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Best of Five MCQs for the Acute Medicine SCE$
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Nigel Lane, Louise Powter, and Sam Patel

Print publication date: 2016

Print ISBN-13: 9780199680269

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199680269.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use.date: 28 June 2022

Diabetes and Endocrinology

Diabetes and Endocrinology

(p.127) Chapter 5 Diabetes and Endocrinology
Best of Five MCQs for the Acute Medicine SCE
Nigel Lane, Louise Powter, Sam Patel
Oxford University Press

A 36-year-old woman was admitted to the acute medical unit with symptoms of sweatiness, palpitations, and anxiety. She was normally fit and well and had given birth to twins while in India two years ago. She was not taking any regular medication. Ten days previously she had suffered from a flu-like illness with joint pain, muscle pain and fatigue. Subsequently, she developed pain and swelling in her neck and swallowing was uncomfortable. On examination she had clammy palms and a mild tremor. Her temperature was 38.8°C; her pulse was 110 beats per minute and regular. She had a moderately sized, tender goitre. No lymph nodes were palpable. She had lid lag and lid retraction but no ophthalmoplegia or chemosis.

Keywords:   Cushing syndrome, Turner syndrome, bendroflumethiazide, carbimazole, diabetes mellitus type, elective thyroidectomy, fictitious hypoglycaemia, hypercalcaemia, levothyroxine

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