1.Easy
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe left lower abdomen, usually after drinking water
- BThe right upper abdomen, often after a fatty meal
- CThe lower back on the left, when walking
- DBehind the left knee
2.Easy
What is a PEG tube?
- AA feeding tube placed through the abdominal wall into the stomach
- BA tube passed through the nose and down into the stomach
- CA tube placed through the skin into the bladder to drain urine
- DA tube placed in the chest to drain air
3.Easy
A "sublingual" medicine is given:
- AUnder the tongue
- BInto the vein
- CThrough the nose
- DBetween the cheek and gum
4.Medium
What is the recommended first aid for a thermal burn?
- ASpread butter or oil over the burn
- BBurst any blisters to release the fluid
- CApply ice directly to the burn until the pain stops completely
- DCool it under cool running water for about 20 minutes
5.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- AStanding up and walking around
- BSitting upright with the legs dangling
- CLying face down
- DLying flat, with the legs raised
6.Medium
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- AParacetamol (acetaminophen), given in a carefully reduced and monitored dose
- BHot packs applied to a painful joint
- CNon-steroidal anti-inflammatory drugs such as ibuprofen
- DLocal anaesthetic creams
7.Hard
A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?
- AThe drug causes rebound hyperglycaemia later the same day
- BSulfonylureas act for a long time, so hypoglycaemia can recur
- CSulfonylureas only work at night
- DThe drug makes glucose tablets and drinks ineffective
8.Hard
A patient with a spinal cord injury at T4 suddenly develops a pounding headache, very high blood pressure and sweating above the injury. What is the first action?
- ASit the patient up and check for a full bladder or blocked catheter
- BGive a large IV fluid bolus and recheck the blood pressure
- CGive a sedative and recheck the blood pressure in four hours
- DLie the patient flat and raise the legs to improve brain perfusion
Answer key
- 1. B · The right upper abdomen, often after a fatty meal
- 2. A · A feeding tube placed through the abdominal wall into the stomach
- 3. A · Under the tongue
- 4. D · Cool it under cool running water for about 20 minutes
- 5. D · Lying flat, with the legs raised
- 6. C · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 7. B · Sulfonylureas act for a long time, so hypoglycaemia can recur
- 8. A · Sit the patient up and check for a full bladder or blocked catheter
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