1.ง่าย
What is a transient ischaemic attack (TIA)?
- AA permanent stroke caused by bleeding into the brain
- BA heart attack affecting the brain
- CA type of migraine with no risk of stroke
- DShort-lived stroke-like symptoms that resolve completely
2.ง่าย
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- ARabies vaccine
- BInfluenza vaccine
- CYellow fever vaccine
- DTyphoid vaccine
3.ง่าย
On an ECG, what does the P wave represent?
- AAtrial depolarisation
- BClosure of the heart valves
- CVentricular depolarisation
- DVentricular repolarisation
4.ปานกลาง
Why are older adults at higher risk of dehydration?
- AThey always drink large amounts of tea
- BTheir body water content increases with age
- CTheir sense of thirst is often reduced
- DTheir kidneys hold on to too much water
5.ปานกลาง
Which features suggest Cushing's syndrome?
- AWeight loss, heat intolerance, tremor and protruding eyes
- BCoarse facial features and very large hands and feet
- CWeight gain around the trunk, a rounded face and thin, easily bruised skin
- DDark skin, low blood pressure, salt craving and a low blood sodium level
6.ปานกลาง
โดยทั่วไปการให้ยาละลายลิ่มเลือดทางหลอดเลือดดำในโรคหลอดเลือดสมองขาดเลือดเฉียบพลันทำภายในช่วงเวลาใด?
- Aเมื่อใดก็ได้ภายในหนึ่งสัปดาห์
- Bภายใน 48 ชั่วโมงหลังเริ่มมีอาการ
- Cภายใน 4.5 ชั่วโมงหลังเริ่มมีอาการ
- Dหลังจาก 24 ชั่วโมงเท่านั้น
7.ยาก
A patient with a central venous catheter develops fever and rigors shortly after the line is flushed, with no other obvious source. What should be suspected?
- AA catheter-related bloodstream infection
- BAn allergic reaction to the saline flush
- CNormal response to line use
- DA pulmonary embolism
8.ยาก
A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?
- AThe team may override any decision that it disagrees with if it is serious
- BThe patient must be assessed by a psychiatrist before refusing
- CA person is not treated as lacking capacity just because they make an unwise decision
- DThe family may make the decision instead if they disagree with the patient's choice
เฉลย
- 1. D · Short-lived stroke-like symptoms that resolve completely
- 2. B · Influenza vaccine
- 3. A · Atrial depolarisation
- 4. C · Their sense of thirst is often reduced
- 5. C · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 6. C · ภายใน 4.5 ชั่วโมงหลังเริ่มมีอาการ
- 7. A · A catheter-related bloodstream infection
- 8. C · A person is not treated as lacking capacity just because they make an unwise decision
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