1.Easy
Which description is typical of neuropathic pain?
- AA sharp pain only when the skin is cut
- BBurning, shooting or tingling pain
- CA dull ache that is only present during exercise
- DA pain that only occurs after meals
2.Easy
C-reactive protein (CRP) is a blood marker of:
- AKidney function
- BInflammation
- CBlood clotting time
- DThyroid function
3.Easy
On an ECG, what does the P wave represent?
- AClosure of the heart valves
- BVentricular depolarisation
- CVentricular repolarisation
- DAtrial depolarisation
4.Medium
Which signs suggest a blood transfusion reaction in the first minutes?
- ASlow, steady rise in haemoglobin over the next day
- BFever, chills, back pain and low blood pressure
- CImproved colour and energy
- DMild hunger
5.Medium
A patient is prescribed two different eye drops at the same time. What is correct?
- AGive both drops at once into the same eye
- BMix the two drops in one bottle
- CGive one drop now and the other the next day
- DWait about five minutes between the two drops
6.Medium
Within which time window is IV thrombolysis generally given for acute ischaemic stroke?
- AAt any time within a week
- BWithin 48 hours of the onset of symptoms
- COnly after 24 hours
- DWithin 4.5 hours of symptom onset
7.Hard
A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?
- ARecheck the haemoglobin next week
- BEscalate urgently, as the patient may be bleeding
- CDocument the result and take no further action
- DEncourage the patient to eat iron-rich foods
8.Hard
A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?
- AArrange a professional interpreter
- BLet the child interpret to save time
- CAsk the patient to sign the form without explanation
- DUse gestures and proceed
Answer key
- 1. B · Burning, shooting or tingling pain
- 2. B · Inflammation
- 3. D · Atrial depolarisation
- 4. B · Fever, chills, back pain and low blood pressure
- 5. D · Wait about five minutes between the two drops
- 6. D · Within 4.5 hours of symptom onset
- 7. B · Escalate urgently, as the patient may be bleeding
- 8. A · Arrange a professional interpreter
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