1.Easy
Which of these is an open question?
- A"How are you feeling about your operation?"
- B"Are you in any pain at the moment?"
- C"Did you sleep well in the ward last night?"
- D"Have you taken your tablets?"
2.Easy
What is the Bristol Stool Chart used for?
- AMeasuring how much food a patient eats each day
- BRecording the frequency of urination
- CClassifying the form and consistency of stools
- DScoring the risk of pressure ulcers
3.Easy
Glaucoma is an eye condition in which:
- AThe tear glands stop working
- BRaised pressure in the eye damages the optic nerve
- CThe eyelids turn inwards and the lashes rub the eye
- DThe lens becomes cloudy and vision is blurred
4.Medium
Which assessment best detects compartment syndrome after a fractured leg is put in a cast?
- APain out of proportion to the injury, especially on passive stretch
- BA strong pulse in the foot
- CMild itching under the cast
- DA warm, pink foot
5.Medium
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids destroy the pancreas
- BSteroids always cause hypoglycaemia
- CSteroids make glucose meters inaccurate
- DSteroids can raise the blood glucose
6.Medium
The WHO analgesic ladder recommends:
- AMoving from non-opioids to weak and then strong opioids as pain increases
- BGiving analgesia only when pain becomes severe
- CUsing only non-drug methods for cancer pain
- DStarting all patients on strong opioids
7.Hard
A patient's urine output has been very low for 12 hours and creatinine has risen sharply. Which drug on the chart is most likely to need review?
- AAn emollient cream
- BA vitamin supplement
- CA non-steroidal anti-inflammatory drug such as ibuprofen
- DParacetamol at usual doses
8.Hard
A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?
- ASimple gastroenteritis with no further concern
- BHypoglycaemia
- CEuglycaemic diabetic ketoacidosis
- DHyperosmolar hyperglycaemic state
Answer key
- 1. A · "How are you feeling about your operation?"
- 2. C · Classifying the form and consistency of stools
- 3. B · Raised pressure in the eye damages the optic nerve
- 4. A · Pain out of proportion to the injury, especially on passive stretch
- 5. D · Steroids can raise the blood glucose
- 6. A · Moving from non-opioids to weak and then strong opioids as pain increases
- 7. C · A non-steroidal anti-inflammatory drug such as ibuprofen
- 8. C · Euglycaemic diabetic ketoacidosis
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