1.Easy
What is oral mucositis, a common side effect of chemotherapy?
- APainful inflammation and ulceration of the lining of the mouth
- BSwelling of the salivary glands from dehydration
- CA loss of taste only
- DA fungal infection of the toenails that spreads to the mouth
2.Easy
What does a peak flow meter measure?
- AThe total amount of air the lungs can hold
- BThe number of breaths per minute
- CThe fastest rate at which a person can blow air out
- DThe oxygen level in the blood during a deep breath
3.Easy
What does "dysphagia" mean?
- ADifficulty breathing
- BDifficulty swallowing
- CPain when passing urine
- DDifficulty speaking
4.Medium
Which observation is most important after giving a patient a first dose of a new antibiotic intravenously?
- AHow much they walk that day
- BWhether their hair loss increases
- CSigns of an allergic reaction such as rash, wheeze or swelling
- DTheir appetite at the next meal
5.Medium
The WHO analgesic ladder recommends:
- AGiving analgesia only when pain becomes severe
- BStarting all patients on strong opioids
- CMoving from non-opioids to weak and then strong opioids as pain increases
- DUsing only non-drug methods for cancer pain
6.Medium
Why is it important to prevent hypothermia during and after surgery?
- AIt increases the risk of wound infection, bleeding and cardiac complications
- BIt makes the patient wake up too quickly and become agitated in recovery
- CIt makes the patient's pain disappear
- DIt causes high blood glucose only
7.Hard
A patient with a burn of 30% body surface area is admitted. Which early complication is of greatest concern in the first 24 hours?
- APressure ulcers from prolonged immobility
- BConstipation
- CHypovolaemic shock from fluid loss
- DScarring and contractures
8.Hard
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AIts active metabolites build up because the kidneys excrete them
- BKidney disease makes the opioid receptors disappear
- CThe kidneys normally activate morphine, so more of it becomes active
- DKidney failure makes the stomach absorb more morphine
Answer key
- 1. A · Painful inflammation and ulceration of the lining of the mouth
- 2. C · The fastest rate at which a person can blow air out
- 3. B · Difficulty swallowing
- 4. C · Signs of an allergic reaction such as rash, wheeze or swelling
- 5. C · Moving from non-opioids to weak and then strong opioids as pain increases
- 6. A · It increases the risk of wound infection, bleeding and cardiac complications
- 7. C · Hypovolaemic shock from fluid loss
- 8. A · Its active metabolites build up because the kidneys excrete them
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