Order hyponatraemia discussion questions
A 78-year-old woman is assessed for
hypertension in the outpatient clinic. She
complains of light-headedness when she
stands quickly but has had no recent falls
or any history of blackouts. Her blood
pressure recorded while lying down was
189/104 mmHg, and one minute after
standing was 157/93 mmHg. Her ambulatory blood pressure monitoring shows
a daytime average 146/89 mmHg. Which
of the following terms best describes this
pattern of hypertension?
A. masked hypertension
B. stage 1 hypertension
C. stage 2 hypertension
D. stage 3 hypertension
E. white-coat effect
Question 28
A 75-year-old man presents with an
acutely swollen joint. Which of the following factors makes acute calcium pyrophosphate arthritis (pseudogout) more
likely than gout?
A. affecting the first tarsometaphalangeal joint
B. hook-like osteophytes seen on X-ray
C. normal serum urate concentration
D. pain maximal within 12 hours of onset
E. redness over the joint
Question 29
Older people are often found to have
hyponatraemia at the time of hospital
admission. Which drug class is most
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