1.Easy
Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?
- AD-dimer
- BBilirubin
- CTroponin
- DAmylase
2.Easy
The term "hemiplegia" means:
- AParalysis of one side of the body
- BWeakness of the facial muscles only
- CParalysis of both legs
- DParalysis of all four limbs
3.Easy
Cellulitis is:
- AA fungal infection of the skin between the toes only
- BAn allergic rash caused by a reaction to soap or washing powder
- CA blocked sweat gland
- DA bacterial infection of the deeper skin and the tissue beneath it
4.Medium
Which group of features is typical of nephrotic syndrome?
- APolyuria, thirst and weight loss
- BSevere loin pain and fever
- CBlood in the urine, high blood pressure and reduced urine output only
- DHeavy proteinuria, low serum albumin and oedema
5.Medium
Why are patients with atrial fibrillation often given anticoagulants?
- ATo lower the blood pressure
- BTo slow the heart rate directly and prevent palpitations
- CTo convert the rhythm back to normal
- DTo reduce the risk of stroke from clots in the atria
6.Medium
Why is blood pressure monitored closely in a patient with an epidural infusion?
- AThe local anaesthetic can block sympathetic nerves and cause hypotension
- BBlood pressure readings show whether the catheter is infected
- CEpidurals always cause severe hypertension that needs regular treatment
- DThe epidural pump uses the blood pressure to set the rate
7.Hard
An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?
- AAcute gastritis from anti-inflammatory drugs
- BRenal colic from a kidney stone
- CA ruptured abdominal aortic aneurysm
- DMusculoskeletal back pain
8.Hard
A patient on IV vancomycin develops flushing and an itchy red rash on the face and neck during a fast infusion. What is the most likely cause and response?
- AInfusion-related reaction; stop or slow the infusion and inform the prescriber
- BSunburn; apply cream and continue
- CLiver failure; stop all medicines permanently
- DNormal response; increase the infusion rate
Answer key
- 1. C · Troponin
- 2. A · Paralysis of one side of the body
- 3. D · A bacterial infection of the deeper skin and the tissue beneath it
- 4. D · Heavy proteinuria, low serum albumin and oedema
- 5. D · To reduce the risk of stroke from clots in the atria
- 6. A · The local anaesthetic can block sympathetic nerves and cause hypotension
- 7. C · A ruptured abdominal aortic aneurysm
- 8. A · Infusion-related reaction; stop or slow the infusion and inform the prescriber
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