AKT-5985
A 22-year-old female presents with shortness of breath. She is known to suffer from asthma and her usual best PEFR is 410 L/min.
Which of the following features would suggest that this is a severe asthma attack?
Archives: MRCGP AKT
AKT-5986
A 75-year-old man takes 2 x co-dydramol 10/500 tablets, four times daily for arthritis of his knee. During a routine medicines review over the phone, he reveals that he’s been buying paracetamol from the local supermarket for the past 2 months and supplements his co-dydramol with an additional paracetamol tablet four times a day.
You inform him that his prescribed medication contains paracetamol and that he’s effectively taking 3 x 500mg paracetamol tablets four times a day. A total of 12 tablets a day. He weighs 70Kg.
What is the threshold amount of paracetamol taken over a 24 hour period that would be required for medical admission and n-acetylcysteine infusion?
AKT-5982
A 15-year-old boy with cystic fibrosis presents with abdominal pain. There is no associated nausea and vomiting. Which of the following is most likely to be the cause?
AKT-5965
Each of the following is a characteristic of organophosphate poisoning, except for which one?
AKT-5964
The laboratory reports a sodium level of 118 mmol/L from a routine blood test for an 85 year old woman who has recently been prescribed sertraline for low mood and takes amlodipine for hypertension. Upon calling the patient, she reports feeling well. What is the appropriate course of action?
AKT-5963
Which of the following characteristics is least commonly linked to ecstasy overdose?
AKT-5974
A 42-year-old man with known asthma visits your clinic with complaints of worsening wheezing over the past few hours. He seldom attends asthma clinic. During previous consultations, his best peak flow measurements have been 500 L/min. What is the indication of acute severe asthma in this patient?
AKT-5977
A 13-year-old girl is diagnosed with meningococcal meningitis. She is an only child and lives at home with her mother. Her mother has a history of epilepsy treated with valproate.
What prophylaxis should be given to the mother?
AKT-5966
You see a 65-year-old man with known peripheral vascular disease on a home visit. He has been complaining of worsening pain in his left leg and since this morning has been in pain all the time.
On examination his left leg appears pale and feels cold to touch. You think you can perhaps feel a peripheral pulse but are unable to count the rate.
What should be your next action?
AKT-5975
You are asked to see a 4-month-old baby girl as an emergency.
Her parents are increasingly concerned about her, she has a four day history of runny nose, and increasing difficulty in breathing, and has worsened over the past 24 hours.
She was born at 35/40 weighing 2.2 kg and bottle feeds. There were no neonatal problems. She has received the first two routine immunisations. Both parents are heavy smokers.
On examination she has a temperature of 38.3°C, with respiratory rate of 65/min and a heart rate of 150/min. She has nasal flaring, grunting and marked recession and scattered wheeze and crackles throughout both lung fields. You cannot hear any heart mumurs.
What is the most likely diagnosis?