1.Easy
When removing personal protective equipment after patient care, which item is usually removed first?
- AGloves
- BHair cover
- CEye protection
- DFace mask
2.Easy
Which of these is a modifiable risk factor for coronary heart disease?
- AAge
- BSmoking
- CMale sex
- DFamily history
3.Easy
Which assessment should be done regularly after a limb is put in a plaster cast?
- ANeurovascular observations of the limb below the cast
- BVisual acuity test
- CPeak flow measurement
- DHearing test
4.Medium
A patient has a fentanyl patch for chronic pain. Which advice is correct?
- AApply the patch to broken skin for faster effect
- BCut the patch in half if the pain improves, to lower the dose
- CAvoid heat sources such as hot water bottles over the patch
- DKeep using the old patch with the new one
5.Medium
What happens in third-degree (complete) heart block?
- AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- BThe ventricles beat very fast and regularly
- CNo impulses from the atria reach the ventricles, so they beat independently
- DEvery impulse reaches the ventricles, but each one is slightly delayed
6.Medium
Long-term amiodarone treatment can affect which of the following?
- AThyroid function, the lungs and the skin's sensitivity to sunlight
- BHair colour and nail growth only, with no effect on organs
- CBlood glucose and cholesterol only
- DThe sense of smell and taste only, with no other effects
7.Hard
An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO2 is now 100% and stable. What should be done?
- AKeep the oxygen at 15 L/min for at least a week to be on the safe side
- BIncrease the oxygen further to build up a reserve
- CStop the oxygen and the saturation monitoring because the patient is now well
- DReduce the oxygen to keep the SpO2 within the prescribed target range
8.Hard
A patient on a heparin infusion develops a sudden fall in platelet count five days after starting it. What should you suspect?
- AHeparin-induced thrombocytopenia
- BNormal response to heparin
- CVitamin K deficiency from poor intake
- DIron deficiency anaemia
Answer key
- 1. A · Gloves
- 2. B · Smoking
- 3. A · Neurovascular observations of the limb below the cast
- 4. C · Avoid heat sources such as hot water bottles over the patch
- 5. C · No impulses from the atria reach the ventricles, so they beat independently
- 6. A · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 7. D · Reduce the oxygen to keep the SpO2 within the prescribed target range
- 8. A · Heparin-induced thrombocytopenia
Full step-by-step solutions: practise this topic on examproblems.com.