1.ง่าย
Which of these intravenous fluids is isotonic?
- A10% glucose
- B8.4% sodium bicarbonate
- C0.9% sodium chloride
- D3% sodium chloride
2.ง่าย
Which of these is one of the WHO "5 Moments for Hand Hygiene"?
- ABefore touching a patient
- BOnly when the hands look visibly dirty
- COnly after removing gloves at the end of a shift
- DBefore entering the hospital building
3.ง่าย
Seasonal influenza is mainly spread by:
- AContaminated food only
- BBlood transfusions and contaminated needles
- CMosquito and other insect bites in warm weather
- DRespiratory droplets and contaminated hands or surfaces
4.ปานกลาง
A patient is receiving IV fluids for several days. Which monitoring is essential?
- APeak flow readings
- BMonthly HbA1c
- CFluid balance, regular weights and urea, creatinine and electrolytes
- DWeekly temperature and a single blood glucose reading
5.ปานกลาง
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- ABlood cultures
- BA 24-hour urine collection
- CA fasting cholesterol level
- DA stool sample for occult blood
6.ปานกลาง
How does CPAP help a patient with obstructive sleep apnoea?
- AIt keeps the upper airway open during sleep with continuous air pressure
- BIt strengthens the breathing muscles during the day
- CIt removes excess carbon dioxide from the lungs by gentle suction
- DIt delivers bronchodilator drugs deep into the lungs overnight
7.ยาก
A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?
- AWithout any insulin they can develop diabetic ketoacidosis
- BInsulin prevents wound infection on its own
- CInsulin is needed for the anaesthetic to work
- DStopping insulin causes immediate hypoglycaemia during the operation
8.ยาก
A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?
- AAscending cholangitis
- BGastro-oesophageal reflux disease
- CAcute appendicitis
- DSimple biliary colic
เฉลย
- 1. C · 0.9% sodium chloride
- 2. A · Before touching a patient
- 3. D · Respiratory droplets and contaminated hands or surfaces
- 4. C · Fluid balance, regular weights and urea, creatinine and electrolytes
- 5. A · Blood cultures
- 6. A · It keeps the upper airway open during sleep with continuous air pressure
- 7. A · Without any insulin they can develop diabetic ketoacidosis
- 8. A · Ascending cholangitis
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