ABSTRACT
A 55-year-old man has presented to the medical admissions unit with chest pain. You have diagnosed acute coronary syndrome (ACS) and are about to write up his drug chart.
Your most suitable prescription would be:
A 75 mg aspirin, clopidogrel, treatment dose heparin stat with glyceryl trinitrite (GTN) spray and morphine PRN
B 75 mg aspirin, clopidogrel, treatment dose heparin and beta-blocker stat with GTN spray and morphine PRN
C 300 mg aspirin, clopidogrel, prophylactic dose heparin stat with GTN spray and morphine PRN
D 300 mg aspirin, clopidogrel, treatment dose heparin and beta-blocker stat with GTN spray and morphine PRN
E 300 mg aspirin, prophylactic heparin and beta-blocker stat with GTN spray and morphine PRN
2. Haematuria A 32-year-old man presents to the GP 4 days after an episode of painless haematuria, 2 weeks following a sore throat. He says he now feels he is producing less urine than usual and that it is brown. He denies any weight loss or fatigue, and has no family history of urological malignancy. On examination, he has a blood pressure of 155/90 mmHg, +++ blood on urine dipstick, and blood tests reveal a creatinine of 170 µmol/L and normal electrolytes.
