1.Easy
The term "dyspnoea" means:
- AChest pain on breathing
- BNoisy breathing during sleep
- CA cough with sputum
- DBreathlessness
2.Easy
What is the normal pH range of arterial blood?
- A7.35–7.45
- B6.85–6.95
- C7.00–7.10
- D7.55–7.65
3.Easy
Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?
- ASinus bradycardia
- BVentricular fibrillation
- CFirst-degree heart block
- DAsystole
4.Medium
A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?
- AWith the head of the bed raised to at least 30 degrees
- BIn any position, as long as the feed runs slowly
- CLying completely flat
- DLying on the left side with the head down to help the feed drain
5.Medium
A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?
- AMetabolic alkalosis
- BRespiratory acidosis
- CMetabolic acidosis
- DRespiratory alkalosis
6.Medium
A patient with type 2 diabetes is acutely unwell, very dehydrated and has a blood glucose of 40 mmol/L without significant ketones. What is the most likely diagnosis?
- ADiabetic ketoacidosis with dehydration
- BHyperosmolar hyperglycaemic state
- CHypoglycaemia
- DDiabetes insipidus
7.Hard
A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?
- ASIADH, often managed first with fluid restriction
- BDiabetes insipidus, managed with extra fluids
- CCushing's syndrome, managed with potassium
- DDehydration, managed with an IV fluid bolus
8.Hard
A patient has a painful, punched-out ulcer on the toes, with a cold, pale foot and weak foot pulses. Which type of ulcer is most likely?
- AA burn
- BA pressure ulcer from bed rest
- CA venous ulcer
- DAn arterial ulcer
Answer key
- 1. D · Breathlessness
- 2. A · 7.35–7.45
- 3. B · Ventricular fibrillation
- 4. A · With the head of the bed raised to at least 30 degrees
- 5. C · Metabolic acidosis
- 6. B · Hyperosmolar hyperglycaemic state
- 7. A · SIADH, often managed first with fluid restriction
- 8. D · An arterial ulcer
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