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Profitability and liquidity are:

18.    Patient RW (female, 60 years old, weight 68 kg) presents to your pharmacy with what you suspect is temporal arteritis with visual involvement. What is the MOST APPROPRIATE action?

What is the primary focus of managerial accounting?

29.    Patient MH (male, 68 years old, weight 69 kg) requires a tooth extraction. He has Crohn’s disease, for which he is prescribed adalimumab 40 mg subcutaneously once every 2 weeks. Which management option is MOST APPROPRIATE for prophylaxis against infective endocarditis?

1.    Patient TE (male, 26 years old, weight 75 kg) has become unwell while out with friends at a restaurant. They started to eat a curry and shortly after developed wheeze, swelling of the throat, lips and tongue, and itchiness of their face and mouth.Past medical history:•    Peanut allergy Medication history:•    Adrenaline autoinjector (EpiPen) 300 micrograms/0.3 ml Which is the MOST LIKELY diagnosis for Patient TE?

5.    Patient YP (female, 75 years old, weight 68 kg) has type 1 diabetes mellitus and mild dementia. She was discharged from hospital three days ago following treatment of a urinary tract infection. She lives alone and usually has district nurses administering insulin. Upon investigation it is revealed that they were not informed of Patient YP’s discharge and therefore have not been visiting to administer her insulin. Today she is readmitted to hospital as her son has found her to be unwell. She is drowsy, more confused than usual, vomiting and her breath has a smell of ketones.She is diagnosed as having diabetic ketoacidosis (DKA).Which treatment should be started in the FIRST instance?

28.    Patient LK (female, 55 years old, 50 kg) has been diagnosed with a deep vein thrombosis (DVT).Past medical history:•    Lumbar spinal stenosis•    Hypertension•    Chronic kidney diseaseMedication history:•    Co-codamol 8/500 mg takes 1-2 four times daily (buys over the counter)•    Lisinopril 40 mg once daily•    Dapagliflozin 10 mg once daily•    Epoetin alfa dose adjusted by renal specialist nurseBlood results: eGFR 40 ml/min/1.73m2, serum creatinine 60 micromol/L (60 – 100), prothrombin time (PT) 12.0 s (11.5 – 15.5), activated partial thromboplastin time (aPTT) 35 s (30 – 40).Which statement is CORRECT?

8.    Patient CL (female, 44 years old, weight 63 kg) has been admitted to the surgical ward with acute abdominal pain and diagnosed with suspected appendicitis. She is nil by mouth prior to an appendectomy. Her current pain score is 9/10.Past medical history:•    AsthmaMedication history:•    DuoResp Spiromax® 320 micrograms/ 9 micrograms one puff twice dailyWhich approach to pain management is MOST APPROPRIATE?

11.    Patient GT (female, 66 years old, weight 56 kg) has been experiencing new onset acute chest pain for the last 90 minutes and after being assessed by paramedics has been brought into hospital by ambulance. She is now on the chest pain assessment unit.Past medical history:•    Type 2 diabetes mellitus•    HypertensionMedication history:•    Metformin 1 g twice daily•    Gliclazide 160 mg twice daily•    Lisinopril 40 mg daily•    Adverse drug reaction to tramadol – caused hallucinationsParamedics have administered aspirin 300 mg prior to arrival at hospital.Her current pain score is 9/10. What is the MOST APPROPRIATE initial medication to prescribe for pain relief?

34.    Patient DW (female, 73 years old, weight 59 kg) is admitted to the hospital’s stroke unit. She is suffering from left hemiparesis affecting her face, arm and leg, and dysarthria. Her son is with her, and states that her symptoms started around 11am (it is now 12.45pm).Past medical history:•    Hypertension•    Previous right fractured neck of femur (5 years ago)Medication history:•    Amlodipine 10 mg daily•    Alendronic acid 70 mg on Sundays•    Calcium and vitamin D tablets one twice daily•    no known drug allergiesObservations include: blood pressure 124/74 mmHg, blood glucose 7 mmol/L, platelets 254 x 109/L.Which initial course of action is MOST APPROPRIATE?