1.Easy
Which of these drugs is an antiplatelet agent?
- AFurosemide
- BClopidogrel
- CWarfarin
- DAtorvastatin
2.Easy
Which item is part of the "Sepsis Six" bundle?
- AArranging discharge
- BTaking blood cultures
- CGiving a laxative
- DStarting physiotherapy
3.Easy
An ileostomy is an opening onto the abdominal wall from the:
- AIleum (small intestine)
- BColon (large intestine)
- CStomach
- DBladder
4.Medium
A patient with heart failure has pink, frothy sputum and crackles throughout both lungs. What is happening?
- AAcute pulmonary oedema
- BUpper gastrointestinal bleeding
- CAsthma attack
- DPneumothorax
5.Medium
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with a glass of milk at bedtime and then lie down straight away
- BChew the tablet with breakfast and a cup of milky tea
- CTake it with an antacid to protect the stomach
- DTake it with plain water on an empty stomach and stay upright for 30 minutes
6.Medium
A patient after a road accident has severe breathlessness, absent breath sounds on one side, low blood pressure and the trachea shifted to the other side. What is the likely diagnosis?
- APneumonia
- BTension pneumothorax
- CAsthma
- DPulmonary oedema
7.Hard
A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
- AIgnore the result because the patient looks well and the ECG is normal
- BGive IV insulin and glucose straight away
- CRepeat the blood test promptly, as haemolysis can falsely raise potassium
- DStart a potassium supplement
8.Hard
A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?
- APlatelet count for both drugs
- BINR for heparin and APTT for warfarin
- CAPTT for heparin and INR for warfarin
- DD-dimer for both drugs
Answer key
- 1. B · Clopidogrel
- 2. B · Taking blood cultures
- 3. A · Ileum (small intestine)
- 4. A · Acute pulmonary oedema
- 5. D · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 6. B · Tension pneumothorax
- 7. C · Repeat the blood test promptly, as haemolysis can falsely raise potassium
- 8. C · APTT for heparin and INR for warfarin
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