1.Easy
The term "hypovolaemia" means:
- AA low level of oxygen in the blood
- BA low volume of blood or fluid in the circulation
- CToo much fluid in the circulation
- DA high level of potassium in the circulating blood
2.Easy
How is body mass index (BMI) calculated?
- AWeight in kilograms multiplied by height in metres
- BWaist size divided by hip size
- CHeight in metres divided by weight in kilograms, then squared
- DWeight in kilograms divided by height in metres squared
3.Easy
Cellulitis is:
- AA bacterial infection of the deeper skin and the tissue beneath it
- BA fungal infection of the skin between the toes only
- CAn allergic rash caused by a reaction to soap or washing powder
- DA blocked sweat gland
4.Medium
Which features suggest Cushing's syndrome?
- ACoarse facial features and very large hands and feet
- BWeight gain around the trunk, a rounded face and thin, easily bruised skin
- CWeight loss, heat intolerance, tremor and protruding eyes
- DDark skin, low blood pressure, salt craving and a low blood sodium level
5.Medium
Which side effect is common when a patient starts taking metformin?
- ANausea, abdominal discomfort or diarrhoea
- BRapid weight gain
- CHypoglycaemia in most patients who take it
- DSevere headache
6.Medium
What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?
- AIt does not need routine INR monitoring
- BIt has no risk of bleeding
- CIt never interacts with other drugs
- DIt is safe in all patients with severe kidney failure
7.Hard
A nurse realises she has given a patient a medicine prescribed for another patient. What should she do first?
- AAsk a colleague not to mention it
- BWait to see whether any side effects develop
- CCheck the patient's condition and inform the doctor
- DGive the patient's own medicine as well to balance it
8.Hard
An older patient with a hip fracture becomes breathless and confused, with a petechial rash on the chest two days after injury. Which complication should be suspected?
- AFat embolism syndrome
- BCompartment syndrome
- CPressure ulcer
- DUrinary tract infection
Answer key
- 1. B · A low volume of blood or fluid in the circulation
- 2. D · Weight in kilograms divided by height in metres squared
- 3. A · A bacterial infection of the deeper skin and the tissue beneath it
- 4. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 5. A · Nausea, abdominal discomfort or diarrhoea
- 6. A · It does not need routine INR monitoring
- 7. C · Check the patient's condition and inform the doctor
- 8. A · Fat embolism syndrome
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