AKT-5945

A 60-year-old man has a history of alcohol dependence disorder for several years. He is currently experiencing confusion, double vision, and an unsteady gait. Additionally, his short term memory is poor. He reports abstaining from alcohol for the past week. What is the urgent vitamin requirement for this patient?

AKT-5956

You are conducting an interview with a 35-year-old man who has increased his alcohol consumption after a recent breakup. According to NICE recommendations, what is the most suitable method to screen for alcohol dependence and harmful drinking?

AKT-5947

You are asked to visit a 45-year-old construction worker at his worksite. He is known to drink five cans of beer per day and a number of shots of whiskey whilst socializing with his colleagues after work. His supervisor is concerned as he has become lethargic, confused and has taken to sitting down frequently.
On examination he has nystagmus, is restless and disorientated. He has edema, but his abdomen doesn’t appear tense and he is afebrile. You get him to walk and he has truncal ataxia.
You think he should be admitted to hospital. How should he be treated?

AKT-5952

Samantha is a 28-year-old homeless woman who frequently uses opioids. She wants to quit and asks her doctor to prescribe methadone to manage her withdrawal symptoms. How can Samantha’s physician effectively screen for opioid misuse?

AKT-5960

A 26-year-old man comes to his General Practitioner complaining of retrosternal burning after eating. He has no regular medication and is generally healthy. He has never smoked, but drinks 80 units of alcohol per week. Based on these factors, which is the most likely indication that he is dependent on alcohol?

AKT-5954

A 58-year-old retired male visits your clinic concerned about his alcohol consumption after watching a show about ‘functioning alcoholics’. He confesses to drinking a 750ml bottle of beer every night – to a total of 4 bottles per week. You check the label and find out that the beer is 5% alcohol by volume (abv). What is the total number of units of alcohol this patient consumes in a week?

AKT-5959

Which one of the following statements regarding retirement planning is incorrect?

AKT-5946

A middle-aged loner who is known to abuse alcohol is seen at home following a telephone call from a concerned neighbour.

You arrive to find that he has been living in squalid conditions. He exhibits a number of interesting signs on examination, and you suspect that he has developed Wernicke’s encephalopathy.

Wernicke’s encephalopathy is characterised by a triad of an acute confusional state, ophthalmoplegia, and what other neurological symptom?

AKT-5958

Your next patient is a 32-year-old man who has a history of alcohol abuse. He has been consuming approximately 100 units of alcohol per week for the past five years. He often skips meals and is a heavy smoker, smoking 20 cigarettes per day. Do you suggest any vitamin supplements for him?

AKT-5957

A 25-year-old female is attempting to quit smoking. She recently smoked 10 cigarettes a day but has managed to cut down to 5 cigarettes a day by using nicotine gum. She is also curious about the effectiveness of E-cigarettes in aiding smoking cessation.

In your discussion with her, you may want to cover the following: