1.Easy
Which of these is a modifiable risk factor for coronary heart disease?
- AAge
- BMale sex
- CFamily history
- DSmoking
2.Easy
Why is jewellery removed or taped before surgery?
- ABecause metal raises the risk of postoperative nausea
- BBecause metal jewellery increases blood loss during the operation
- CTo reduce the risk of diathermy burns and pressure injury
- DTo make the patient's weight easier to measure
3.Easy
"Coffee-ground" vomit suggests:
- ABowel obstruction low in the colon
- BFood poisoning with vomiting but without any bleeding
- CKidney failure
- DBleeding in the upper gastrointestinal tract
4.Medium
Which is a recognised risk factor for postoperative nausea and vomiting?
- AUse of opioids after surgery
- BA short operation under local anaesthetic
- CBeing a smoker
- DBeing male
5.Medium
A rising serum creatinine most often indicates:
- AReduced kidney function
- BIncreased muscle strength
- CImproved liver function
- DDehydration of the skin only
6.Medium
Which side effects are common after high doses of salbutamol (albuterol)?
- AHair loss and weight gain
- BBradycardia and drowsiness
- CTremor and a fast heart rate
- DConstipation and urinary retention
7.Hard
During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?
- ANever, because asystole is not treated with drugs
- BAs soon as IV or IO access is obtained, then every 3–5 minutes
- COnly once the patient has a pulse again
- DOnly after three shocks have been delivered by the defibrillator
8.Hard
After a viral illness, a patient has sharp chest pain that is worse lying flat and eased by sitting forward. What is the most likely cause?
- AAortic dissection
- BPericarditis
- CPulmonary oedema
- DStable angina
Answer key
- 1. D · Smoking
- 2. C · To reduce the risk of diathermy burns and pressure injury
- 3. D · Bleeding in the upper gastrointestinal tract
- 4. A · Use of opioids after surgery
- 5. A · Reduced kidney function
- 6. C · Tremor and a fast heart rate
- 7. B · As soon as IV or IO access is obtained, then every 3–5 minutes
- 8. B · Pericarditis
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