You must answer Scenario A and either Scenario B or Scenario C
SCENARIO A (max 500 words & 10 marks)
Abraham (43 years old) has been feeling unwell the last few days. His initial symptom was a productive cough, and he then developed a temperature which today you measure at 38.9°c. He has been managing to work, but in the last 24 hours has started to feel quite short of breath. He has received a diagnosis of pneumonia.
Question: With reference to homeostasis and the respiratory system, can you explain why Abraham has become short of breath?
SCENARIO B (max 750 words & 20 marks)
Cybil (58 years old) had a fall after she tripped on a step three days ago. She had a small wound on her arm but has noticed that it has become quite painful to touch. The skin is also red around the wound, swollen and there is some exudate evident. The practice nurse cleans and dresses the wound. When the nurse takes Cybil’s observations, she has a temperature of 38.6 °c, a pulse of 112, Respiration rate of 23, Oxygen saturations of 96% on air and Blood Pressure of 95/70. Cybil says she really does not feel well.
Question: With reference to sepsis provide an exploration of this scenario. You should include some discussion of pharmacology.
SCENARIO C (max 750 words & 20 marks)
Mavis (84 years old), referred to you in the memory clinic for assessment of memory impairment. On the pre-clinic questionnaire she has reported a mild to moderate deterioration in all aspects of her cognition over the past six months. The patient herself acknowledges that there have been memory problems, but feels it is just her short-term memory that is an issue. She has been prescribed Donepezil 10mg OD.
Question: With reference to dementia provide an exploration of this scenario. Include discussion of the mechanism of action of Donepezil.
