1.Easy
What does MRSA stand for?
- AMultiple-resistant Streptococcus agent
- BMicrobial resistance surveillance alert
- CMixed respiratory syncytial antigen
- DMeticillin (methicillin)-resistant Staphylococcus aureus
2.Easy
What does "dysphagia" mean?
- ADifficulty swallowing
- BDifficulty breathing
- CPain when passing urine
- DDifficulty speaking
3.Easy
What is the most important measure to prevent pressure ulcers in a bed-bound patient?
- AKeeping the patient in one position all day
- BMassaging red areas firmly
- CRegular repositioning to relieve pressure
- DRestricting fluids
4.Medium
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ASitting upright with the legs dangling
- BLying face down
- CStanding up and walking around
- DLying flat, with the legs raised
5.Medium
A blood transfusion is about to start. What is the most important safety check?
- AChecking the patient's weight only
- BPositive patient identification matched to the blood component at the bedside
- CWarming all blood in a microwave
- DChecking the patient's dietary preferences
6.Medium
A patient with type 1 diabetes is vomiting and eating little. What is correct sick-day advice?
- ADo not stop insulin; check glucose and ketones more often
- BHalve fluid intake to prevent vomiting
- CStop insulin until eating normally again to avoid hypoglycaemia
- DCheck glucose once a day only
7.Hard
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AA normal response to atrial fibrillation needing no action
- BA stable rhythm that can safely be reviewed at the next routine ward round
- CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- DAnxiety about the new diagnosis that will settle with reassurance and rest alone
8.Hard
A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?
- AA Mallory-Weiss tear from a small amount of vomiting
- BSwallowed blood from a nosebleed
- CBleeding from ruptured oesophageal varices
- DA lower GI bleed from diverticular disease
Answer key
- 1. D · Meticillin (methicillin)-resistant Staphylococcus aureus
- 2. A · Difficulty swallowing
- 3. C · Regular repositioning to relieve pressure
- 4. D · Lying flat, with the legs raised
- 5. B · Positive patient identification matched to the blood component at the bedside
- 6. A · Do not stop insulin; check glucose and ketones more often
- 7. C · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
- 8. C · Bleeding from ruptured oesophageal varices
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