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1

A 64 year old gentleman with a history of Parkinsons’ Disease presents to clinic for review. It is found that his current therapy, consisting of co-careldopa, for Parkinsons’ is insufficiently managing the condition. Together they decide to add selegiline 5mg once daily to the treatment. Select the most appropriate monitoring option to assess the side effects of this combined therapy.

A Blood pressure

B Liver function tests

C Lying standing blood pressure

D Serum creatinine kinase

E Serum potassium


2

A 33 year old lady is admitted to the acute medical unit with loose, bloody stools, abdominal pain and weight loss. She is found to have had a moderate attack of ulcerative colitis. She is stabilized and goes into remission. Her team decides to commence sulphasalazine by mouth 500mg four times daily. Select the most appropriate monitoring option to assess the side effects of this therapy.

A Blood pressure

B Full blood count

C Serum urea and electrolytes

D Thyroid function tests

E Urine pregnancy test


3

A 28 year old lady with severe psoriasis attends dermatology clinic. She is commenced on Acitretin 25mg daily for 4 weeks. Select the most appropriate monitoring option to assess the complications of this therapy.

A Heart rate

B Full blood count

C Serum ESR

D Serum folate

E Urine pregnancy test


4

A 46 year old gentleman is commenced on carbamazepine following a seizure which led to hospital admission. He is initially on 100mg twice daily oral, then this is increased to 200mg twice daily after suffering a second seizure. Select the most appropriate monitoring option to assess the complications of this therapy.

A Blood glucose

B Body mass index

C Serum potassium

D Serum sodium

E Thyroid function tests


5

A patient presents with mania and is subsequently diagnosed with bipolar disorder. This patient is commenced on lithium on a dose-adjusted regimen. Aside from regular lithium levels, please select the most appropriate monitoring option to assess the complications of lithium, from the following options.

A Blood glucose

B Blood pressure

C Serum calcium

D Serum potassium

E Thyroid function tests


6

A 65 year old woman presents to the acute medical unit after having had a collapse. She is found to be in AF and is started on treatment and referred to outpatient clinic. Here she is commenced on amiodarone. Which of the following blood tests is the most appropriate to be undertaken before commencing treatment?

A FBC

B INR

C Serum CK

D TFT

E U&E