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6. Which of the following is accurate, regarding orthostatic hypotension?

  • All of the above
  • Decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position
  • Hypertension with an acute exacerbation resulting from medication noncompliance
  • Severe increase in blood pressure that can lead to a stroke

7. Which is not a DDx for postural hypotension?

  • Epilepsy
  • Hypertensive crisis
  • Hypoglycaemia
  • Stroke/TIA (Transient ischaemic attack)
  • Mobility issues

8. What is incorrect information about PCOS?

  • Condition caused by having too much of a hormone called cortisol in your body. It can be serious if it's not treated
  • Excess androgen – high levels of "male" hormones in your body, which may cause physical signs such as excess facial or body hair
  • Polycystic ovaries – your ovaries become enlarged and contain many fluid-filled sacs (follicles) that surround the eggs (but despite the name, you do not actually have cysts if you have PCOS)
  • Is a common condition that affects how a woman's ovaries work
  • Irregular periods – which means your ovaries do not regularly release eggs (ovulation)

9. Male, 56yrs sudden chest pain (squeezing),45 minutes ago. Pain radiating to left arm and jaw. 9/10 pain severity. Nauseous, no vomiting. Drink alcohol (35 units per week), smoke (40yrs 1 pack per day). Father had MI at 51yrs. Stressful work at bank. Not D

  • PE
  • Excessive caffeinated beverages
  • Trauma
  • GORD
  • Pneumonia
  • Substance abuse

10. Which of the following is not a symptom or sign of hypothyroidism?

  • Irregular periods/heavy periods
  • Constipation
  • Depression
  • Weight loss
  • Cold intolerance
  • Tiredness
  • Brittle hair and nails
  • Weight gain
  • Muscle weakness

11. Mrs Thompson, 38yrs has been gaining weight recently and gained 7kg over 2 months. Noticed when clothes became too tight. Also experiencing cold intolerance and constipation for the past few months. Which is not a DDx?

  • Cushing's syndrome
  • Depression
  • PCOS
  • Hyperthyroidism
  • Acromegaly
  • Medications: Steriods

12. Mr Jones, 56yrs. First thing he realised was a very severe pain in his left eye, and then saw in the mirror that his eye was blood shot red. Occurred 2hrs ago with single episode of vomiting. Vision became blurred. Hx of depression. Taking amitriptyline f

  • Iritis
  • Pink eye
  • Acute angle closure glaucoma
  • Cluster headache

13. Miss Jenkins, 27yrs with an unintentional weight loss (7kg) complaint she noticed over past 3 weeks. She has an increased appetite and has been suffering from diarrhoea, palpitations, double vision and increased fatigue. Dx?

  • Hypothyroidism
  • Hyperthyroidism
  • Anorexia
  • Diabetes
  • Acute closed angle glaucoma

14. Which of the following is incorrect regarding 'pink eye'?

  • Can be bacterial or viral
  • Also known as subconjunctival haemorrhage
  • It usually affects both eyes and makes them: bloodshot, burn or feel gritty, produce pus that sticks to lashes, itch, water
  • An infection of the thin skin (the conjunctiva) on the front of the eye. It is very common and often starts in one eye but then spreads to the other

15. Mr Jones, 25yrs reports having palpitations for the last 2 days. He uses recreational drugs (heroin that is injected IV) and cannabis on the odd occasion. He also drinks a lot of tea and coffee. What is the likely Dx?

  • Cardiac arrhythmias
  • Panic attack
  • Substance abuse/excessive caffeine intake
  • Hyperthyroidism
  • Hypoglycaemia

16. Mrs Thompson, 38yrs has been gaining weight recently and gained 7kg over 2 months. Noticed when clothes became too tight. Also experiencing cold intolerance and constipation for the past few months. Dx?

  • Depression
  • PCOS
  • Hypothyroidism
  • Hyperthyroidism

17. Which of the following is false regarding diabetes mellitus?

  • It occurs when the body does not produce or use enough insulin, which is a hormone that absorbs glucose into cells for use as energy
  • Is uncommon. It mostly affects people who have been taking steroid medicine, especially steroid tablets, for a long time. Steroids contain a man-made version of cortisol
  • Type 2 – where the body does not produce enough insulin, or the body's cells do not react to insulin
  • Symptoms: Feeling very thirsty, peeing more frequently than usual, particularly at night, feeling very tired, weight loss and loss of muscle bulk, itching around the penis or vagina, or frequent episodes of thrush, cuts or wounds that heal slowly, blurred vision
  • Lifelong condition that causes a person's blood sugar level to become too high. It occurs when the body does not produce or use enough insulin, which is a hormone that absorbs glucose into cells for use as energy
  • Type 1 – where the body's immune system attacks and destroys the cells that produce insulin

18. Which of the following is not true, regarding Hyperthyroidism?

  • More common in men than in woman
  • Treatment involves medication to reduce thyroid levels, radioiodine treatment to destroy cells in the thyroid, or surgery to remove parts of the thyroid
  • Produces hormones that affect things such as your heart rate and body temperature
  • Symptoms include: Nervousness/anxiety, persistent tiredness/weakness, difficulty sleeping, palpitations, weight loss, sensitivity to heat

19. What is incorrect information about acromegaly?

  • Gradual changes in your facial features, such as your brow, lower jaw and nose getting larger, or your teeth becoming more widely spaced numbness and weakness in your hands, caused by a compressed nerve (carpal tunnel syndrome)
  • Is a hormonal disorder that develops when your pituitary gland produces too much growth hormone during adulthood
  • Excess androgen – high levels of "male" hormones in your body, which may cause physical signs such as excess facial or body hair
  • Swollen hands and feet – you may notice a change in your ring or shoe size, tiredness and difficulty sleeping, and sometimes sleep apnoea
  • Bones increase in size, including those of your hands, feet and face

20. Which of the following are not used in acute glaucoma treatment?

  • Acetazolamide
  • Anti-emetic if required
  • Amitriptyline
  • Analgesia
  • Pilocarpine