5 Questions
What is the most appropriate next step for a 65-year-old man presenting with painless hematuria, normal IVU, mildly enlarged prostate, and mild frequency?
Flexible cystoscopy
What is the most probable diagnosis for a 74-year-old smoker presenting with cough, SOB, pigmentation of the oral mucosa, palm, and sole, diabetes, and hypokalemia?
Ectopic ACTH
What is the most appropriate investigation for a 44-year-old woman who has lost weight over 12 months and experiences episodes of rapid and strong heartbeats, with a regular pulse rate of 90bpm and normal sinus rhythm on ECG?
Thyroid function tests (TFT)
What is the most probable diagnosis for a 79-year-old anorexic male complaining of thirst, fatigue, high urea and creatinine levels, serum calcium of 1.9, anemia, and high blood pressure of 165/95 mmHg?
Prostate carcinoma
What is the most appropriate treatment for a 64-year-old man who has suffered from an MI, is on aspirin, atorvastatin, and ramipril, and has been having trouble sleeping, losing weight, feeling tired easily, unable to concentrate, and avoiding socializing?
Citalopram
Test your knowledge on the most appropriate next step for a 65-year-old man presenting with painless hematuria and mild prostate enlargement. Choose from options including US abdomen, flexible cystoscopy, MRI, nuclear imaging, and PSA. The correct answer will be revealed with an explanation.
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