What are some things you should be considering in a clinical consultation?
- Intersection of gender and ethnicity to produce economic inequality
- Relationship between poverty and agency to effect lifestyle change
- Health beliefs/cognitions shaped by experiences
– Does this explain her anxiety?
– Might this influence her engagement with treatment?
– How might her doctor use this to her advantage? - Duties of a doctor
– Recognise and work within the limits of your competence.
A 52 year old man with high blood pressure undergoes echocardiography to
look for target organ damage. Left ventricular hypertrophy is confirmed.
Which part of the heart is abnormal in this condition?
- Aortic valve
- Enocardium
- Epicardium
- Myocardium
- Pericardium
Myocardium.
A 62 year old woman has her blood pressure checked at her GP
surgery. It is 148/102 mmHg. What is the mean arterial pressure
(in mmHg)?
1. 102
2. 117
3. 125
4. 133
5. 148
117.
Indirect fundoscopy is performed in a patient newly diagnosed
with hypertension. Which of the following signs would indicated
the most severe form of eye damage?
- Arteriolar narrowing
- A-V nicking
- Cotton wool spots
- Flame haemorrhages
- Swollen optic disc
Swollen optic disc.
A 35 year old man is found to have hypertension and is
commenced on ramipril. What is the most common adverse
effect of this drug?
1. Angio-oedema
2. Cough
3. Rash
4. Acute kidney injury
5. Second-dose hypotension
Cough.
A 65 year old man with type 2 diabetes is found to have
hypertension. Which of the following drugs would probably be
most suitable?
1. Amlodipine
2. Bisoprolol
3. Hydrochlorothiazide
4. Perindopril
5. Spironolactone
Perindopril.
