Patient JS (71 years old, weight 93 kg) has presented with a painful, swollen joint affecting the big toe on his right foot. It is hot to the touch and red. Past medical history Hypertension Hypercholesterolaemia Heart failure Chronic Kidney Disease Stage 3a (eGFR 55 ml/min/1.73m2) Medication history Atorvastatin 20 mg once daily Lisinopril 20 mg once daily Furosemide 80 mg in the morning, 40 mg lunchtime (increased 2 weeks ago) Paracetamol 1 g four times daily Multivitamin ONE tablet once daily (buys over the counter) no known drug allergies A diagnosis of an acute flare of gout is made. What is the MOST LIKELY cause of this acute flare of gout in Patient JS?

Patient KW (female, 35 years old, 74 kg) is in hospital with an episode of diverticulitis. She rates her current pain as 4/10 and would like to take something to help. Past medical history: Diverticulosis Depression Medication history: Fluoxetine 20 mg once daily Allergy to ibuprofen, caused lip swelling and wheeze What would be MOST APPROPRIATE to offer in the FIRST instance?

Patient YP (75 years old, weight 68 kg) has type 1 diabetes mellitus and mild dementia. She was discharged from hospital three days ago following treatment of a urinary tract infection. She lives alone and usually has district nurses administering insulin. Upon investigation it is revealed that they were not informed of Patient YP’s discharge and therefore have not been visiting to administer her insulin. Today she is readmitted to hospital as her son has found her to be unwell. She is drowsy, more confused than usual, vomiting and her breath has a smell of ketones. She is diagnosed as having diabetic ketoacidosis (DKA). Which treatment should be started in the FIRST instance?

Eliza Corp., an American software development company, outsources its support operations to Madan, an African nation, because it has found that Madan has a large cohort of English-speaking college graduates who are ready to work for one-third the pay of comparable American workers. Which of the following is most likely to have influenced Eliza Corp.’s decision to outsource its support operations to Madan?

Patient AN (female, 62 years old, weight 70 kg) has been diagnosed with Stevens-Johnson syndrome-toxic epidermal necrolysis overlap. Past medical history: asthma gout hypothyroidism Medication history: allopurinol 300 mg once daily Forceval® one capsule once daily levothyroxine 50 micrograms once daily loratadine 10 mg once daily salbutamol inhaler 100 micrograms/puff two puffs when required Which medication would be the MOST LIKELY to suspect as a possible cause?

Which set of blood results would be MOST LIKELY to represent Patient YP’s (question 5) results on arrival in Accident and Emergency?

Show the populated table using an SQL statement. Include a screenshot showing the query window, the output window, and the action output window. Submit a JPEG file named Q9.

Import the data provided in the music_basic_dataset.csv file using the Import Wizard. Include a screenshot showing the Configure Import Settings. Submit as a JPEG file named Q7.

Drop the music_basic table using SQL. Include a screenshot showing both the query window SQL and the action output window. Submit as a JPEG file named Q3.  

Create the music_basic table using the wizard. Include a screenshot of the completed table (click on the wrench) and the action output window. Submit as a JPEG file named Q2.