CSA Stage 1 (II)

Mrs Gomez, 25yrs is complaining of palpitations which started a few weeks ago, which she reported is getting worse. She has lost 4kg in the last 2 months despite a good appetite. Which is not a DDx?

Meningtits

1 of 18

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?

Substance abuse/excessive caffeine intake

2 of 18

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 not the likely DDx?

MI

3 of 18

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. Dx?

MI

4 of 18

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

Excessive caffeinated beverages

5 of 18

Miss Jagpal 29 yrs suffered from sudden chest pain lasting for a few hours. Sharp pain but does not radiate. 6/10 severity. Breathing makes it worse. Returned from Australia few days ago and is a dance teacher. Dx?

PE

6 of 18

Lady, 69yrs with Hx falls recently and fell again. No loss consciousness at any point. Felt slightly light headed before fall. Usually happens trying to stand from sitting. Did not bite tongue, shake or pass urine. No weakness. Hypertensive. Meds changed.

Orthostatic hypotension

7 of 18

Which is not a DDx for postural hypotension?

Hypertensive crisis

8 of 18

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

Acute angle closure glaucoma

9 of 18

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

Anaemia

10 of 18

What on the following is untrue about acute closed angle glaucoma?

Leads to pupillary changes in majority of patients, however, blindness is subject to rapid treatment

11 of 18

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?

Hyperthyroidism

12 of 18

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?

Hypothyroidism

13 of 18

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

14 of 18

What is incorrect information about Cushing's syndrome?

Symptoms: irregular periods or no periods, difficulty getting pregnant (irregular ovulation or failure to ovulate), excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks, weight gain, thinning hair and hair loss from the head, o

15 of 18

What is incorrect information about acromegaly?

Excess androgen – high levels of "male" hormones in your body, which may cause physical signs such as excess facial or body hair

16 of 18

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?

Hyperthyroidism

17 of 18

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. Which is not a DDx?

Myasthenia gravis

18 of 18

Get Revising

CSA Stage 1 (II)

Other cards in this set

Card 2

Front

Back

Card 3

Front

Back

Card 4

Front

Back

Card 5

Front

Back

Comments

Similar Medicine resources: