1.Easy
Which dietary change lowers blood pressure most?
- AMore coffee and fewer fizzy drinks with added sugar
- BLess salt and more fruit and vegetables
- CMore fruit juice and less water
- DMore red meat and less bread
2.Easy
Which structure is the heart's natural pacemaker?
- AThe sinoatrial (SA) node
- BThe atrioventricular (AV) node
- CThe bundle of His
- DThe Purkinje fibres
3.Easy
Which finding on abdominal examination suggests an abdominal aortic aneurysm?
- AA dull area that shifts when the patient turns
- BA pulsating mass around the umbilicus
- CLoud, high-pitched bowel sounds
- DA tender lump in the right iliac fossa
4.Medium
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- ANo more than half the internal diameter of the tube
- BAny size, as the diameter does not matter
- CLarger than the tube, so that it clears it completely
- DExactly the same diameter as the tube, for a tight fit
5.Medium
Why should a beta-blocker not be stopped suddenly in a patient with ischaemic heart disease?
- AThe drug stays stored in the tissues for several months afterwards
- BSudden stopping causes severe and prolonged hypoglycaemia
- CThe heart rate becomes permanently slow afterwards
- DRebound tachycardia and hypertension can trigger angina or MI
6.Medium
A patient's ankle–brachial pressure index (ABPI) is 0.6. What does this suggest?
- ASignificant peripheral arterial disease
- BNormal leg circulation
- CA deep vein thrombosis
- DStiff, calcified arteries that read falsely high
7.Hard
The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?
- ANormal pacemaker function
- BFailure to sense
- CAtrial fibrillation
- DFailure to capture
8.Hard
A patient's chest drain is accidentally pulled out. What is the immediate action?
- AAsk the patient to cough hard to expand the lung
- BPush the drain back into the chest and secure it with tape
- CSeal the site with a sterile occlusive dressing and get help
- DLeave the hole uncovered so trapped air can escape
Answer key
- 1. B · Less salt and more fruit and vegetables
- 2. A · The sinoatrial (SA) node
- 3. B · A pulsating mass around the umbilicus
- 4. A · No more than half the internal diameter of the tube
- 5. D · Rebound tachycardia and hypertension can trigger angina or MI
- 6. A · Significant peripheral arterial disease
- 7. D · Failure to capture
- 8. C · Seal the site with a sterile occlusive dressing and get help
Full step-by-step solutions: practise this topic on examproblems.com.