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Get 500 Single Best Answers in Medicine PDF

By Sukhpreet Singh Dubb; et al

ISBN-10: 1444121529

ISBN-13: 9781444121520

ISBN-10: 1444149806

ISBN-13: 9781444149807

500 SBA-style questions supply valuable tips and exam perform for these in instruction for clinical finals and beyond.

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Since the patient has had an adequate response to GTN spray, further pain relief in the form of morphine (B) is unnecessary. In patients who are not allergic, 300 mg of aspirin is recommended and ideally should be given in the ambulance. However, if the patient is allergic to aspirin (A) it should not be given since an anaphylactic reaction would compromise the patient’s airway and does not overrule the harm from a possible MI. Although heparin (C) and warfarin (E) would provide good anticoagulant cover, they are slower to act and current guidance advises clopidogrel monotherapy (D) in those patients allergic to aspirin.

Routine antibiotic prophylaxis for dental procedures is no longer recommended. Microscopic haematuria 22 A The picture strongly suggests polycystic kidney disease. The least invasive productive investigation is likely to be urinary tract ultrasound (A). The CT scan (B) is also useful, but is more costly and involves exposure to radiation Answers 25 without yielding more diagnostic information in this case than high-quality ultrasound. Intravenous urogram (E) would show filling defects without defining their nature.

A. B. C. D. E. Lisinopril Spironolactone Digoxin Furosemide Bisoprolol 35. Weight loss A 29-year-old woman goes to see her GP complaining of fatigue and palpitations. She says she has also lost weight, though without dieting. On examination, her pulse rate is approximately 120/min and irregularly irregular. Her blood pressure is 142/89 mmHg and her body mass index is 19. There are no added cardiac sounds. The ECG confirms the diagnosis of atrial fibrillation. What would you suggest as the most useful next investigation.

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500 Single Best Answers in Medicine by Sukhpreet Singh Dubb; et al

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