1.Easy
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A7 mmol/L
- B4 mmol/L
- C10 mmol/L
- D1 mmol/L
2.Easy
Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?
- AAmylase
- BBilirubin
- CTroponin
- DD-dimer
3.Easy
What does "dysphagia" mean?
- ADifficulty swallowing
- BDifficulty breathing
- CDifficulty speaking
- DPain when passing urine
4.Medium
Within which time window is IV thrombolysis generally given for acute ischaemic stroke?
- AWithin 48 hours of the onset of symptoms
- BWithin 4.5 hours of symptom onset
- COnly after 24 hours
- DAt any time within a week
5.Medium
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AApplying cold packs to the painful areas
- BGiving prompt, effective analgesia
- CDelaying pain relief until a diagnosis is confirmed
- DRestricting oral fluids
6.Medium
Which observation is most important after giving a patient a first dose of a new antibiotic intravenously?
- ATheir appetite at the next meal
- BWhether their hair loss increases
- CHow much they walk that day
- DSigns of an allergic reaction such as rash, wheeze or swelling
7.Hard
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
- APost-renal acute kidney injury from obstruction, treated with a catheter
- BChronic kidney disease, treated with long-term dialysis three times a week
- CIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
- DPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
8.Hard
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"He was admitted three days ago with pneumonia."
- B"Please review him within the next 15 minutes."
- C"I am calling about Mr Smith, who is breathless."
- D"His blood pressure is 85/50 and he is confused."
Answer key
- 1. B · 4 mmol/L
- 2. C · Troponin
- 3. A · Difficulty swallowing
- 4. B · Within 4.5 hours of symptom onset
- 5. B · Giving prompt, effective analgesia
- 6. D · Signs of an allergic reaction such as rash, wheeze or swelling
- 7. D · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
- 8. B · "Please review him within the next 15 minutes."
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