1.Easy
Which haemoglobin result in an adult man would be classed as anaemia?
- A140 g/L (14.0 g/dL)
- B95 g/L (9.5 g/dL)
- C165 g/L (16.5 g/dL)
- D155 g/L (15.5 g/dL)
2.Easy
Hypothermia in an adult is usually defined as a core body temperature below:
- A37 °C
- B36.5 °C
- C35 °C
- D38 °C
3.Easy
Glaucoma is an eye condition in which:
- ARaised pressure in the eye damages the optic nerve
- BThe eyelids turn inwards and the lashes rub the eye
- CThe tear glands stop working
- DThe lens becomes cloudy and vision is blurred
4.Medium
Compared with a colostomy, a patient with an ileostomy is at greater risk of:
- AUrinary retention
- BHard stools, straining and constipation from slow transit
- CDehydration and electrolyte loss from liquid output
- DLow blood glucose after meals
5.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
- CDark skin, low blood pressure, salt craving and a low blood sodium level
- DCoarse facial features and very large hands and feet
6.Medium
A patient's seizure has lasted more than five minutes. What does this mean?
- AIt should be treated as status epilepticus and emergency medication given
- BRestrain the limbs to stop the movements
- CIt is normal and needs no treatment
- DPlace something in the mouth to prevent tongue biting
7.Hard
A patient after major surgery has a falling blood pressure, rising heart rate and a swollen, tense abdomen, though the wound dressing is dry. What should you suspect?
- AConstipation
- BNormal postoperative swelling with no concern
- CUrinary tract infection
- DInternal bleeding
8.Hard
A patient on an opioid PCA pump has a respiratory rate of 7/min and is difficult to rouse. What should be done first?
- ARecord the observations and recheck them at the next four-hourly round
- BEncourage the patient to press the PCA button more often for comfort
- CIncrease the PCA bolus dose because the patient may be in pain
- DStop the PCA, rouse the patient, give oxygen and get naloxone given
Answer key
- 1. B · 95 g/L (9.5 g/dL)
- 2. C · 35 °C
- 3. A · Raised pressure in the eye damages the optic nerve
- 4. C · Dehydration and electrolyte loss from liquid output
- 5. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 6. A · It should be treated as status epilepticus and emergency medication given
- 7. D · Internal bleeding
- 8. D · Stop the PCA, rouse the patient, give oxygen and get naloxone given
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