1.Easy
What does the abbreviation DVT stand for?
- ADirect vascular therapy
- BDeep vein thrombosis
- CDiastolic venous tension
- DDilated ventricular tract
2.Easy
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
- AMild constipation
- BNormal breathing during sleep
- CNarrowing or obstruction of the upper airway
- DFluid collecting in the bases of both lungs
3.Easy
What is the normal resting respiratory rate for an adult?
- AAbout 12–20 breaths per minute
- BAbout 40–50 breaths per minute
- CAbout 25–35 breaths per minute
- DAbout 4–8 breaths per minute
4.Medium
Which advice should be given to a patient with a new permanent pacemaker?
- ANever raise the arm on that side again
- BStop all heart medicines straight away
- CTell staff about the pacemaker before any MRI scan or procedure
- DAvoid using all household electrical appliances such as kettles
5.Medium
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A0.5 × 109/L
- B15 × 109/L
- C5 × 109/L
- D150 × 109/L
6.Medium
When is a rapid-acting insulin such as insulin aspart usually given?
- ATwo hours after finishing a meal
- BOnly at bedtime
- COnce a week
- DJust before or with a meal
7.Hard
Which finding most strongly suggests a pulmonary embolism in a postoperative patient?
- AWheeze that improves with salbutamol
- BSlow heart rate with high blood pressure
- CGradual onset of cough with yellow sputum and mild fever over a week
- DSudden breathlessness and pleuritic chest pain with tachycardia
8.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?
- ADocument the result and take no further action
- BEscalate urgently, as the patient may be bleeding
- CEncourage the patient to eat iron-rich foods
- DRecheck the haemoglobin next week
Answer key
- 1. B · Deep vein thrombosis
- 2. C · Narrowing or obstruction of the upper airway
- 3. A · About 12–20 breaths per minute
- 4. C · Tell staff about the pacemaker before any MRI scan or procedure
- 5. A · 0.5 × 109/L
- 6. D · Just before or with a meal
- 7. D · Sudden breathlessness and pleuritic chest pain with tachycardia
- 8. B · Escalate urgently, as the patient may be bleeding
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