Font size
WorksheetsBlock 3 Round Up
Total questions: 15
Worksheet time: 30mins
Brian is a 79 year-old who has recently moved into a care home due to Alzheimer's Dementia. He is complaining of pain on passing urine and has had more episodes of incontinence than normal. Examination is unremarkable, with Temp=36.7, SpO2=96%, HR=85, BP=145/86, RR=16
What would be the most appropriate investigation to confirm a urinary tract infection?
Mid-stream urine specimen for culture
Bladder scan
Urine dipstick
Renal tract ultrasound
Which joint disease is associated with morning stiffness that improves with activity?
Septic Arthritis
Gout
Rheumatoid Arthritis
Psuedogout
What does this picture show?
Plaque Psoriasis
Eczema
Cellulitis
Guttate Psoriasis
Acne
A 72 year old male presents with severe pain in his knee. On examination the joint is swollen, red and tender. There is pain on active and passive movement.
Pulse 88, Sats 99%, Temp 38.2, BP 156/94.
What is the likely diagnosis?
Gout
Rheumatoid arthritis
Osteoarthritis
Polymyalgia rheumatica
Septic Arthritis
What does this picture show?
Plaque Psoriasis
Eczema
Cellulitis
Acne
Guttate Psoriasis
A patient presents as swelling at the distal interphalangeal joints. What sign is this?
Heberden's nodes
Bouchard's nodes
Swan neck deformity
Z-thumb deformity
A patient presents with swelling at the proximal interphalangeal joints. What sign is this?
Heberden's nodes
Bouchard's nodes
Swan neck deformity
Z-thumb deformity
Nadia, an 86 year-old female, presents to frailty assessment with new confusion. Her AMTS score is 6/10 (previously 9/10) with GP. She has recently started antibiotics for a urinary tract infection.
Which of the following are possible causes of her delirium? Choose 3.
Pain due to T4 wedge fracture
Urinary tract infection
Generalised cerebral atrophy
Undiagnosed lung cancer
Blood sugar 14mmol/L
What is the condition?
Plaque Psoriasis
Eczema
Cellulitis
Guttate Psoriasis
Acne
What condition are Heberden's nodes and Bouchard's nodes commonly seen in?
Gout
Rheumatoid arthritis
Septic arthritis
Osteoarthritis
Ankylosing spondylitis
A 74 year old presents with unilateral knee pain. She describes morning stiffness and pain which worsens on exercise. On examination she has crepitus on knee flexion. What is the likely diagnosis?
Osteoporosis
Rheumatoid arthritis
Osteoarthritis
Gout
Septic arthritis
Which defines osteoporosis?
hip BMD greater than the lower limit of normal which is taken as 1 SD below the young adult reference mean (T score ≥-1).
hip BMD between 1 and 2.5 SD below the young adult reference mean (T score less than -1 but above -2.5).
hip BMD 2.5 SD or more below the young adult reference mean (T score ≤-2.5).
hip BMD 2.5 SD or more below the age related reference mean (Z score ≤-2.5).
hip BMD between 1 and 2.5 SD below the age related reference mean (Z score less than -1 but above -2.5).
How does osteoporosis usually present?
Joint pain
Fragility fracture
Pain on movement
Night sweats
Tomas is a 54 year-old man who takes methotrexate for rheumatoid arthritis. He presents with fever, pain on passing urine and worsening right flank pain for 24hrs. Examination reveals a tender right flank, Temp 38.4, RR 26, SpO2= 96% on air, HR= 125, BP=100/67.
Which 3 of the following are key components of immediate management?
Blood cultures
Arterial/venous blood gas
Renal ultrasound scan
500ml 0.9% Sodium Chloride IV fluid bolus
500ml 5% Dextrose IV fluid bolus
Aileen is a 76 year-old lady with mild Alzheimer's dementia who has been admitted following a 'mechancal fall'.
Which of the following may have interacted with ramipril to increase her falls risk?
Indapamide
Salbutamol Inhaler
Paracetamol
Alcohol
