If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 161

The registrar on duty at the accident and emergency department rings you up for advice regarding a 24-year-old male who has presented to them with sudden onset of dyspnoea. He says the only physical sign he can elicit is a clicking sound in the heart in systole. He wishes to discharge the patient but you advise him that he should arrange:

a)      Echocardiogram

b)    Electrocardiogram

c)      Blood gases

d)      Chest x-ray

e)      Lung function tests

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