Which statement based upon the scenario below is CORRECT? Mr…

Which statement based upon the scenario below is CORRECT? Mr SF, aged 65, has hypertension and type 2 diabetes mellitus. He has no known drug allergies. Medication History: Metformin 1g twice a day, Gliclazide 40mg twice a day, Amlodipine 5mg once a day, Lisinopril 20mg once a day. Mr SF attends his GP surgery with a purulent sputum and cough.   Bloods taken in clinic: Na+                         136         (135-145 mmol/L)            Corrects Ca2+         2.4          (2.05-2.6 mmol/L) K+                            4.3          (3.5-5.1 mmol/L)              Phosphate               0.9          (0.8-1.44 mmol/L) Ur                           6              (3.1-7.9 mmol/L)              Mg2+                        0.86        (0.7-1.0 mmol/L) SCr                         70           (50-120 umol/L)                Total Bilirubin          12           (90mls/min                                        GGT                           18           (0-45 U/L) WBC                      15           (4-11 x109/L)                      ALT                            18           (0-40 U/L) Neutrophils        12           (1.8-7.5×109/L)                  Albumin                     48           (35-50 g/L) RBC                        5.2          (4.7-6.1 x1012/L)                CRP                          138         (0-5 mg/L) Hb                          140         (115-165 g/L)                      MCV                         86           (80-102 fL) MCH                      30           (27-32 pg)                            MCHC                       348         (320-370 g/L) Platelets              650         (15-450 x109/L)

Mrs KP, 84 year old, attends the GP surgery with breathlessn…

Mrs KP, 84 year old, attends the GP surgery with breathlessness. Observations were taken: Temperature:      37.3oC             Heart Rate:             97 bpm Blood Pressure: 100/64  mmHg Respiratory Rate:    22 bpm O2 Sats:                86%                Peak Expiratory Flow Rate:

Mrs BP, aged 37 years presents to her GP with symptoms of lo…

Mrs BP, aged 37 years presents to her GP with symptoms of lower abdominal pain, urinary frequency and urgency.  She has had the symptoms for 5 days now but they have become worse.  She now feels nauseous and the pain has now spread to her right flank. On examination there is tenderness over the right flank, her temperature is 38.7oC and her blood pressure is 103/59 mmHg. What is the MOST likely cause of Mrs BP’s symptoms?

Mrs HY, aged 72 years old, has routine blood results at her…

Mrs HY, aged 72 years old, has routine blood results at her GP surgery. The blood results are:   Hb                          72           (115-165 g/L)                      WBC                      3.4          (4-11 x109/L) Neutrophils        1.7          (1.8-7.5 x109/L) RBC                        3.2          (4.7-6.1 x1012/L) Haematocrit       29%        (37-48 %) MCV                      118         (80-102 fL) MCH                      33           (27-32 pg) MCHC                   325         (320-370 g/L) Platelets              130         (150-450 x109L) Reticulocyte Ct 0.4%      (0.5-1.5 %) Bilirubin                39           (