Archives: MSRA

MSRA-0122

As a physician on the night shift cardiac arrest team, you receive an emergency page requesting immediate assistance on the geriatric ward. Upon arrival, you discover the nursing staff performing chest compressions on an unresponsive patient with no carotid pulse. You instruct them to continue compressions while you apply defibrillator pads to the patient’s chest. After a brief pause in compressions, the defibrillator monitor displays a monomorphic, broad complex tachycardia. What is the next best course of action?

MSRA-0101

A 58-year-old individual is rushed to the Emergency Department via ambulance, experiencing intense chest pain, difficulty breathing, and excessive sweating. The paramedics conducted an ECG on the scene, revealing ST depression in V1-V3 with tall, wide R waves and upward T waves. What should be the next appropriate step to take?

MSRA-0102

A 58-year-old man presents to the emergency department with chest pain that has been radiating to his neck and left arm for the past 3 hours. An ECG reveals ST depression in the inferior leads, and a troponin test is ordered. The patient is given aspirin and sublingual nitrates, and a non-ST elevated myocardial infarction is suspected. The physician conducts a risk assessment to determine the patient’s 6-month mortality.

What factors are taken into account by the doctor during this calculation?

MSRA-0103

A 63-year-old woman with peripheral arterial disease is prescribed simvastatin. What blood test monitoring is most suitable?

MSRA-0104

A 48-year-old man is attending the hypertension clinic. He was diagnosed approximately three months ago and commenced on ramipril. Despite titrating up to 10mg od, his blood pressure remains at 156/92 mmHg. What is the next best course of action in managing his hypertension?

MSRA-0105

A 54-year-old Caucasian man with a history of hypertension visits his GP clinic seeking advice on controlling his blood pressure. He has been monitoring his blood pressure at home for the past week and has consistently recorded high readings, with an average of 147/85 mmHg. He is asymptomatic and denies any chest discomfort. He is a non-smoker and non-alcoholic. His current medications include perindopril 10 mg once daily and indapamide 2.5mg once daily. What is the most appropriate course of action for managing his hypertension?

MSRA-0106

Sarah is a 60-year-old Caucasian woman who has had hypertension for 3 years. She is not diabetic and there is no other significant medical history. She is currently taking amlodipine at the maximum recommended dose of 10mg.
During her medication review at her GP surgery, her blood pressure remains elevated – it is averaging at 160/98 mmHg over several readings.
What would be the most suitable medication to consider next?

MSRA-0107

A 67-year-old man with a history of hypertension comes in for his yearly hypertension check-up. He is currently on a daily dose of ramipril 10 mg and amlodipine 10mg, but his blood pressure readings have been consistently high at an average of 160/110 mmHg. What medication would be the best addition to his treatment plan?

MSRA-0108

Samantha is a 55-year-old Hispanic woman who visits her primary care physician for a routine check-up of her hypertension. Despite being treated with amlodipine 10 mg once daily, her blood pressure has been poorly controlled during her last two appointments. During her examination today, her blood pressure is 160/100 mmHg, pulse 70/minute, respiratory rate 15/min, and she has no fever. What would be the next appropriate step to attempt to control Samantha’s hypertension?

MSRA-0109

A 62-year-old woman presents to the clinic with a 6-month history of chest pain that occurs during physical activity and is relieved with rest. She has a medical history of hypercholesterolemia and asthma, drinks 8 units of alcohol per week, and has never smoked. Her vital signs are within normal limits and an ECG shows sinus rhythm. What is the most suitable medication to prescribe for preventing future episodes, considering the probable diagnosis?