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Includes examination instructions on timing (2 hours 30 minutes), restrictions on leaving the hall, and requirements for student number entry. Specifies approved calculator use and prohibits mobile phones and other electronic devices. 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This is a learning tool that has not been reviewed by the University of Sheffield and therefore the use of this paper for learning are at the student’s discretion.  \nPlease do not share this document on google drives or directly to future 2a students, this takes away from their opportunity to complete the mock SBA in the run up to their exams when it has maximal impact as a revision resource. This mock paper will be repeated for future years. Thank you.  \nChief Exam Editor  \nAndrew Maud  \nSBA Question Contributors  \nBen Sharples Mohammad Khan Catherine Hails Gary Neill  \nAnna Durkin  \nMatt Corkill Thomas Rich Harry McDonough Nicholas Zuraw Roberto Newcombe  \n1. A 64-year-old man presents to A and E with chest pain that radiates to the left shoulder, nausea, and sweating. He has no allergies and takes simvastatin for high cholesterol. Which of the following is the most appropriate initial management?  \nA. Troponin blood test  \nB. Full cardiac examination  \nC. 300mg aspirin  \nD. High flow oxygen, fluid bolus and GTN spray  \nE. Referral for percutaneous coronary intervention  \n2. Which statement best describes the pharmacology of spironolactone?  \nA. Inhibition of the sodium/potassium/chloride symporter in the loop of Henle  \nB. Inhibition of the sodium chloride transporter in the distal convoluted tubule  \nC. Inhibition of L-type voltage gated calcium channel in the nephron  \nD. Inhibition of cyclooxygenase enzymes in the proximal tubules  \nE. Inhibition of aldosterone receptor in the distal tubules  \n3. Which of these is not a risk factor for hypertension?  \nA. Caucasian race  \nB. High caffeine consumption  \nC. Type A personality  \nD. Smoking  \nE. Sedentary lifestyle  \n4. A patient is referred to a cardiology clinic after presenting to their GP with shortness of breath after walking for 50 metres and general fatigue. The patient has an irregularly irregular pulse, and on auscultation there is an audible pan-systolic murmur at the apex. What is the most likely diagnosis?  \nA. Aortic stenosis  \nB. Aortic regurgitation  \nC. Mitral stenosis  \nD. Mitral regurgitation  \nE. Atrial fibrillation  \n5. Which of the following ECG changes is diagnostic in a patient with a myocardial infarction?  \nA. Absent P waves  \nB. Wide QRS complex  \nC. Tall, tented T waves  \nD. ST depression  \nE. QT prolongation  \n6. John is a 53-year-old caucassian gentleman who attended GP clinic 2 weeks ago for an annual check-up and recorded a blood pressure of 155/100mmHg; consequently, he was given an ambulatory blood pressure monitor for 2 weeks. His results show an average blood pressure of 138/91mmHg. What is the most appropriate management for this result?  \nA. No management needed, as this result is below 140/90mmHg  \nB. Ramipril  \nC. Amlodipine  \nD. Losartan  \nE. Bendroflumethiazide  \n7. An 89-year-old patient with multiple undiagnosed cardiovascular co-morbidities is brought to A&E with slurred speech, left arm weakness and a severely ataxic gait. Which underlying condition is most likely to have contributed to this presentation?  \nA. Cor pulmonale  \nB. Myocardial infarction  \nC. Atrial fibrillation  \nD. Left bundle branch block  \nE. Infective endocarditis  \n8. Jane is a 68-year-old woman who has presented to he","cbCaieFuS7jb49AW","https://ap.wps.com/l/cbCaieFuS7jb49AW","pdf",507192,24,"English","# Examination instructions\n# Disclaimer and contacts\n# Questions\n## Question 1-11 (sample)","[{\"question\":\"How long is the exam and what is the time restriction for leaving the hall?\",\"answer\":\"The exam is allocated 2 hours 30 minutes. Candidates are not permitted to leave the examination hall in the first 90 minutes.\"},{\"question\":\"Are mobile phones and other electronic devices allowed during the exam?\",\"answer\":\"No. The use of mobile phones or other electronic devices is strictly prohibited and they must be handed in or switched off for the duration of the exam.\"},{\"question\":\"Is this mock paper an official University of Sheffield exam paper?\",\"answer\":\"No. It states that the paper was written for students by students and has no reflection on the real exam, and it has not been reviewed by the University of Sheffield.\"}]","PTS 2a Mock SBA Series 2020 Paper 1 - Questions - Version 2 | PDF",1790714460]