1.ง่าย
The term "bradycardia" in an adult means a heart rate:
- AThat is irregularly irregular
- BBelow 60 beats per minute
- CAbove 100 beats per minute
- DBetween 60 and 100 beats per minute
2.ง่าย
Shingles (herpes zoster) is caused by:
- AA bacterial skin infection
- BAn allergy to medicines
- CA fungal infection of the nerves
- DReactivation of the chickenpox virus
3.ง่าย
Which haemoglobin result in an adult man would be classed as anaemia?
- A165 g/L (16.5 g/dL)
- B140 g/L (14.0 g/dL)
- C95 g/L (9.5 g/dL)
- D155 g/L (15.5 g/dL)
4.ปานกลาง
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AStopping causes severe low blood pressure
- BStopping early greatly increases the risk of a clot forming in the stent
- CThe stent will dissolve if the drugs are stopped before the course ends
- DStopping causes immediate kidney failure
5.ปานกลาง
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- AWalking short distances with a frame and a physiotherapist
- BBending the hip beyond 90 degrees or crossing the legs
- CLying on their back
- DDoing gentle ankle exercises
6.ปานกลาง
Which features suggest pyelonephritis rather than simple cystitis?
- ACloudy urine with no other symptoms
- BFrequency without any pain
- CMild burning on passing urine only
- DFever, rigors and loin pain
7.ยาก
An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?
- AVitamin D supplements
- BBenzodiazepine sleeping tablets
- CEmollient creams applied to the legs
- DLubricating eye drops
8.ยาก
Why can pulse oximetry be misleading in carbon monoxide poisoning?
- AThe oximeter overheats in smoke-exposed patients
- BStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
- CCarbon monoxide only affects the heart rate reading
- DCarbon monoxide makes the oximeter read zero even in a well patient
เฉลย
- 1. B · Below 60 beats per minute
- 2. D · Reactivation of the chickenpox virus
- 3. C · 95 g/L (9.5 g/dL)
- 4. B · Stopping early greatly increases the risk of a clot forming in the stent
- 5. B · Bending the hip beyond 90 degrees or crossing the legs
- 6. D · Fever, rigors and loin pain
- 7. B · Benzodiazepine sleeping tablets
- 8. B · Standard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
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