29.    Patient MH (male, 68 years old, weight 69 kg) require…

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 beco…

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 ty…

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 dia…

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?