Write your answers below: write the numbers and then write the names next to them. What is 5, 6 and 8?

Name this stage [a]

For the patients described below, select the MOST likely medication to be causing the symptoms from the list. A 62-year-old man who has developed coldness of his extremities

  Which of the following statements is INCORRECT with respect to temazepam?

 A 57-year-old man is diagnosed with Acute Kidney Injury (AKI), currently of unknown cause.    Which of the following conditions is NOT considered a risk factor for developing Acute Kidney Injury?

 Which of the following patients should be offered atorvastatin 80mg OD to reduce their risk of cardiovascular events?

Is “B” a gland? yes or no [n] Name C [c] Name D [d] Name the 2 hormones secreted posteriorly (referring to D) [a] [b]

Name this gland shown [a] Is this an old or young cat [b] How do you know [c] (for Adrien… what I mean by “how do you know” is how do you know that this is an old or young cat? What did you base your answer on… that is what I mean)

On 1st April 2019, pregabalin was classified as a controlled drug. This reclassification presented a number of different challenges for prescribers and patients. a) Explain how the reclassification affected patients using the NHS Repeat Dispensing Scheme and suggest a solution. (2 marks)   b) Explain how the change in classification affected prescribers who prescribe the drug privately. (1 mark)   A 38-year-old epileptic patient who takes carbamazepine and pregabalin for epilepsy.  She has been taking both medicines for a number of years and is stable on them, her last seizure being four years ago.  The GP practice where she is registered issues her with a 56-day supply of each medicine on a prescription. c) How will the change in classification of pregabalin practically affect the patient?  (2 marks)

A 23-year-old woman is admitted to hospital with abdominal cramps, epigastric pain, perfuse diarrhoea, fever, tiredness and weight loss. She is newly diagnosed with Crohn’s Disease. PMH Nil of note Medication History Paracetamol 1g QDS PRN (OTC) Ibuprofen 400mg TDS PRN (OTC) Allergies NKDA Social History Occupation: IT Technician in a busy secondary school Smoking History: 7 cigarettes per day Diet: varies depending on work and how much money she has. Doesn’t like cooking so often gets takeaways or ready meals. Drinking: 18 units per week (mainly at weekends) Weight: 66kg   a) What are the possible triggers of this patient’s symptoms?   (3 marks)   Test Results Haemoglobin 9.0                         (11.5 – 16.5g/dL) Red cell count 3.4                         (4.0 – 5.8×1012/L) Packed cell volume 0.31                        (0.37 – 0.47%) Mean cell volume 72                          (76 – 100fL)   b) What do the blood results show and how should they be managed? (2 marks)