Archives: MRCGP AKT

AKT-4674

A 26-year-old woman presents to her GP with complaints of constant fatigue and muscle weakness for the past 4 months. She has no significant medical history and is a non-smoker with a healthy weight. On examination, her blood pressure is found to be consistently high at 160/95 mmHg. However, there are no other significant findings on physical examination. Her blood sugar levels are normal, but her potassium levels are low at 3.4 mmol/L. The GP suspects primary hyperaldosteronism and plans to refer the patient to secondary care. What is the most appropriate initial investigation for this case?

AKT-4671

A 48-year-old woman undergoes fasting blood tests for hypertension evaluation. The results show a fasting glucose level of 6.5 mmol/l. The test is repeated, and the result is 6.7 mmol/l. She reports feeling constantly fatigued but denies experiencing polyuria or polydipsia. What is the interpretation of these findings?

AKT-4672

During his 3-month check-up, a 50-year-old patient with a BMI of 33 reports that he has been unable to adhere to his orlistat prescription due to the side effects he has experienced. The patient has a medical history of psoriasis, hyperlipidaemia, and hypertension. According to NICE, what alternative treatment may be appropriate for this patient?

AKT-4656

A 20-year-old male presents at your clinic with symptoms resembling the flu. He has recently been diagnosed with type 1 diabetes and seeks guidance on managing his diabetes during illness. What is one of the ‘sick-day rules’ that insulin-dependent diabetics should follow when they are sick?

AKT-4654

Mr. Brent, a 36-year-old patient with type 1 diabetes, comes in for his yearly diabetes check-up. During the discussion of injection technique, he confesses that he only injects insulin into his abdomen because it is the least uncomfortable area. Upon examination of the injection sites, the nurse discovers a pouch of fat on either side of the lower abdomen.

What is the term used to describe this diabetes treatment complication?

AKT-4655

A 55-year-old is being initiated on insulin therapy to control his diabetes as his HbA1c levels have been consistently high. He had experienced hypoglycemia four years ago. Additionally, he is taking fluoxetine and atorvastatin. He asks if he can drive to visit his parents.

What would be the appropriate guidance to provide?

AKT-4657

Karen is a 56-year-old woman with a past medical history of type 2 diabetes, hypertension and previous bladder cancer. She currently takes metformin at maximum dose and amlodipine.

Routine blood test results have returned showing a HbA1c of 59 mmol/mol. The previous HbA1c result 6 months ago was 51 mmol/mol. Urea and electrolytes are within normal limits.

Karen’s body mass index is 36kg/m². What is the most appropriate next step in management?

AKT-4667

Which of the following secondary causes of hyperlipidaemia lead to mainly hypercholesterolaemia instead of hypertriglyceridaemia?

AKT-4665

A 47-year-old woman with type 2 diabetes mellitus is being evaluated for exenatide treatment. What is not included in the NICE guidelines for initiating or maintaining this medication?

AKT-4668

Liam is a 27-year-old man with a history of depression and type 1 diabetes mellitus, for which he takes citalopram and insulin.

What substances should Liam avoid due to potential dangerous interactions with his medication?