1.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A3
- B1
- C0
- D5
2.Easy
The term "hypovolaemia" means:
- AA high level of potassium in the circulating blood
- BA low volume of blood or fluid in the circulation
- CToo much fluid in the circulation
- DA low level of oxygen in the blood
3.Easy
What is the priority for a patient who has just had a seizure and is now drowsy?
- APlace them in the recovery position and keep the airway clear
- BGive them food and water immediately
- CLeave them alone to sleep it off without any further observation
- DHold them down firmly so they cannot move
4.Medium
A patient has colicky abdominal pain, a swollen abdomen, vomiting and has not passed stool or wind for two days. What is the likely problem?
- AAppendicitis without complications
- BIrritable bowel syndrome
- CBowel obstruction
- DGastroenteritis
5.Medium
A patient with type 1 diabetes is vomiting and eating little. What is correct sick-day advice?
- AHalve fluid intake to prevent vomiting
- BCheck glucose once a day only
- CStop insulin until eating normally again to avoid hypoglycaemia
- DDo not stop insulin; check glucose and ketones more often
6.Medium
Which measure helps reduce the risk of surgical site infection?
- ALeaving the patient cool during surgery to slow bacterial growth
- BShaving the area with a razor the night before surgery
- CChanging the wound dressing every hour
- DRemoving hair, if needed, with clippers rather than a razor
7.Hard
A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?
- AIt dissolves the clot completely within minutes of the first dose being given
- BIt is mainly given to lower the blood pressure
- CIt stops the clot growing and prevents new clots while the body breaks it down
- DIt thins the blood so that the lungs absorb more oxygen
8.Hard
A patient on enteral tube feeding after a long period of starvation develops low phosphate, low potassium and arrhythmias. What is most likely?
- ARefeeding syndrome
- BHyperthyroidism
- CDiabetic ketoacidosis
- DDumping syndrome
Answer key
- 1. A · 3
- 2. B · A low volume of blood or fluid in the circulation
- 3. A · Place them in the recovery position and keep the airway clear
- 4. C · Bowel obstruction
- 5. D · Do not stop insulin; check glucose and ketones more often
- 6. D · Removing hair, if needed, with clippers rather than a razor
- 7. C · It stops the clot growing and prevents new clots while the body breaks it down
- 8. A · Refeeding syndrome
Full step-by-step solutions: practise this topic on examproblems.com.