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10+ Years Teaching ExperienceTom is a 43 year old office worker who presents to the GP with his wife requesting a referral for a vasectomy. They have completed their family and done some initial reading about the procedure online. What is the lifetime failure rate for a vasectomy?
You review a 57 year old mechanic in A&E who has a several hour history of excruciating loin pain and assess he is likely to have renal stones. You discuss the different types of stones. Which types of stone accounts for around 80% of urinary stones?
Mr Jones is 70 years old and found to have testicular cancer. Which one of the following types of testicular tumour is he most likely to have?
You receive some routine blood results back from a patient with advanced renal failure on your ward. Which of the following features would be most in-keeping with his results?
A 35 year old woman presents with increasing urinary frequency, dysuria and cloudy urine to an urgent care centre. She has no significant past medical history. On examination, she is alert and oriented, with suprapubic pain but no loin tenderness. On examination, her temperature is 37.9°C, heart rate is 114 beats per minute, her respiratory …
Daniel is a 32 year old accountant who presents with a 2 day history of fevers, increased urinary frequency, dysuria and perineal pain. A recent STI screen was negative. He is allergic to quinolone antibiotics. On examination his observations are stable except for a temperature of 37.7°C. Urine dipstick is positive for nitrites and leucocytes. …
You are discussing Sildenafil with a 65 year old man with erectile dysfunction. Which one of the following factors in his history would not be a contraindication to its use?
Mr Stewart is a 70 year old male with a 4 month history of increased urinary frequency, urgency and haematuria. Rectal examination reveals a hard, nodular prostate gland. Based on the likely condition which one of the following scores is likely to be used in his ongoing management?
Daniel is a 37 year old accountant who presents with a 2 day history of fevers, increased urinary frequency, dysuria and perineal pain. Past medical history is unremarkable and he is married stating no risk of any sexually transmitted infections. He is allergic to quinolone antibiotics. Daniel denies any haematuria, urethral discharge, back pain, weight …
You are discussing Sildenafil with a 65 year old man with erectile dysfunction. Which one of the following factors in his history would not be a contraindication to its use?
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