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
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?