1.Easy
The term "hemiplegia" means:
- AWeakness of the facial muscles only
- BParalysis of all four limbs
- CParalysis of one side of the body
- DParalysis of both legs
2.Easy
Gout is caused by:
- AA lack of calcium in the diet
- BWear and tear of the joint cartilage
- CA bacterial infection of the bone
- DUric acid crystals forming in a joint
3.Easy
The term "haematuria" means:
- ABlood in the stool
- BBlood in the sputum
- CBlood in the urine
- DBlood in the vomit
4.Medium
Which assessment best detects compartment syndrome after a fractured leg is put in a cast?
- AA strong pulse in the foot
- BA warm, pink foot
- CPain out of proportion to the injury, especially on passive stretch
- DMild itching under the cast
5.Medium
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- ADoing gentle ankle exercises
- BLying on their back
- CWalking short distances with a frame and a physiotherapist
- DBending the hip beyond 90 degrees or crossing the legs
6.Medium
A patient with type 2 diabetes is acutely unwell, very dehydrated and has a blood glucose of 40 mmol/L without significant ketones. What is the most likely diagnosis?
- AHypoglycaemia
- BDiabetic ketoacidosis with dehydration
- CDiabetes insipidus
- DHyperosmolar hyperglycaemic state
7.Hard
Which set of findings best distinguishes cardiogenic shock from hypovolaemic shock?
- AReduced urine output
- BTachycardia, hypotension and a weak, thready peripheral pulse
- CCool, pale skin
- DRaised jugular venous pressure and lung crackles
8.Hard
Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?
- AHigh-flow oxygen should always be given, whatever the SpO2
- BOxygen replaces the need for an ECG
- COxygen is given if the SpO2 is below the target range
- DOxygen must never be given in chest pain
Answer key
- 1. C · Paralysis of one side of the body
- 2. D · Uric acid crystals forming in a joint
- 3. C · Blood in the urine
- 4. C · Pain out of proportion to the injury, especially on passive stretch
- 5. D · Bending the hip beyond 90 degrees or crossing the legs
- 6. D · Hyperosmolar hyperglycaemic state
- 7. D · Raised jugular venous pressure and lung crackles
- 8. C · Oxygen is given if the SpO2 is below the target range
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