1.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A1
- B0
- C3
- D5
2.Easy
Which sign is typical of right-sided heart failure?
- ASwollen ankles and a raised jugular venous pressure
- BA high fever with rigors
- CCrackles in both lungs and pink frothy sputum
- DPinpoint pupils, drowsiness and a slow breathing rate
3.Easy
A medicine given "transdermally" is given:
- AInto a muscle
- BUnder the tongue, where it dissolves
- CInto the rectum
- DThrough the skin, usually from a patch
4.Medium
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- AVenturi mask set to 24%
- BNasal cannula at 2 L/min
- CNon-rebreathe mask with reservoir bag at 15 L/min
- DSimple face mask at 5 L/min with the patient sitting up
5.Medium
A rising serum creatinine most often indicates:
- AReduced kidney function
- BImproved liver function
- CIncreased muscle strength
- DDehydration of the skin only
6.Medium
A patient with chronic kidney disease should usually limit which of these in their diet?
- APotassium and phosphate
- BCarbohydrates completely
- CWater-soluble vitamins only
- DVitamin C and fibre
7.Hard
A patient with COPD on high-flow oxygen becomes drowsy with a bounding pulse and flushed skin. Blood gas shows a raised PaCO2 and low pH. What is the most likely cause?
- AMetabolic alkalosis from vomiting
- BHypercapnic respiratory failure, partly due to excessive oxygen
- CHypoglycaemia
- DOpioid allergy
8.Hard
Which type of drug is commonly used to treat neuropathic pain?
- ASome anticonvulsants or antidepressants, such as gabapentin
- BProton pump inhibitors such as omeprazole
- CAntihistamines such as cetirizine
- DAntibiotics such as amoxicillin, given as a long course
Answer key
- 1. C · 3
- 2. A · Swollen ankles and a raised jugular venous pressure
- 3. D · Through the skin, usually from a patch
- 4. C · Non-rebreathe mask with reservoir bag at 15 L/min
- 5. A · Reduced kidney function
- 6. A · Potassium and phosphate
- 7. B · Hypercapnic respiratory failure, partly due to excessive oxygen
- 8. A · Some anticonvulsants or antidepressants, such as gabapentin
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