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
- CBefore entering the hospital building
- DOnly when the hands look visibly dirty
2.Easy
What is the normal resting respiratory rate for an adult?
- AAbout 4–8 breaths per minute
- BAbout 12–20 breaths per minute
- CAbout 40–50 breaths per minute
- DAbout 25–35 breaths per minute
3.Easy
Coeliac disease is an immune reaction to:
- ALactose
- BGluten
- CShellfish
- DPeanuts
4.Medium
Why does a patient with a suspected TIA need urgent specialist assessment?
- AA TIA always turns into a brain tumour unless it is treated
- BThe symptoms will come back permanently within an hour
- CThe risk of a full stroke is highest in the days after a TIA
- DThe patient needs urgent surgery on the brain
5.Medium
Which signs suggest a blood transfusion reaction in the first minutes?
- AImproved colour and energy
- BFever, chills, back pain and low blood pressure
- CMild hunger
- DSlow, steady rise in haemoglobin over the next day
6.Medium
Which advice should be given to a patient with a new permanent pacemaker?
- ATell staff about the pacemaker before any MRI scan or procedure
- BStop all heart medicines straight away
- CNever raise the arm on that side again
- DAvoid using all household electrical appliances such as kettles
7.Hard
After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?
- ADiabetes insipidus
- BSyndrome of inappropriate ADH secretion
- CDiabetes mellitus
- DAcute kidney injury
8.Hard
A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?
- AA superficial bruise
- BSimple cellulitis that will settle with oral antibiotics
- CAn allergic reaction to the dressing
- DNecrotising fasciitis
Answer key
- 1. B · Before touching a patient
- 2. B · About 12–20 breaths per minute
- 3. B · Gluten
- 4. C · The risk of a full stroke is highest in the days after a TIA
- 5. B · Fever, chills, back pain and low blood pressure
- 6. A · Tell staff about the pacemaker before any MRI scan or procedure
- 7. A · Diabetes insipidus
- 8. D · Necrotising fasciitis
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