RACGP KFP 2017 Case 18 sees Barbara, a 33 year old female who presents with absent periods for the last 3-4 months. She has a history of depression on 250mg Sertraline daily and Schizophrenia on Risperidone daily. She has no surgical history. She has been exercising much more lately at the gym and lost 15kg in the last 2 months from this and dietary intervention.
In Case 20 of the 2017.2 KFP you visit Betty, an 80 year old who presents with acute upper back pain that happened while gardening. She has a history of late menarche and early menopause, had 3 years of HRT before ceasing. Spinal Xray was performed.
In Case 19 of the 2017.2 KFP, you attend a home visit of Bill, a 19 year old disability resident with a history of Prader-Willi Syndrome who staff are concerned has been acutely disturbed recently over a period of 3 days, becoming abusive to the staff, talking about Jesus and pouring water on other residents, when he is normally quite lucid and pleasant. The patient is on no medications.
RACGP KFP 2017.2 Case 21 sees Betty, a 40 year old woman who presents with 4 weeks of cough, shortness of breath and marked reduction in her exercise tolerance, progressively getting worse, recently accompanied by fevers to 38C on a background of 20 pack year smoking history, drinks regularly, living in emergency accommodation with 15 other residents, recent IVDU. Chest Xray is performed
Amy is a 32 year old woman who presents with 3 weeks of depressed mood, depressed libido, anhedonia, sleep disturbance on a background of recent bereaval of her husband. She has been drinking more than usual. Her past medical history includes recent right rotator cuff tear, on Tramadol 150mg daily, and the OCP.
In this case candidates are asked to provide differentials and investigations on a moderately differentiated case of progressive light-headedness, near-syncope attacks and reduced exercise tolerance, and weight loss.
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