1.Easy
Which of these drugs is an antiplatelet agent?
- AWarfarin
- BAtorvastatin
- CFurosemide
- DClopidogrel
2.Easy
Which of these is considered a high-alert (high-risk) medicine?
- ALactulose
- BInsulin
- CEmollient cream
- DSimple linctus
3.Easy
Shingles (herpes zoster) is caused by:
- AA bacterial skin infection
- BAn allergy to medicines
- CA fungal infection of the nerves
- DReactivation of the chickenpox virus
4.Medium
A patient with heart failure has pink, frothy sputum and crackles throughout both lungs. What is happening?
- AAcute pulmonary oedema
- BAsthma attack
- CUpper gastrointestinal bleeding
- DPneumothorax
5.Medium
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs a severe anaphylactic allergy to all opioids
- BAs an allergy to all painkillers
- CAs a side effect or intolerance, not a true allergy
- DIt should not be recorded at all
6.Medium
A patient with neutropenia after chemotherapy has a temperature of 38.3 °C. What is the priority?
- AWait 24 hours to see whether the fever settles
- BGive paracetamol only and recheck the temperature again tomorrow
- CTreat as neutropenic sepsis and give IV antibiotics urgently
- DEncourage the patient to go for a walk
7.Hard
A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?
- A"I will change the injection site each time."
- B"I will rub the area firmly after the injection."
- C"I will report any unusual bleeding or bruising."
- D"I will inject into the fatty tissue of my abdomen."
8.Hard
Which feature best distinguishes delirium from dementia?
- ADelirium only affects people under 50, while dementia affects older people
- BDementia always causes visual hallucinations
- CDelirium is permanent, while dementia is reversible
- DDelirium starts suddenly and fluctuates, while dementia develops gradually
Answer key
- 1. D · Clopidogrel
- 2. B · Insulin
- 3. D · Reactivation of the chickenpox virus
- 4. A · Acute pulmonary oedema
- 5. C · As a side effect or intolerance, not a true allergy
- 6. C · Treat as neutropenic sepsis and give IV antibiotics urgently
- 7. B · "I will rub the area firmly after the injection."
- 8. D · Delirium starts suddenly and fluctuates, while dementia develops gradually
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