1.Easy
Jaundice is a yellow colour of the skin and eyes caused by a raised level of:
- AGlucose
- BPotassium
- CUrea
- DBilirubin
2.Easy
A medicine given "transdermally" is given:
- AInto the rectum
- BInto a muscle
- CThrough the skin, usually from a patch
- DUnder the tongue, where it dissolves
3.Easy
Long-term uncontrolled high blood pressure increases the risk of:
- AStroke, heart attack and kidney disease
- BAnaemia and osteoporosis
- CHypothyroidism, gout and hair loss
- DAsthma, eczema and hay fever
4.Medium
Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?
- AHypoxia
- BHyperventilation
- CHypertension
- DHyperthyroidism
5.Medium
Which advice is important for a patient on long-term oral corticosteroids?
- ADouble the dose if a dose is missed
- BTake them on an empty stomach at night
- CTake them only when symptoms flare
- DDo not stop them suddenly
6.Medium
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- AA stool sample for occult blood
- BA 24-hour urine collection
- CA fasting cholesterol level
- DBlood cultures
7.Hard
A patient has had nausea and vomiting for three days and is taking furosemide. Which electrolyte problem is most likely?
- AHypernatraemia only
- BHypercalcaemia
- CHyperkalaemia
- DHypokalaemia
8.Hard
A patient with metastatic breast cancer is confused and constipated, with a corrected calcium of 3.3 mmol/L (about 13.2 mg/dL). What is usually the first treatment?
- AIV fluid rehydration, followed by a bisphosphonate
- BOral calcium supplements and vitamin D
- CA high-calcium diet
- DStrict fluid restriction to protect the kidneys
Answer key
- 1. D · Bilirubin
- 2. C · Through the skin, usually from a patch
- 3. A · Stroke, heart attack and kidney disease
- 4. A · Hypoxia
- 5. D · Do not stop them suddenly
- 6. D · Blood cultures
- 7. D · Hypokalaemia
- 8. A · IV fluid rehydration, followed by a bisphosphonate
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