What is the most appropriate management in this case?

A 20 year old has returned from holiday and presents to his GP with diarrhoea and knee pain. He also has conjunctivitis and erythematous scaly plaques on his palms and soles. His knee is swollen and tender. What is the most appropriate management in this case?

Oral Prednisolone
NSAIDs
RICE advice
Azithromycin
Intra-articular corticosteroid injection

A patient has just suffered a STEMI and is now found to be in complete heart block. What vessel is likely to have been involved?

Right coronary artery
Left coronary artery
Left anterior descending artery
Left circumflex artery
Left marginal artery

18 years old boy present to you with his mother with the c/o being unable to attend school on time because he struggles to fall asleep at night and waking up in the morning,and experiences morning tiredness ,but feels more alert by the afternoon.He is other wise healthy and “He loves watching you tube on the internet late night”.Your working diagnosis is Delayed Sleep Phase Disorder(DSPD),which is the BEST OPTION below?

1.Trial of Slow release Melatonin.

2.Trial of Zopiclone(non-BZD) tabs withn two weeks time.

3.Vigorous Exercise +Healthy Diet just prior to bed time.

4.Encourage him to Read books 1-2 hours before bed time and encourage his mother to open the blinds at wake up time to allow the sun light exposure .

5.Advise mother to strictly enforce wake up time using an alarm .

A 20 year old has returned from holiday and presents to his GP with diarrhoea and knee pain. He also has conjunctivitis and erythematous scaly plaques on his palms and soles. His knee is swollen and tender. What is the most appropriate management in this case?

Oral Prednisolone
NSAIDs
RICE advice
Azithromycin
Intra-articular corticosteroid injection

A patient has just suffered a STEMI and is now found to be in complete heart block. What vessel is likely to have been involved?

Right coronary artery
Left coronary artery
Left anterior descending artery
Left circumflex artery
Left marginal artery

A 34 year old female who works in a pet shop presents with a few days history of fever, chills, unproductive cough and shortness of breath. She is also complaining of a sore throat, nose bleeds and severe headache. She is also photophobic. On examination there is a few bibasal crackles. There is evidence of splenomegaly. You notice a few salmon coloured, blanching, papules on her cheeks. Which of the following is the most likely diagnosis?
Psittacosis
Q Fever
Acute form of Extrinsic Allergic Alveolitis
Chronic form of Extrinsic Allergic Alveolitis
Legionella

(bird fancier)

A 16 year-old girl presents with a severe headache which lasted a few hours. She had been studying for her GCSE exams and had missed her evening meal. She mentioned noticing some flickering lights before the headache, which settled after a few minutes.
A Tension headache
B Temporal arteritis
C. Migraine
D cluster headache

P1/47 A 52 year old male with a history of hypertension, dyslipidemia, and congestive heart failure presents to the emergency department with acute onset swelling of the lips, eyes, and tongue causing airway obstruction and respiratory distress. He also has an urticarial rash. Which of the following medications is the likely culprit of his current symptoms?

A) pindolol

B) clonidine

C) felodipine

D) captopril

E) methyldopa