Sophie is a 65-year-old woman who has recently been diagnosed with atrial fibrillation after experiencing some palpitations. She has no other medical history and only takes atorvastatin for high cholesterol. She has no symptoms currently and her observations are stable with a heart rate of 75 beats per minute. Her CHA2DS2-VASc score is 0.
What would be the appropriate next step in managing Sophie’s condition?
You assess a 68-year-old man with a history of angina and heart failure. He is currently taking aspirin, simvastatin, bisoprolol, glyceryl trinitrate, ramipril, and furosemide, but he continues to experience frequent angina attacks during physical activity. You decide to introduce a calcium channel blocker. Which of the following would be the most suitable to add?
A patient who started taking simvastatin half a year ago is experiencing muscle aches all over. What is not considered a risk factor for myopathy caused by statins?
A 58-year-old woman who has just been diagnosed with hypertension wants to know your opinion on salt consumption. What would be the most suitable answer based on the latest available evidence?
A 26-year-old female comes to her GP complaining of feeling tired and experiencing episodes of dizziness. During the examination, the GP observes an absent pulse in the patient’s left radial artery. The following blood test results are obtained:
– Sodium (Na+): 136 mmol/l
– Potassium (K+): 4.1 mmol/l
– Urea: 2.3 mmol/l
– Creatinine: 77 µmol/l
– Erythrocyte sedimentation rate (ESR): 66 mm/hr
Based on these findings, what is the most likely diagnosis?
A 56-year-old man collapses in the hospital during a nurse-led hypertension clinic. He is unresponsive and has no pulse in his carotid artery. What is the appropriate ratio of chest compressions to ventilation?
A 67-year-old man with a history of type 2 diabetes mellitus and ischaemic heart disease is experiencing erectile dysfunction. The decision is made to try sildenafil therapy. Is there any existing medication that can be continued without requiring adjustments?
A 55-year-old caucasian man presents to his GP with the results of 7 days of home blood pressure monitoring (HBPM) he was advised to complete following a random clinic blood pressure of 144/92 mmHg. His HBPM is 138/88 mmHg. Baseline investigations show no evidence of end-organ damage. He is a current smoker. His QRISK3 score is calculated to be 11.2%. He has no known medication allergies. Lifestyle and smoking cessation advice is provided. What is the most appropriate treatment option?
Sophie is a 82-year-old woman with type 2 diabetes and hypertension. She visits her GP after experiencing a 10-minute episode where she couldn’t move her left arm. Her arm function has since returned to normal and her neurological examination is unremarkable.
What is the most accurate diagnosis for Sophie based on the given information?
Which one of the following statements regarding the metabolic syndrome is accurate?