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Name: ____________________ Date: ____________
1.Easy
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
ACategory 1
BCategory 2
CCategory 3
DCategory 4
2.Easy
Why is a lower oxygen saturation target (88–92%) often used for patients with severe COPD?
ATheir lungs cannot absorb any oxygen at all
BOxygen is flammable only in COPD
CHigh-flow oxygen can cause carbon dioxide retention in some of these patients
DOxygen worsens their chest pain
3.Easy
The Glasgow Coma Scale (GCS) assesses:
APupil size and reaction, blood pressure and pulse
BPain, nausea and anxiety
CEye opening, verbal response and motor response
DReflexes, muscle tone and sensation
4.Medium
A patient taking digoxin has nausea, a pulse of 48/min and complains that everything looks yellow. What should you suspect?
AA normal side effect needing no action
BHyperthyroidism
CDigoxin toxicity
DHypoglycaemia
5.Medium
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
ALow haemoglobin and high platelets
BHigh sodium and low potassium
CLow sodium and high potassium
DHigh glucose and high calcium
6.Medium
A patient on the ward has shingles with open blisters. Which people are most at risk from contact?
APeople who have already had chickenpox in childhood and are now healthy
BOnly people over 80 who have already had shingles themselves
CNo one, because shingles cannot spread
DPregnant women and immunocompromised people who have not had chickenpox
7.Hard
A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?
ANecrotising fasciitis
BA superficial bruise
CAn allergic reaction to the dressing
DSimple cellulitis that will settle with oral antibiotics
8.Hard
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
AThe combination causes severe hyperkalaemia
BThe combination can cause a severe, dangerous fall in blood pressure
CGTN makes sildenafil toxic to the liver
DSildenafil stops GTN from being absorbed under the tongue at all
Answer key
1. B · Category 2
2. C · High-flow oxygen can cause carbon dioxide retention in some of these patients
3. C · Eye opening, verbal response and motor response
4. C · Digoxin toxicity
5. C · Low sodium and high potassium
6. D · Pregnant women and immunocompromised people who have not had chickenpox
7. A · Necrotising fasciitis
8. B · The combination can cause a severe, dangerous fall in blood pressure
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