1.Easy
Which of these is one of the WHO "5 Moments for Hand Hygiene"?
- AOnly after removing gloves at the end of a shift
- BBefore touching a patient
- COnly when the hands look visibly dirty
- DBefore entering the hospital building
2.Easy
The term "polypharmacy" usually means:
- AGiving one medicine by several routes
- BA patient taking many medicines at the same time
- CA pharmacy that sells many different brands
- DA single medicine that contains many active ingredients
3.Easy
The term "pyrexia" means:
- AA low body temperature
- BA raised body temperature
- CA fast breathing rate
- DA slow heart rate
4.Medium
Why are patients asked to fast before a general anaesthetic?
- ATo reduce the risk of aspirating stomach contents
- BTo lower the blood glucose before surgery
- CTo prevent postoperative constipation and abdominal bloating
- DTo make the surgery shorter
5.Medium
Which of these is a non-drug measure that can help relieve pain?
- AKeeping the patient awake all night
- BRestricting visitors completely
- CRepositioning and distraction
- DTelling the patient that the pain is not real
6.Medium
Which features suggest Cushing's syndrome?
- AWeight loss, heat intolerance, tremor and protruding eyes
- BWeight gain around the trunk, a rounded face and thin, easily bruised skin
- CCoarse facial features and very large hands and feet
- DDark skin, low blood pressure, salt craving and a low blood sodium level
7.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
- BVitamin K deficiency from poor intake
- CIron deficiency anaemia
- DNormal response to heparin
8.Hard
A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?
- AThe forehead can still be wrinkled on the affected side
- BThe patient has had a recent cold
- CThe whole of one side of the face, including the forehead, is weak
- DThe patient has pain behind the ear
Answer key
- 1. B · Before touching a patient
- 2. B · A patient taking many medicines at the same time
- 3. B · A raised body temperature
- 4. A · To reduce the risk of aspirating stomach contents
- 5. C · Repositioning and distraction
- 6. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 7. A · Heparin-induced thrombocytopenia
- 8. A · The forehead can still be wrinkled on the affected side
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