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Author Archives: Anonymous

What advice should be provided to this patient based on thei…

What advice should be provided to this patient based on their home blood pressure results?

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Identify the skin lesions below.        

Identify the skin lesions below.        

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24 hours later the patient’s condition improves, and the dec…

24 hours later the patient’s condition improves, and the decision is made to switch from fixed rate insulin infusion to a basal bolus insulin regimen.   With reference to Appendix 1 in the resource, what is the maximum estimated total daily dose of insulin recommended for this patient? Answers should be rounded to the nearest whole unit    

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How much steroid cream is one fingertip unit sufficient to c…

How much steroid cream is one fingertip unit sufficient to cover?

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60 minutes later their blood glucose is recorded as 8 mmol/L…

60 minutes later their blood glucose is recorded as 8 mmol/L. What is the most appropriate action to take?  

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Post-discharge the patient develops an inflammatory conditio…

Post-discharge the patient develops an inflammatory condition that requires treatment with daily oral steroids. What is the most appropriate action in relation to blood glucose monitoring for this patient?  

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Why is this patient prescribed medical appliances to monitor…

Why is this patient prescribed medical appliances to monitor blood glucose?  

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What is the potency of betamethasone valerate 0.1% cream? Yo…

What is the potency of betamethasone valerate 0.1% cream? You may use the following resource: Topical corticosteroids | Treatment summaries | BNF | NICE  

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Mr. J. is a 70 year old retired accountant who was discharge…

Mr. J. is a 70 year old retired accountant who was discharged from the hospital three months ago following treatment for a myocardial infarction. He was able to resume light activity at home. Approximately one month ago, he began to experience occasional exertional dyspnea and fatigue. Presently, he feels tired and short of breath while climbing one flight of stairs. He is able to work in his garden for only 15-20 minutes before becoming tired and short of breath. He sleeps comfortably on two pillows. He denies chest pain, cough, anorexia, nausea, or edema.His physical exam reveals that Mr. J. appears anxious. Vital signs: BP 107/70, P 94 and Reg., Resp 22, wt 150, a gain of 6 pounds from the previous month. On examination of his eyes, his conjunctiva are clear, sclera white and lenses moderately opaque. His fundi are not visualized. With Mr. J. resting at a 45 degree angle, his neck veins are at the level of the sternal angle and do not rise upon deep palpation of the liver. His breath sounds are decreased in both bases with crackles heard bilaterally. His apical impulse is accentuated and visible at 15 cm lateral to his mid-sternal line. On auscultation, S1 and S2 are distant with an extra low-pitched heart sound early in diastole heard at the apex. Mr. J’s abdomen is non-tender. There are no palpable organs or masses. His peripheral pulses are all 2+ and there is 1+ ankle edema.Exertional dyspnea and fatigue may be related to prolonged inactivity and weight gain, but with Mr. J’s history and physical findings, you should be especially suspicious of:

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The next 3 questions refer to the following resource: https:…

The next 3 questions refer to the following resource: https://abcd.care/sites/default/files/site_uploads/JBDS_Guidelines_Current/JBDS_02_DKA_Guideline_with_QR_code_March_2023.pdf

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