1.Easy
In the chain of infection, hand hygiene mainly breaks which link?
- AThe susceptibility of the host
- BThe mode of transmission
- CThe reservoir of infection
- DThe infectious agent's ability to grow
2.Easy
What does SBAR stand for in clinical handover?
- ASummary, Bedside, Action, Review
- BSituation, Background, Assessment, Recommendation
- CSafety, Breathing, Alertness, Risk
- DSymptoms, Blood pressure, Airway, Respiratory rate
3.Easy
C-reactive protein (CRP) is a blood marker of:
- AInflammation
- BKidney function
- CThyroid function
- DBlood clotting time
4.Medium
A patient with chronic kidney disease should usually limit which of these in their diet?
- AVitamin C and fibre
- BCarbohydrates completely
- CPotassium and phosphate
- DWater-soluble vitamins only
5.Medium
A rising serum creatinine most often indicates:
- AIncreased muscle strength
- BReduced kidney function
- CImproved liver function
- DDehydration of the skin only
6.Medium
Which advice should be given to a patient with a new permanent pacemaker?
- ANever raise the arm on that side again
- BTell staff about the pacemaker before any MRI scan or procedure
- CStop all heart medicines straight away
- DAvoid using all household electrical appliances such as kettles
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?
- AUrinary tract infection
- BConstipation
- CNormal postoperative swelling with no concern
- DInternal bleeding
8.Hard
A patient with a head injury shows rising blood pressure, a falling heart rate and irregular breathing. This suggests:
- ASepsis
- BHypovolaemic shock from hidden internal bleeding
- CRaised intracranial pressure (Cushing's triad)
- DA panic attack
Answer key
- 1. B · The mode of transmission
- 2. B · Situation, Background, Assessment, Recommendation
- 3. A · Inflammation
- 4. C · Potassium and phosphate
- 5. B · Reduced kidney function
- 6. B · Tell staff about the pacemaker before any MRI scan or procedure
- 7. D · Internal bleeding
- 8. C · Raised intracranial pressure (Cushing's triad)
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