1.Easy
The term "tinnitus" means:
- ABlurred vision
- BLoss of balance and dizziness
- CA blocked nose
- DRinging or buzzing in the ears
2.Easy
A "sublingual" medicine is given:
- AInto the vein
- BUnder the tongue
- CThrough the nose
- DBetween the cheek and gum
3.Easy
What does "cyanosis" describe?
- AA yellow colour of the skin and eyes caused by raised bilirubin
- BA red, flushed face from fever
- CA bluish colour of the skin or lips from poorly oxygenated blood
- DPale skin caused by fear or pain
4.Medium
An arterial blood gas shows a low pH, a high PaCO2 and a normal bicarbonate. What does this show?
- ARespiratory alkalosis
- BMetabolic acidosis
- CRespiratory acidosis
- DMetabolic alkalosis
5.Medium
Which rule is essential for safe use of patient-controlled analgesia (PCA)?
- AOnly the patient should press the button
- BRelatives should press it while the patient sleeps
- CThe nurse should press it every hour
- DThe button should be pressed before each meal
6.Medium
A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?
- ACategory 3
- BCategory 1
- CCategory 2
- DCategory 4
7.Hard
A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?
- ATo remove potassium from the body; urine output must be stopped for a time
- BTo treat hidden diabetes; HbA1c must be checked daily
- CTo protect the heart muscle directly; the patient must be kept nil by mouth
- DTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
8.Hard
A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?
- ARecovery from the colitis
- BCoeliac disease
- CConstipation from dehydration
- DToxic megacolon
Answer key
- 1. D · Ringing or buzzing in the ears
- 2. B · Under the tongue
- 3. C · A bluish colour of the skin or lips from poorly oxygenated blood
- 4. C · Respiratory acidosis
- 5. A · Only the patient should press the button
- 6. D · Category 4
- 7. D · To shift potassium into cells; blood glucose must be monitored for hypoglycaemia
- 8. D · Toxic megacolon
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