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We have created our own question bank to help test your knowledge based on our notes. Also included are clinical style questions!
1. A patient presents to you at the GP practice. The main symptoms are feeling increasingly tired recently. You decide to do some blood tests including a HbA1c level. The level returns as 44mmol. What does this mean?
There are many causes of tiredness. Diabetes is a cause and should be investigated with various tests. HbA1c is a good test that shows sugar levels over the last 3 months, with more emphasis on the last month. A value >48mmol indicates Diabetes. A value from 42-47 indicates the patient is pre-diabetic and lifestyle management should be advised.
2. Which of the following is a cause of a red eye?
The following are causes of red eye: Conjunctivitis, Episcleritis, Keratitis, Uveitis, Acute closed-angle Glaucoma.
3. What is the mechanism of action of Pilocarpine?
The mechanism of pilocarpine is to constrict the pupil thereby pulling the iris away from the trabecular meshwork.
4. A patient presents to the Accident and Emergency department. The patient is 64 years old. The main presenting symptom is a headache with associated loss of vision. You take a further history and note that there is scalp tenderness and pain on eating. An examination reveals a pale swollen disc with an ischaemic retina. Blood tests return with an ESR of 81.What medication will you prescribe?
This question is pointing to a diagnosis of Giant cell arteritis with classical features being >60 years old, headache, acute loss of vision, unilateral scalp tenderness, Jaw claudication, Pale swollen disc and an ischaemic retina. It is very important on suspicion of this diagnosis to start steroids such as Prednisolone immediately.