Mrs GH (79 years old, weight 50 kg, height 1.59 m), attended the walk-in centre following a fall at home. She suffered bruising and musculoskeletal pain, but nothing was broken. Past medical history: Breast cancer 7 years ago Polymyalgia rheumatica Type 2 diabetes mellitus Drug history: Lansoprazole 30 mg daily Letrozole 2.5 mg daily Metformin 500 mg three times daily Prednisolone 5 mg daily Zopiclone 3.75 mg at night   What would be the gold standard assessment of Mrs GH’s fracture risk?

Mr WN has been taking lansoprazole 30mg OD for 6 weeks for uninvestigated dyspepsia. He returns to his GP for a review today and describes how his symptoms are still bothering him; he feels like the medication has not really helped. What is the MOST APPROPRIATE action?

Mr AB (question 2) is diagnosed with COPD and treated with an ipratropium bromide inhaler 40 micrograms QDS. This works well, but three years later he returns for a review. In the last few months he has experienced 2 exacerbations of COPD and has felt more breathless than usual. His FEV1 is checked and found to be 65% of his estimated. Which treatment would be the MOST APPROPRIATE to step up to?

Which statement regarding management of chronic obstructive pulmonary disease (COPD) is CORRECT?

Mr NOP (age 26 years) presents to your pharmacy for advice on a skin problem. He shows you the backs of his elbows on which are red, scaly demarcated plaques with silvery scales. He describes these as itchy, and you see small bleeding points where he says he has scratched. It has come on over the last couple of months, and he correlates this with a time of particular pressure at work. Which is the MOST APPROPRIATE first line treatment to offer?

You have already drafted the Claim Form to begin Court proceedings. Please now draft the Particulars of Claim detailing the legal bases for the claim and factual reasons as to why they are made out. Please use the following template heading to copy and paste into the submission box below. You are required to complete the remainder of the Particulars of Claim yourself.   Claim No: IN THE COUNTY COURT MONEY CLAIMS CENTRE (CCMCC)      BETWEEN:-  [NAME OF CLAIMANT] Claimant -and-  [NAME OF DEFENDANT] Defendant _______________________ PARTICULARS OF CLAIM_______________________

Miss WY (age 24 years, weight 62 kg, height 1.70 m) has just been diagnosed with type 1 diabetes. She has no other past medical history. What would be the MOST APPROPRIATE regimen for her?

Mr EF has completed a 7-day course of triple therapy for H. Pylori eradication. Which is CORRECT regarding retesting for H. Pylori?

Mrs UW (age 52 years) has rosacea. Flushing is the main symptom causing her concern. Her past medical history and medication are as follows:   Past medical history Essential hypertension Hypothyroidism   Medication Losartan 50 mg OD Levothyroxine 50 micrograms OM   Which would be the MOST APPROPRIATE treatment to offer?

What do we call a tentative explanation of a natural phenomenon that can be tested and disproved by observations or controlled experiments?