A gentleman aged 55 years old is found to have hypertension, which of the following is the best drug treatment for him to start on?

A) Nifedipine
B) Ramipril
C) Losartan
D) Doxazosin
E) Bendroflumethiazide

A 55 year old gentleman moves house and registers with a new GP, a health check is arranged and his blood pressure is found to be 145/95. Which of the following most accurately describes this gentleman?

A) He has normal blood pressure, no action should be taken.
B) He is hypertensive and should be started on medication.
C) He is hypertensive and should be advised on life style changes.
D) He is hypertensive and should be offered ambulatory blood pressure monitoring.
E) He is hypotensive and should be started on medication.

Which of the following accurately describes the current screening test used in the UK to check for TB exposure?

A) Blood culture.
B) Chest CT.
C) Chest x-ray.
D) A circle of needles punctures the forearm through which tuberculin is injected.
E) A quantity of tuberculin is injected intradermally.

A patient is found to have a pleural effusion, a sample of the fluid is taken and sent to the laboratory for testing. The report states the patient has an exudate fluid [over 30g/L of protein], which is the most likely cause of this patients pleural effusion?

A) Left ventricular failure.
B) Metastatic breast cancer.
C) Superior vena cava obstruction.
D) Liver cirrhosis.
E) Hypothyroidism.

A young man developed sudden shortness of breath and a sharp pain during inspiration while playing basketball. He presented to A&E and the above chest x-ray was taken. What is the most likely diagnosis?

A) Tension pneumothorax.
B) Acute asthma attack.
C) Pulmonary embolus.
D) Spontaneous pneumothorax.
E) Hyperventilation secondary to panic attack.

This is a PA chest x-ray is of a 19 year old female, showing extensive abnormalities of the lung parenchyma, most pronounced by the central tram-track opacities. Apart from respiratory symptoms, what else is she likely to present with?

A) Obesity.
B) Diarrhoea.
C) Hypertension.
D) Tremor.
E) Recurrent epistaxis. 

Which of the following is not seen on this chest x-ray?

A) Right sided pneumothorax.
B) Left sided pleural effusion.
C) Obliteration of left hilum.
D) Breast shadow.
E) Patient is rotated to the right.