1.Easy
Which symptom is classic in angina pectoris?
- APain that is constant for days and unaffected by activity
- BChest pain on exertion that is relieved by rest
- CSharp pain only when pressing on the chest wall
- DPain in the calf when walking that is relieved by rest
2.Easy
What is the main purpose of a surgical wound drain?
- ATo keep the wound open permanently so that it can be cleaned
- BTo remove blood or fluid so it does not collect in the wound
- CTo give antibiotics directly into the wound bed
- DTo measure the patient's temperature
3.Easy
Hepatitis A is mainly spread by:
- AMosquito bites
- BThe faecal–oral route
- CSexual contact only
- DBlood transfusion
4.Medium
Which measure helps prevent delirium in older inpatients?
- AMoving the patient to a different bed each night to give them a change of scene
- BRestricting fluids to avoid incontinence
- CKeeping the lights on all night
- DReorientation, glasses and hearing aids in use, and good sleep and hydration
5.Medium
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AKidney damage and hearing loss
- BHyperglycaemia and tremor
- CConstipation and urinary retention
- DHair loss and weight gain
6.Medium
A postoperative patient has a heart rate of 125/min, blood pressure 88/50 mmHg and a blood-soaked dressing. What is happening?
- AHypovolaemic shock from bleeding
- BSeptic shock from a urinary infection
- CNormal pain response
- DAnxiety only
7.Hard
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- ATo prevent accidental intravenous administration
- BEnteral syringes keep the medicine sterile
- CIV syringes cannot hold liquid medicines
- DEnteral syringes measure doses less accurately
8.Hard
A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?
- AD-dimer for both drugs
- BINR for heparin and APTT for warfarin
- CAPTT for heparin and INR for warfarin
- DPlatelet count for both drugs
Answer key
- 1. B · Chest pain on exertion that is relieved by rest
- 2. B · To remove blood or fluid so it does not collect in the wound
- 3. B · The faecal–oral route
- 4. D · Reorientation, glasses and hearing aids in use, and good sleep and hydration
- 5. A · Kidney damage and hearing loss
- 6. A · Hypovolaemic shock from bleeding
- 7. A · To prevent accidental intravenous administration
- 8. C · APTT for heparin and INR for warfarin
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