Master Specialist Family Medicine (FAM5871)
for DHA Speciality

A 58-year-old man with type 2 diabetes and a 6-month history of burning epigastric pain relieved by food presents to your clinic. He has no alarm features, no NSAID use, and no prior GI history. His eGFR is 28 mL/min/1.73 m? (CKD stage 4). You decide to test for Helicobacter pylori and initiate empirical acid suppression while awaiting results. Which is the most appropriate initial acid-suppressing agent?

A 34-year-old woman at 10 weeks' gestation presents with a 3-day history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile, has no flank pain, and a urine dipstick shows nitrites and leukocytes. She has no allergies. Which is the most appropriate antibiotic?

A 72-year-old man with hypertension and osteoarthritis presents with a 2-week history of bilateral ankle swelling and dyspnoea on exertion. He takes amlodipine 10 mg daily and ibuprofen 400 mg three times daily. His BP is 148/88 mmHg, pulse 78/min, and JVP is elevated. Echocardiogram shows preserved ejection fraction (EF 58%) and grade II diastolic dysfunction. Which is the most appropriate first step in management?

A 45-year-old woman with a BMI of 32 kg/m? and no other comorbidities presents with a 3-month history of polyuria, polydipsia, and fatigue. Fasting plasma glucose is 7.8 mmol/L and HbA1c is 7.2% (54 mmol/mol). She has no contraindications. According to NICE, which is the most appropriate first-line pharmacological treatment?

A 28-year-old woman presents with a 4-day history of severe left-sided headache, photophobia, and nausea. She has a history of migraine with aura and is currently 8 weeks pregnant. She has already tried paracetamol 1 g without relief. Which is the most appropriate acute treatment?