1.Easy
What is a typical SpO2 in a healthy adult at rest breathing room air?
- AAbout 60–70%
- BAbout 85–88%
- CAbout 75–80%
- DAbout 95–100%
2.Easy
Stress urinary incontinence is leakage of urine:
- AWhen coughing, sneezing or lifting
- BOnly during sleep
- COnly when feeling anxious or upset
- DCaused by a blocked catheter
3.Easy
Which haemoglobin result in an adult man would be classed as anaemia?
- A140 g/L (14.0 g/dL)
- B155 g/L (15.5 g/dL)
- C165 g/L (16.5 g/dL)
- D95 g/L (9.5 g/dL)
4.Medium
What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?
- AIt never interacts with other drugs
- BIt does not need routine INR monitoring
- CIt is safe in all patients with severe kidney failure
- DIt has no risk of bleeding
5.Medium
Why are alternate sutures sometimes removed first when taking out stitches?
- ABecause the remaining sutures dissolve on their own within a day
- BTo make the procedure faster
- CTo check the wound stays closed before removing the rest
- DTo reduce the cost of dressings
6.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
7.Hard
A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?
- APrescribing only the medicines that the patient can remember taking
- BMedicines reconciliation against reliable sources, such as primary care records
- CStopping all regular medicines until the day the patient is discharged
- DDoubling the doses to make up for any missed while at home
8.Hard
Which finding most strongly suggests a pulmonary embolism in a postoperative patient?
- ASlow heart rate with high blood pressure
- BGradual onset of cough with yellow sputum and mild fever over a week
- CWheeze that improves with salbutamol
- DSudden breathlessness and pleuritic chest pain with tachycardia
Answer key
- 1. D · About 95–100%
- 2. A · When coughing, sneezing or lifting
- 3. D · 95 g/L (9.5 g/dL)
- 4. B · It does not need routine INR monitoring
- 5. C · To check the wound stays closed before removing the rest
- 6. D · Rotate injection sites to avoid lipohypertrophy
- 7. B · Medicines reconciliation against reliable sources, such as primary care records
- 8. D · Sudden breathlessness and pleuritic chest pain with tachycardia
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