes digoxin, furosemide, and lisinopril.
What further drug would improve this patient’s outcome?
AKT-0202
A 75-year-old man is found to be in atrial fibrillation during a routine check-up. He reports having noticed some irregularity in his pulse for a few weeks. What is the appropriate management for him?
AKT-0203
A 72-year-old bus driver comes to you for consultation after undergoing an abdominal ultrasound scan as part of a routine health check. The scan reveals an abdominal aortic aneurysm (AAA) measuring 4 cm, and he has no symptoms.
What is the most suitable course of action?
AKT-0204
A 62-year-old woman comes to the General Practitioner for a medication consultation. She has recently suffered a non-ST-elevation myocardial infarction. She has no other significant conditions and prior to this event was not taking medication or known to have cardiovascular disease. Her blood pressure is 140/85 mmHg and her fasting cholesterol is 5.2 mmol/l.
Which of the following is the most appropriate treatment to reduce the risk of further events?
AKT-0205
A 63-year-old man is taking warfarin for atrial fibrillation.
Select the single ideal target INR from the options.