1.Easy
Which symptom is the most typical of a heart attack (myocardial infarction)?
- ASharp pain when pressing on one rib
- BPain only in the lower right abdomen
- CSharp pain that worsens on deep breathing and eases when leaning forward
- DCentral chest pain or pressure that may spread to the arm or jaw
2.Easy
What is the normal pH range of arterial blood?
- A7.35–7.45
- B7.55–7.65
- C7.00–7.10
- D6.85–6.95
3.Easy
Why must patients and visitors never smoke or use naked flames near oxygen therapy?
- AOxygen makes things burn much more easily and fiercely
- BSmoke blocks the oxygen tubing and stops the flow
- CFlames make the oxygen less effective
- DOxygen turns cigarette smoke into a poisonous gas
4.Medium
Which is a major risk factor for Clostridioides difficile infection?
- ARecent broad-spectrum antibiotic use
- BA diet high in fibre and fresh fruit
- CRegular exercise
- DTaking regular paracetamol
5.Medium
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
- ALie down straight after each meal to let the food settle
- BWear tight belts to support the stomach
- CEat one very large meal a day rather than several small ones
- DAvoid large meals late in the evening and raise the head of the bed
6.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ASitting upright with the legs dangling
- BStanding up and walking around
- CLying flat, with the legs raised
- DLying face down
7.Hard
A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?
- AHypovolaemia from dehydration
- BHyperkalaemia
- CCardiac tamponade
- DPneumonia
8.Hard
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AEnteral syringes keep the medicine sterile
- BTo prevent accidental intravenous administration
- CIV syringes cannot hold liquid medicines
- DEnteral syringes measure doses less accurately
Answer key
- 1. D · Central chest pain or pressure that may spread to the arm or jaw
- 2. A · 7.35–7.45
- 3. A · Oxygen makes things burn much more easily and fiercely
- 4. A · Recent broad-spectrum antibiotic use
- 5. D · Avoid large meals late in the evening and raise the head of the bed
- 6. C · Lying flat, with the legs raised
- 7. C · Cardiac tamponade
- 8. B · To prevent accidental intravenous administration
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