1.Easy
The term "haematuria" means:
- ABlood in the vomit
- BBlood in the stool
- CBlood in the sputum
- DBlood in the urine
2.Easy
What is the lowest possible score on the Glasgow Coma Scale?
- A5
- B0
- C1
- D3
3.Easy
The MUST tool is used to screen adults for:
- ARisk of falls
- BMalnutrition
- CPressure ulcer risk
- DDepression
4.Medium
A postoperative patient has a heart rate of 125/min, blood pressure 88/50 mmHg and a blood-soaked dressing. What is happening?
- AHypovolaemic shock from bleeding
- BSeptic shock from a urinary infection
- CNormal pain response
- DAnxiety only
5.Medium
Why is blood pressure monitored closely in a patient with an epidural infusion?
- ABlood pressure readings show whether the catheter is infected
- BThe epidural pump uses the blood pressure to set the rate
- CEpidurals always cause severe hypertension that needs regular treatment
- DThe local anaesthetic can block sympathetic nerves and cause hypotension
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
Which feature suggests moisture-associated skin damage rather than a pressure ulcer?
- AA deep wound over the sacrum with exposed bone and a dark base
- BA round area of necrosis over the heel
- CDiffuse, superficial redness in a skin fold, not over a bony prominence
- DNon-blanching redness directly over the hip bone after lying on one side
8.Hard
Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?
- AOxygen replaces the need for an ECG
- BHigh-flow oxygen should always be given, whatever the SpO2
- COxygen is given if the SpO2 is below the target range
- DOxygen must never be given in chest pain
Answer key
- 1. D · Blood in the urine
- 2. D · 3
- 3. B · Malnutrition
- 4. A · Hypovolaemic shock from bleeding
- 5. D · The local anaesthetic can block sympathetic nerves and cause hypotension
- 6. A · Tell staff about the pacemaker before any MRI scan or procedure
- 7. C · Diffuse, superficial redness in a skin fold, not over a bony prominence
- 8. C · Oxygen is given if the SpO2 is below the target range
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