1.Easy
Which red blood cell group is often called the "universal donor" in an emergency?
- AO negative
- BAB positive
- CA positive
- DB negative
2.Easy
How does omeprazole work?
- AIt speeds up the emptying of the stomach
- BIt kills bacteria in the bowel
- CIt neutralises acid already in the stomach
- DIt reduces the production of stomach acid
3.Easy
Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?
- AVentricular fibrillation
- BFirst-degree heart block
- CAsystole
- DSinus bradycardia
4.Medium
A patient with type 1 diabetes has blood glucose of 25 mmol/L, deep rapid breathing and ketones in the urine. What is the likely diagnosis?
- AHypoglycaemia
- BDiabetic ketoacidosis
- CNormal glucose fluctuation
- DHyperosmolar hyperglycaemic state without ketones
5.Medium
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
- AWear tight belts to support the stomach
- BEat one very large meal a day rather than several small ones
- CLie down straight after each meal to let the food settle
- 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?
- AStanding up and walking around
- BSitting upright with the legs dangling
- CLying face down
- DLying flat, with the legs raised
7.Hard
Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?
- ABeta-blockers make the patient sleep through the night
- BBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
- CBeta-blockers can mask warning signs such as tremor and a fast heart rate
- DBeta-blockers stop the liver from responding to insulin
8.Hard
Which type of drug is commonly used to treat neuropathic pain?
- AProton pump inhibitors such as omeprazole
- BSome anticonvulsants or antidepressants, such as gabapentin
- CAntibiotics such as amoxicillin, given as a long course
- DAntihistamines such as cetirizine
Answer key
- 1. A · O negative
- 2. D · It reduces the production of stomach acid
- 3. A · Ventricular fibrillation
- 4. B · Diabetic ketoacidosis
- 5. D · Avoid large meals late in the evening and raise the head of the bed
- 6. D · Lying flat, with the legs raised
- 7. C · Beta-blockers can mask warning signs such as tremor and a fast heart rate
- 8. B · Some anticonvulsants or antidepressants, such as gabapentin
Full step-by-step solutions: practise this topic on examproblems.com.