Check Study Program

Tamara, aged 23 years, presents to your local general practice with shortness of breath and chest tightness. She is 26 weeks pregnant with her first child. 1.What additional information would you ask of Tamara? 2.On the basis of the information you have received from Tamara, what differential diagnoses would you be concerned about? 3.What is the most appropriate next step in the management of Tamara’s presentation? 4.What key actions would you take during the consultation? 5.How would you respond? 6.What advice would you offer regarding the prevention of future recurrences of ARF? 7.Are ARF and RHD notifiable diseases in Australia? 8.What treatment is advised for people with severe RHD? 9.What would be the appropriate follow-up recommended for Tamara? 10.What considerations need to be addressed with Tamara and her care providers prior to undergoing valve surgery? 11.What other advice or education would you consider for Tamara? #Week21_Case3

#PE_Pregnancy

#DVT_Pregnancy

#VTE_Pregnancy

#VTE_Aspirin

#VTE_Extended_DOACs

#VTE_TX_Duration

#DVT_DOACs

#Wells_Criteria_DVT

Arisa, aged 36 years, presents with a three-day history of tingling sensations in her left leg. She has been working at home during the COVID-19 pandemic. In the past day, she has noticed a bluish discolouration of her toes when standing. She is concerned she may have deep vein thrombosis (DVT). On examination, you note Arisa is well, with pulse rate 80 beats/min, blood pressure 115/75 mmHg and respiratory rate 16 breaths/min. She is afebrile. Her height is 173 cm and weight 75 kg; her body mass index is 25.1 kg/m2. You note that Arisa is walking cautiously on her left leg. There is no leg tenderness and no obvious swelling, but her left calf is 4 cm larger than the right calf when measured. There are no other signs of DVT. 1.What questions would you ask Arisa? 2.What investigations would you perform? 3.In this situation, would you prescribe anticoagulation? 4.What anticoagulation therapy would you recommend? 5.How would you assess Arisa’s response to anticoagulant therapy? 6.What recommendations about diet and exercise and compression stockings would you give Arisa? 7.Given the unprovoked nature of Arisa’s DVT, what other investigations would you perform? 8.What duration of anticoagulant therapy would you advise? 9.Would you cease Arisa’s COCP following a VTE diagnosis? 10.What management would you advise? 11.What would you advise her to do with regard to her anticoagulation therapy? 12.What is your advice? #Week21_Case2

#NSTEACS_Antiplatelet

#Unstable_Angina

#NSTEACS_MX Non-ST elevation acute coronary syndrome

#Cardiac_Troponine

Maria, aged 58 years, presents to you reporting intermittent episodes of severe fatigue that limit her ability to perform her usual activities. She reports the fatigue started in the past few days and is associated with nausea and occasional indigestion. She says that she has not done her vacuuming this week and skipped a planned social gathering because of a lack of energy. She is frustrated by these episodes of exhaustion, as she has been sleeping well, eating normally and is usually quite a busy person. 1.How would you approach the assessment of Maria? 2.What investigations should be performed in the primary care setting for Maria? What is the most appropriate next step in her management? 3.What is your interpretation of the ECG results? 4.What is your interpretation of the troponin results? 5.What additional investigations are required for Maria? #Week21_Case1

I was going to post the RACGP answers for the final quiz of the Aesthetic conditions.After submission, no feedback or answers were sent.However, 10-hour CPD points were given.💪