1.Easy
What is the usual normal platelet count in adults?
- A150–400 × 109/L (150,000–400,000/mm3)
- B4–11 × 109/L (4,000–11,000/mm3)
- C1,000–2,000 × 109/L (1–2 million/mm3)
- D1–2 × 109/L (1,000–2,000/mm3)
2.Easy
What does SBAR stand for in clinical handover?
- ASafety, Breathing, Alertness, Risk
- BSymptoms, Blood pressure, Airway, Respiratory rate
- CSituation, Background, Assessment, Recommendation
- DSummary, Bedside, Action, Review
3.Easy
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe lower back on the left, when walking
- BThe left lower abdomen, usually after drinking water
- CBehind the left knee
- DThe right upper abdomen, often after a fatty meal
4.Medium
When giving insulin, which statement is correct?
- AAlways inject into the same spot for consistent absorption
- BRapid-acting insulin is given only at bedtime
- CInsulin should be shaken hard before use
- DRotate injection sites to avoid lipohypertrophy
5.Medium
Which measure helps reduce the risk of surgical site infection?
- AChanging the wound dressing every hour
- BRemoving hair, if needed, with clippers rather than a razor
- CShaving the area with a razor the night before surgery
- DLeaving the patient cool during surgery to slow bacterial growth
6.Medium
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs an allergy to all painkillers
- BIt should not be recorded at all
- CAs a side effect or intolerance, not a true allergy
- DAs a severe anaphylactic allergy to all opioids
7.Hard
A patient with a head injury shows rising blood pressure, a falling heart rate and irregular breathing. This suggests:
- AHypovolaemic shock from hidden internal bleeding
- BRaised intracranial pressure (Cushing's triad)
- CSepsis
- DA panic attack
8.Hard
A patient with a central venous catheter needs the line removed. Which position reduces the risk of air embolism during removal of a neck or chest line?
- ALying flat or slightly head-down, holding the breath or breathing out
- BLying on the right side with the legs raised
- CStanding up and walking
- DSitting fully upright and taking a deep breath in as the line comes out
Answer key
- 1. A · 150–400 × 109/L (150,000–400,000/mm3)
- 2. C · Situation, Background, Assessment, Recommendation
- 3. D · The right upper abdomen, often after a fatty meal
- 4. D · Rotate injection sites to avoid lipohypertrophy
- 5. B · Removing hair, if needed, with clippers rather than a razor
- 6. C · As a side effect or intolerance, not a true allergy
- 7. B · Raised intracranial pressure (Cushing's triad)
- 8. A · Lying flat or slightly head-down, holding the breath or breathing out
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