1.Easy
A nasogastric tube position is commonly confirmed at the bedside by:
- ATesting the pH of aspirated fluid
- BAsking the patient to cough
- CListening for air with a stethoscope ("whoosh test")
- DPlacing the tube end in a glass of water
2.Easy
What is oral mucositis, a common side effect of chemotherapy?
- APainful inflammation and ulceration of the lining of the mouth
- BA loss of taste only
- CSwelling of the salivary glands from dehydration
- DA fungal infection of the toenails that spreads to the mouth
3.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AStroke, heart attack and kidney disease
- BAsthma, eczema and hay fever
- CHypothyroidism, gout and hair loss
- DAnaemia and osteoporosis
4.Medium
A patient's abdomen is rigid and board-like, and they lie very still because movement worsens the pain. What does this suggest?
- AUrinary tract infection
- BIndigestion
- CPeritonitis
- DConstipation
5.Medium
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids make glucose meters inaccurate
- BSteroids always cause hypoglycaemia
- CSteroids destroy the pancreas
- DSteroids can raise the blood glucose
6.Medium
A patient with hyponatraemia should be especially monitored for:
- AHearing loss
- BConfusion, headache and seizures
- CIncreased hair growth
- DBright red rash
7.Hard
A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
- AGive IV insulin and glucose straight away
- BRepeat the blood test promptly, as haemolysis can falsely raise potassium
- CIgnore the result because the patient looks well and the ECG is normal
- DStart a potassium supplement
8.Hard
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AOpen the airway with a head tilt–chin lift or jaw thrust
- BWait for the patient to wake up fully
- CGive sips of oral fluid to clear the throat and wake them
- DLie the patient face down
Answer key
- 1. A · Testing the pH of aspirated fluid
- 2. A · Painful inflammation and ulceration of the lining of the mouth
- 3. A · Stroke, heart attack and kidney disease
- 4. C · Peritonitis
- 5. D · Steroids can raise the blood glucose
- 6. B · Confusion, headache and seizures
- 7. B · Repeat the blood test promptly, as haemolysis can falsely raise potassium
- 8. A · Open the airway with a head tilt–chin lift or jaw thrust
Full step-by-step solutions: practise this topic on examproblems.com.