Practice questions CLIX

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10

Question 11

Question 12

Question 13

Question 14

Question 15

Question 16

Question 17

Question 18

Question 19

Question 20

Question 21

Question 22

Question 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

Answer 26

Question 27

Answer 27

Question 28

Answer 28

Question 29

Question 30

Question 31

Question 32

Question 33

Question 34

Question 35

Question 36

• 60 yo male
• Px:
• Chest pain radiating to jaw,
• SOB
• Nil prior infectious sx
• PMX:
• hyper- cholesterolaemia
• Ix:
• ECG in GP – ST elevation
• ED – raised troponin

Question 37

65 year old male
PMX:
Poorly controlled HTX
Overweight
PX:
Unable to walk 100 metres without resting
Shortness of breath, worse in the last 3 days
No infectious symptoms
Sleeping with 3 pillows at night
Ex:
Afebrile, BP 160/95
Irregularly irregular heart beat

Question 38

75 yo Female
PX
- increasing SOB
- poor exercise tolerance
PMX:
- Rheumatic Fever as a child
- Mitral valve disease – with replacement 10 years ago

Question 39

• 45 yo Male
• Px:
• Chest pain
• Fever, chills
• Ex:
• Febrile
• Pain worse leaning forward
• ECG:
• Widespread ST
• Elevation
• Blood test:
• CRP 145

Question 40

• 39 y.o. female
• Px:
• 6/12 increasing SOB,
• Lower limb swelling
• Fatigue
• Palpitations
• Intermittent substernal CP
• PMX:
• None, had been well
• prior to 6/12 ago
• Ex:
• O2 sats 94% RA, RR 20,
• Systolic murmur, pedal
• Oedema, JVP distended
• ECG: RBBB.
• Lab work: normal apart from ↑BNP

Question 41

Question 42

Question 43

Question 44

Question 45

Question 46

Question 47

Question 48

Question 49

Question 50

Question 51

Question 52

Question 53

Question 54

Question 55

Question 56

70 year old female.
- 4 month history of cough, SOB
- Increasingly fatigued
- Has lost 4kgs in the last month
- 30 pack year smoking history

Question 57

55 yo female
* Productive Cough
* Worse in the morning
* Decreasing Exercise tolerance
* PMX: Smoker

Question 58

25 year old male
Px:
- sharp right sided chest pain
- onset 4 hours ago
- mild SOB
- playing basketball

Question 59

20 year old male
Px:
* Penetrating left Chest trauma
* (stab wound)

Question 60

80 year old male
Px:
- Cough for 5 days
- febrile 38.4
- short of breath
- a bit confused
- No history of travel

Question 61

50 year old Male
PX:
* Shortness of breath,
* Haemoptysis
* weight loss
* PMX: Diabetic
* Social Hx:
* Lived in PNG as a child

Question 62

• 70 year old male
  Px:
• SOB
• retired carpenter
• past Coronary Artery Bypass Graft

Question 63

Which of the following is a cause of microcytosis?

B12 deficiency

Folate deficiency

Liver disease

Thalassaemia

Haemophilia

Answer 63

Thalassaemia

Question 64

A deficiency in which of the following has the highest specificity for iron deficiency?

Iron

Transferrin

Transferrin iron binding capacity

Transferrin saturation

Ferritin

Answer 64

Ferritin