1.Easy
The term "hypoxaemia" means:
- AA high level of carbon dioxide in the blood
- BA low level of glucose in the blood
- CA low level of oxygen in the arterial blood
- DA low red blood cell count
2.Easy
Anaemia means:
- AA lower than normal haemoglobin level
- BA higher than normal white cell count
- CA low platelet count
- DA raised blood glucose level
3.Easy
Which sign suggests phlebitis at an intravenous cannula site?
- ANormal skin with no pain
- BThe skin is pale and cold far from the site
- CRedness, pain and swelling along the vein
- DThe patient is thirsty
4.Medium
Why are patients asked to fast before a general anaesthetic?
- ATo lower the blood glucose before surgery
- BTo prevent postoperative constipation and abdominal bloating
- CTo make the surgery shorter
- DTo reduce the risk of aspirating stomach contents
5.Medium
A patient's seizure has lasted more than five minutes. What does this mean?
- ARestrain the limbs to stop the movements
- BIt should be treated as status epilepticus and emergency medication given
- CPlace something in the mouth to prevent tongue biting
- DIt is normal and needs no treatment
6.Medium
Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?
- ANo mask, as long as gloves are worn
- BA cloth face covering
- CA standard fluid-repellent surgical mask with a visor
- DA fit-tested respirator mask (such as FFP3 or N95)
7.Hard
A patient who has had a kidney stone is taught about prevention. Which statement shows a need for further teaching?
- A"I will drink less water so I don't need to pass urine as often."
- B"I will aim to drink plenty of fluids spread through every day."
- C"I will try to pass pale urine."
- D"I will follow the diet advice for my stone type."
8.Hard
Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?
- ATumour lysis syndrome
- BAdrenal insufficiency
- CRefeeding syndrome
- DSyndrome of inappropriate ADH secretion
Answer key
- 1. C · A low level of oxygen in the arterial blood
- 2. A · A lower than normal haemoglobin level
- 3. C · Redness, pain and swelling along the vein
- 4. D · To reduce the risk of aspirating stomach contents
- 5. B · It should be treated as status epilepticus and emergency medication given
- 6. D · A fit-tested respirator mask (such as FFP3 or N95)
- 7. A · "I will drink less water so I don't need to pass urine as often."
- 8. A · Tumour lysis syndrome
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