You are a pharmacist prescriber in a primary care centre, wh…

You are a pharmacist prescriber in a primary care centre, when patient Mrs PH presents. Mrs PH is 64 years old and has a cough that has been getting worse over the last 4 days. The cough is productive with thick green sputum. There is no pain associated with the cough; however, Mrs PH states she is feeling a little breathless and a bit worn out. PMH:   • Hypertension   • Meds: Amlodipine 10mg daily   • No allergies   • Ex- smoker (used to smoke 5-10 cigarettes a day but gave up 25 years ago)TEST RESULTS   • Blood pressure: 100/58 mm/Hg   • Pulse: 132 BPM   • Temperature: 38.3 deg C   • Resp rate: 31   • Urea 9mmol/l   • SP02: 93% (a) Interpret Mrs PH’s presenting signs and symptoms.   (3 marks) (b) Based on Mrs PH’s signs and symptoms, establish what is the likely diagnosis and how should this be managed?   (2 marks)

Mr JM is a 47 year old main just diagnosed with Acute Hepati…

Mr JM is a 47 year old main just diagnosed with Acute Hepatitis B. (a) What symptoms may Mr JM have presented with?   (3 marks) Following 6 months of supportive therapy, a blood test shows that Mr JM still has Hepatitis B. (b)  What treatment option are available for Chronic Hepatitis B?   (2 marks)