1.Easy
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
- AAbout 135–145 mmol/L
- BAbout 3.5–5.0 mmol/L
- CAbout 1.5–2.5 mmol/L
- DAbout 6.5–8.0 mmol/L
2.Easy
Which of these drugs is an antiplatelet agent?
- AClopidogrel
- BFurosemide
- CAtorvastatin
- DWarfarin
3.Easy
How deep should chest compressions be during adult CPR?
- A2–3 cm
- B8–10 cm
- C1–2 cm
- D5–6 cm
4.Medium
The WHO analgesic ladder recommends:
- AUsing only non-drug methods for cancer pain
- BGiving analgesia only when pain becomes severe
- CMoving from non-opioids to weak and then strong opioids as pain increases
- DStarting all patients on strong opioids
5.Medium
A blood transfusion is about to start. What is the most important safety check?
- AChecking the patient's dietary preferences
- BPositive patient identification matched to the blood component at the bedside
- CWarming all blood in a microwave
- DChecking the patient's weight only
6.Medium
What is the first-line drug treatment for anaphylaxis?
- AInhaled steroid
- BOral antihistamine such as cetirizine
- CIntramuscular adrenaline
- DIntravenous paracetamol
7.Hard
A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?
- A"I will come back if my toes go numb or turn blue."
- B"I will keep the cast dry."
- C"I can push a knitting needle down the cast to scratch an itch."
- D"I will keep my leg raised on pillows for the first few days."
8.Hard
A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?
- ASulfonylureas act for a long time, so hypoglycaemia can recur
- BSulfonylureas only work at night
- CThe drug causes rebound hyperglycaemia later the same day
- DThe drug makes glucose tablets and drinks ineffective
Answer key
- 1. B · About 3.5–5.0 mmol/L
- 2. A · Clopidogrel
- 3. D · 5–6 cm
- 4. C · Moving from non-opioids to weak and then strong opioids as pain increases
- 5. B · Positive patient identification matched to the blood component at the bedside
- 6. C · Intramuscular adrenaline
- 7. C · "I can push a knitting needle down the cast to scratch an itch."
- 8. A · Sulfonylureas act for a long time, so hypoglycaemia can recur
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