1.Easy
What is the usual target oxygen saturation (SpO2) for most acutely ill adults without risk of hypercapnia?
- A100% at all times
- B88–92% for everyone
- C80–84%
- D94–98%
2.Easy
The term "pallor" means:
- ABluish fingertips
- BA red, raised rash
- CYellowing of the skin and eyes
- DAbnormal paleness of the skin
3.Easy
Which finding is typical of a urinary tract infection?
- ABlack stools
- BBurning on urination and frequency
- CSwelling of both ankles and lower legs
- DRinging in the ears
4.Medium
Why is serum lactate measured in a patient with suspected sepsis?
- AIt measures the patient's blood glucose
- BA raised lactate indicates poor tissue perfusion and higher risk
- CIt shows whether the patient has a urinary tract infection
- DIt confirms which antibiotic to give
5.Medium
A patient with liver cirrhosis becomes confused and drowsy, with a flapping tremor of the hands. Which complication is likely?
- AHepatic encephalopathy
- BHypoglycaemia caused by insulin
- CStroke
- DAlcohol intoxication only
6.Medium
What is the most common cause of hypernatraemia in frail older inpatients?
- AEating too much salt in one meal
- BTaking too many vitamins
- CToo much exercise
- DNot drinking enough water
7.Hard
An older patient becomes acutely confused overnight, with fluctuating attention. What is the most likely cause to investigate first?
- ALack of interest in the surroundings
- BDelirium caused by an underlying problem such as infection or medication
- CSudden onset of Alzheimer's disease
- DNormal ageing
8.Hard
A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?
- AAPTT for heparin and INR for warfarin
- BPlatelet count for both drugs
- CINR for heparin and APTT for warfarin
- DD-dimer for both drugs
Answer key
- 1. D · 94–98%
- 2. D · Abnormal paleness of the skin
- 3. B · Burning on urination and frequency
- 4. B · A raised lactate indicates poor tissue perfusion and higher risk
- 5. A · Hepatic encephalopathy
- 6. D · Not drinking enough water
- 7. B · Delirium caused by an underlying problem such as infection or medication
- 8. A · APTT for heparin and INR for warfarin
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