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Patient agrees to start Ramipril 2.5mg OD and simvastatin 40mg OD. What blood test will be needed with regards to his statin:
a) LFT baseline then at 3 months and at 12months. Needs yearly LFTs therafter.
b) Don’t worry about it.
c) CK and LFTs followed by LFTs and CK at 3 months and 12months. No further test if NAD.
d)LFTs at 6months and 12 months. Then yearly LFTs thereafter
e) LFTs at three months. No further test if NAD.
Patient comes back with generalised muscle pains. CK is checked and is 3 times the normal limit. His symptoms have now settled but what do you do next?
b)Change to 20mg OD simvastatin and continue.
c)Change to Atorvastatin
d)Change to pravastatin
e)Don’t worry about it.
46 year old female with rheumatoid arthritis stable on methotrexate for the last 18months. She has been discharged to your care and are in charge of monitoring her blood test. What needs to be done:
c)LFTs 3 monthly
e)Don’t worry about it
26 year old pregnant female presented with hyperactivity, euphoria, rapid speech and grandiose delusions. Not currently on any medication but has PMH of bipolar.
What is the most appropriate medication for this patient?
Olanzapine has been commenced. What investigations are needed at baseline?
FBC, TFT’s, weight, ECG, U/E’s and LFT’s.
b) U/E’s, LFT’s, FBC, lipids, fasting glucose, prolactin, weight, BP and ECG.
c) BP, weight, random glucose, lipids and FBC.
d) ECG, BP, fasting glucose, FBC, prolactin and U/E’s.