1.Easy
The term "haemoptysis" means:
- AVomiting blood
- BPassing blood in the urine
- CA nosebleed
- DCoughing up blood
2.Easy
After a stroke, a patient has "aphasia". What does this mean?
- ADifficulty understanding or producing language
- BDifficulty swallowing food, drink and saliva
- CWeakness of one side of the body
- DLoss of vision in one eye
3.Easy
Which of these is one of the WHO "5 Moments for Hand Hygiene"?
- AOnly after removing gloves at the end of a shift
- BOnly when the hands look visibly dirty
- CBefore touching a patient
- DBefore entering the hospital building
4.Medium
A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?
- AAn air leak, from the lung or from the drainage system
- BThe lung has fully re-expanded
- CThe drain is working normally for a fluid collection only
- DThe drain is blocked
5.Medium
What should a patient starting oral iron tablets be told?
- ATheir stools may turn dark or black
- BTheir urine will turn bright green
- CThey must take the tablets with strong tea
- DThe tablets will cause weight loss
6.Medium
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A15 × 109/L
- B150 × 109/L
- C5 × 109/L
- D0.5 × 109/L
7.Hard
A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?
- APrescribing only the medicines that the patient can remember taking
- BDoubling the doses to make up for any missed while at home
- CStopping all regular medicines until the day the patient is discharged
- DMedicines reconciliation against reliable sources, such as primary care records
8.Hard
A patient has had diarrhoea for three days and is on a medical ward. What is the most appropriate infection control action?
- AUse alcohol hand rub only and avoid gloves to save resources
- BWait until the diarrhoea has lasted a week before taking any action
- CIsolate promptly, use contact precautions and send a stool sample
- DMove the patient to a shared bay so single rooms stay available
Answer key
- 1. D · Coughing up blood
- 2. A · Difficulty understanding or producing language
- 3. C · Before touching a patient
- 4. A · An air leak, from the lung or from the drainage system
- 5. A · Their stools may turn dark or black
- 6. D · 0.5 × 109/L
- 7. D · Medicines reconciliation against reliable sources, such as primary care records
- 8. C · Isolate promptly, use contact precautions and send a stool sample
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