Archives: MRCGP AKT

AKT-2039

What approach has been demonstrated to aid in lowering the likelihood of sudden infant death syndrome?

AKT-2040

A new mother comes to see you with her baby for a routine eight week check. She is anxious about cot death and wants to discuss the subject further.

Which of the following statements about cot death is correct?

AKT-2041

A 55-year-old man was admitted to hospital two weeks ago with a myocardial infarction. He is now readmitted complaining of breathlessness on minimal exertion.

He is diagnosed with left ventricular failure, and given furosemide, which produces a marked improvement. Echocardiogram shows poor left ventricular function and wall motion abnormalities.

Which of the following drugs would be most expected to improve survival in this man?

AKT-2042

What is the conclusion of the randomised placebo-controlled trial conducted by experienced vascular surgeons comparing a specific carotid surgery technique to another operation?

AKT-2044

A 52-year-old woman visits her GP with concerns about her risk of developing osteoporosis. She underwent a hysterectomy and oophorectomy due to uterine fibroids a year ago, which was followed by mild hot flashes that have since resolved. The patient is worried about the possibility of fracture after her mother broke her hip at the age of 72. She inquires about medications for osteoporosis. Her T score is <−2.5, and her body mass index is 17.3 kg/m2. She was on Depo-Provera from the age of 39 to 45, during which time she was amenorrhoeic. The physical examination, including breast examination, is normal. What would you suggest to her?

AKT-2045

A 55-year-old man with type 2 diabetes comes to the clinic. His fasting blood glucose levels range from 7-10, and his HbA1c result is 64 mmol/mol (normal range 20-42) despite following a diabetic diet and exercising regularly. He has a body mass index of 30. What is the most suitable treatment to initiate?

AKT-2046

A random selection of 800 adults over the age of 60 agree to participate in a study of the possible effects of drug Y.

They are followed prospectively for a period of ten years to see if there is an association between the incidence of osteoporosis and the use of drug Y.

Which type of study is described here?

AKT-2047

A clinical trial is designed to investigate a new treatment for elderly patients with acute myocardial infarction. Two groups of elderly patients are randomly assigned to either the current protocol for management or the new treatment protocol. The patients are unaware of their treatment group, but the treating clinician is aware of which group each patient belongs to. What is the best description of this experimental study?

AKT-2049

A 60-year-old woman is discharged from the orthopaedic ward where there have been a number of outbreaks of methicillin-resistant Staphylococcus aureus (MRSA).

Her daughter comes armed with a number of concerns about MRSA and tells you she knows a lot about the condition.

Which of her beliefs is well founded?