1.Easy
A "sublingual" medicine is given:
- AThrough the nose
- BBetween the cheek and gum
- CUnder the tongue
- DInto the vein
2.Easy
Which haemoglobin result in an adult man would be classed as anaemia?
- A155 g/L (15.5 g/dL)
- B165 g/L (16.5 g/dL)
- C140 g/L (14.0 g/dL)
- D95 g/L (9.5 g/dL)
3.Easy
Why should a patient who has had a stroke have a swallow screen before oral food, fluid or medicine?
- ATo measure their blood pressure
- BTo reduce the risk of aspiration
- CTo prevent pressure ulcers
- DTo check their blood glucose level
4.Medium
Modern wound care generally aims to keep a healing wound bed:
- AMoist but not wet
- BSoaked in antiseptic solution every day
- CCompletely dry and open to the air
- DTightly packed with dry gauze
5.Medium
The WHO analgesic ladder recommends:
- AGiving analgesia only when pain becomes severe
- BStarting all patients on strong opioids
- CMoving from non-opioids to weak and then strong opioids as pain increases
- DUsing only non-drug methods for cancer pain
6.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
7.Hard
Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?
- AHigh-flow oxygen should always be given, whatever the SpO2
- BOxygen is given if the SpO2 is below the target range
- COxygen replaces the need for an ECG
- DOxygen must never be given in chest pain
8.Hard
A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?
- AHypokalaemia
- BSimple mechanical back pain
- CMetastatic spinal cord compression
- DA urinary tract infection spreading to the back
Answer key
- 1. C · Under the tongue
- 2. D · 95 g/L (9.5 g/dL)
- 3. B · To reduce the risk of aspiration
- 4. A · Moist but not wet
- 5. C · Moving from non-opioids to weak and then strong opioids as pain increases
- 6. B · Positive patient identification matched to the blood component at the bedside
- 7. B · Oxygen is given if the SpO2 is below the target range
- 8. C · Metastatic spinal cord compression
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