“On my honor, I have neither given nor received unauthorized aid in doing this assignment.”

Identify 3 clinical signs of an upper motor neuron injury.  (3 signs)

Structures of the diencephalon from which develop the retina of the eyes.

Part of the brain/brainstem where Cranial nerves I, II, III and IV are found.

Specialized structure, located only in the ventricles, that produces Cerebral Spinal Fluid.

Name for partition of connective tissue that separates two halves of the spinal cord posteriorly.

Mr JQ (age 56 years) has type 1 diabetes and has been in hospital for the last 3 days with a chest infection. This has cleared up significantly and he is now on oral antibiotics and looking forward to being discharged soon. This afternoon however he has complained of feeling sweaty, dizzy and ‘just awful’. It is 3 pm, 2 hours after he ate lunch. His capillary blood glucose is tested and found to be 3.10 mmol/L. It was noted that yesterday’s blood glucose mid-afternoon was 3.90 mmol/L. Other blood glucose readings have been within range. The list of medication he is currently prescribed in hospital is shown below.   Levemir FlexPen 100 units/ml                     20 units BD (8am and 6pm) NovoRapid FlexPen 100 units/ml               8 units TDS with meals Co-amoxiclav 625mg tablets                       TDS for 4 more days to complete 7 day course (Co-amoxiclav 1.2g IV now finished)   From the options given, what is the MOST APPROPRIATE course of action?

Ms GY (28 years old) has hypertension for which she takes lisinopril 10 mg daily. Her blood pressure is 132/91 mmHg. She has just found out she is pregnant (around 6 weeks). What is the MOST APPROPRIATE management plan?

Mr YW is receiving treatment on the gastroenterology ward due to liver cirrhosis secondary to non-alcoholic fatty liver disease (NAFLD). He undergoes large volume paracentesis due to ascites. The ascitic fluid is found to contain 300 neutrophils/mm3. What does this indicate and what is the MOST APPROPRIATE treatment option?

Miss PU (age 41 years, weight 65 kg, height 1.64 m, of black African family origin) had her blood pressure measured in clinic and it was 162/110 mmHg. Following this she had ambulatory blood pressure monitoring, which gave a daytime average of 152/96 mmHg. She has no other past medical history and does not currently take any medication. What would be the MOST APPROPRIATE treatment to recommend to Miss PU?