1.Easy
What does the INR measure?
- AHow long the blood takes to clot, compared with a standard
- BThe level of white cells in the blood
- CThe amount of iron stored in the body's liver and bone marrow
- DThe number of platelets circulating in the blood
2.Easy
Which pair of symptoms is typical of hyperglycaemia?
- ASweating, trembling hands and a sudden feeling of hunger
- BPinpoint pupils and slow breathing
- CSlow pulse and cold, pale skin
- DIncreased thirst and passing large amounts of urine
3.Easy
The term "proteinuria" means:
- AProtein in the urine
- BPainful passing of urine
- CLow protein in the blood
- DToo much protein in the diet
4.Medium
Which advice is important for a patient on long-term oral corticosteroids?
- ATake them only when symptoms flare
- BTake them on an empty stomach at night
- CDo not stop them suddenly
- DDouble the dose if a dose is missed
5.Medium
A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?
- ARespiratory alkalosis
- BMetabolic acidosis
- CMetabolic alkalosis
- DRespiratory acidosis
6.Medium
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
- ARheumatic fever
- BPericarditis
- CInfective endocarditis
- DMyocardial infarction
7.Hard
A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?
- ALiver damage develops later, and the antidote works best when given early
- BParacetamol damage only shows up in the kidneys, many weeks later
- CParacetamol overdose causes immediate breathing problems
- DPatients who feel well after six hours never need any treatment at all
8.Hard
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AWait for the patient to wake up fully
- BGive sips of oral fluid to clear the throat and wake them
- COpen the airway with a head tilt–chin lift or jaw thrust
- DLie the patient face down
Answer key
- 1. A · How long the blood takes to clot, compared with a standard
- 2. D · Increased thirst and passing large amounts of urine
- 3. A · Protein in the urine
- 4. C · Do not stop them suddenly
- 5. B · Metabolic acidosis
- 6. C · Infective endocarditis
- 7. A · Liver damage develops later, and the antidote works best when given early
- 8. C · Open the airway with a head tilt–chin lift or jaw thrust
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