1.Easy
Osteoporosis mainly increases the risk of:
- AMuscle cramps at night
- BJoint infections
- CFractures from minor falls
- DHigh blood calcium
2.Easy
A patient with suspected pulmonary tuberculosis should be cared for using:
- AStandard precautions only on an open ward
- BAirborne precautions in a single room
- CContact precautions only
- DNo special precautions
3.Easy
The term "tinnitus" means:
- ARinging or buzzing in the ears
- BLoss of balance and dizziness
- CBlurred vision
- DA blocked nose
4.Medium
Why are older adults at higher risk of dehydration?
- AThey always drink large amounts of tea
- BTheir sense of thirst is often reduced
- CTheir kidneys hold on to too much water
- DTheir body water content increases with age
5.Medium
Under the Mental Capacity Act 2005 (England and Wales), which principle applies?
- AEveryone over 75 is assumed to lack capacity
- BCapacity is decided by the next of kin, who must sign a form for every decision
- CA person must be assumed to have capacity unless it is shown that they lack it
- DA diagnosis of dementia means the person lacks capacity for all decisions
6.Medium
A patient with type 1 diabetes has blood glucose of 25 mmol/L, deep rapid breathing and ketones in the urine. What is the likely diagnosis?
- AHypoglycaemia
- BDiabetic ketoacidosis
- CNormal glucose fluctuation
- DHyperosmolar hyperglycaemic state without ketones
7.Hard
After a high spinal cord injury, a patient has low blood pressure with a slow heart rate and warm, dry skin. What is most likely?
- ANeurogenic shock
- BSeptic shock
- CHypovolaemic shock
- DCardiac tamponade
8.Hard
A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?
- AConstipation
- BA perforated peptic ulcer
- CIrritable bowel syndrome
- DIndigestion that will settle with antacids
Answer key
- 1. C · Fractures from minor falls
- 2. B · Airborne precautions in a single room
- 3. A · Ringing or buzzing in the ears
- 4. B · Their sense of thirst is often reduced
- 5. C · A person must be assumed to have capacity unless it is shown that they lack it
- 6. B · Diabetic ketoacidosis
- 7. A · Neurogenic shock
- 8. B · A perforated peptic ulcer
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