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Order endocrine disease assessment B. reassure the patient and say that the pain will resolve spontaneously C. request a bone density scan D. start a bisphosphonate E. start calcium and vitamin D supplementation Question 256 Which one of the following is a major feature of an atypical femoral fracture, according to standardised definitions? A. bilateral incomplete or complete femoral diaphysis fractures B. delayed fracture healing […]

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Order personality disorder assessment An 80-year-old man is an inpatient on a department of medicine for older persons ward. A junior doctor noted multiple recent admissions, with unexplained injuries and discrepancies within the collateral history. A senior nurse on the ward highlights a strained interaction between a patient and their carer. The physiotherapist notices the patient flinching out of fear during an assessment. Finally, the […]

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Order Diogenes syndrome assessment A 76-year-old woman, with a threeyear history of dementia, lives at home with her husband. She has been showing new aggressive behaviours, such as attempting to hit the paid carers during personal care, kicking, scratching, biting, spitting and ‘cursing’. At night, in particular, she has been exhibiting certain non-aggressive behaviours (e.g. pacing up and down the corridor of the flat, general […]

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Order cardiopulmonary resuscitation decisions Which of the following statements is most correct about deprescribing in an end-of-life context? A. deprescribing is a relatively new concept B. it is relatively easy to implement ‘patientbased approaches’ to deprescribing C. prescriber behaviours rarely affect deprescribing D. prescribing medicines of questionable benefit is infrequent in nursing homes E. prescriptions of preventative drugs tend to increase on admission to a […]

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