1 Which area of the breast is most commonly affected by breast cancer?
2 A 75-year-old man is referred to cardiology for management of his newly diagnosed atrial fibrillation. His heart rate is 70–90 beats/minute (bpm) and he suffers from palpitations and occasional shortness of breath. He has no past history of cardiovascular disease. Which one of the following is the most appropriate next stage in his management?
a. Start digoxin for rate control
b. Warfarinization to reduce the risk of thromboembolism formation
c. Start a beta-blocker for associated hypertension
d. Organize an echocardiogram
e. Refer back to his general practitioner (GP) as his case can easily be managed in the community
3 Which one of the following is NOT a risk factor for breast cancer?
b. Late pregnancy (>30 years)
e. High dietary dairy intake
4 A 38-year-old man attends Accident and Emergency (A&E) complaining of 12 hours of intermittent chest pain. His pain is central in location with no radiation but some associated nausea. He has a family history of cardiovascular disease. His troponin I is 0.05 (significant >0.1) and his electrocardiogram (ECG) shows no ischaemic changes. He asks you what will happen next. What should you tell him?
a. He needs to be admitted for further bloods tests
b. He requires an exercise tolerance test (ETT) before he is discharged
c. An echocardiogram will be useful in his further management
d. He can be safely discharged without further follow-up
e. He should be started on aspirin
5 A 31-year-old man presents to his GP complaining of an itchy rash on his hands. On questioning, he reveals that he works as a dishwasher for a Chinese restaurant. On examination of his hands, there are multiple excoriated sites on the dorsum and over the fingers of both hands with cracking of the skin over an erythematous base. The most likely diagnosis is:
d. Porphyria cutanea tarda
6 Optimal assessment of a breast lump in a 55-year-old woman is best descr...
