Multiple choice questions: general practice
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A 35 year old woman presents with three episodes of visual loss. She has recently developed an ataxic gait and often drops objects from her grip. On examination, her speech is slurred and there is evidence of dysdiadochokinesia.
Fundoscopy was performed and the view is pictured below (fig 1).
What is the diagnosis?
A 50 year old man is found to have hypertension with a blood pressure reading persistently greater than 170/100 mmHg.
He has a history of asthma and is treated with salbutamol (used when necessary) and a combination of fluticasone propionate and salmeterol (marketed as Seretide).
Which of the following antihypertensive drugs is contraindicated?
Which of the following is an absolute contraindication to the use of the combined oral contraceptive pill in a 19 year old woman?
C is the correct answer. The fundal image shows a pale, clearly delineated disc. This is typical of optic atrophy.