1.Easy
When removing personal protective equipment after patient care, which item is usually removed first?
- AFace mask
- BEye protection
- CHair cover
- DGloves
2.Easy
The term "polypharmacy" usually means:
- AA pharmacy that sells many different brands
- BGiving one medicine by several routes
- CA patient taking many medicines at the same time
- DA single medicine that contains many active ingredients
3.Easy
What does SBAR stand for in clinical handover?
- ASafety, Breathing, Alertness, Risk
- BSituation, Background, Assessment, Recommendation
- CSummary, Bedside, Action, Review
- DSymptoms, Blood pressure, Airway, Respiratory rate
4.Medium
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with an antacid to protect the stomach
- BChew the tablet with breakfast and a cup of milky tea
- CTake it with plain water on an empty stomach and stay upright for 30 minutes
- DTake it with a glass of milk at bedtime and then lie down straight away
5.Medium
Why are patients advised to rinse their mouth after using an inhaled corticosteroid?
- ATo prevent tooth decay from the sugar in it
- BTo reduce the risk of oral thrush
- CTo stop the drug from being absorbed in the lungs
- DTo make the drug work faster
6.Medium
Which advice is important for a patient on long-term oral corticosteroids?
- ADouble the dose if a dose is missed
- BTake them on an empty stomach at night
- CTake them only when symptoms flare
- DDo not stop them suddenly
7.Hard
A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?
- AHypoglycaemia
- BMyxoedema coma
- CThyroid storm
- DAddisonian crisis
8.Hard
An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?
- ALet him leave, because adults can always do as they wish whatever their state
- BGive a sedative straight away without a prescription
- CPhysically restrain him in bed until the morning so that he cannot fall
- DCalmly reassure and redirect him while the team assesses his capacity and safety
Answer key
- 1. D · Gloves
- 2. C · A patient taking many medicines at the same time
- 3. B · Situation, Background, Assessment, Recommendation
- 4. C · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 5. B · To reduce the risk of oral thrush
- 6. D · Do not stop them suddenly
- 7. C · Thyroid storm
- 8. D · Calmly reassure and redirect him while the team assesses his capacity and safety
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