1.Easy
Which precautions are needed for a patient with suspected infectious pulmonary tuberculosis?
- AProtective isolation for the patient's own sake
- BContact precautions with gloves only
- CAirborne precautions with a respirator mask
- DStandard precautions only
2.Easy
Which two conditions are included in chronic obstructive pulmonary disease (COPD)?
- AAsthma and pneumonia
- BPulmonary fibrosis and sarcoidosis
- CBronchiectasis and cystic fibrosis
- DEmphysema and chronic bronchitis
3.Easy
A patient with heart failure says they need three pillows to breathe comfortably at night. What is this symptom called?
- ATachypnoea
- BHaemoptysis
- COrthopnoea
- DBradypnoea
4.Medium
Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?
- AIt can cause bronchospasm by blocking beta-2 receptors
- BIt makes inhaled corticosteroids work too strongly
- CIt thickens airway mucus by drying the airways
- DIt raises the heart rate sharply during an acute asthma attack
5.Medium
How can a patient reduce wound pain when coughing after abdominal surgery?
- ALie flat on the back with the legs straight
- BHold a pillow firmly against the wound while coughing
- CAvoid coughing completely until all the stitches are removed
- DHold the breath for as long as possible
6.Medium
Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?
- ATo make the cough completely stop
- BTo flush the bacteria out through the urine
- CTo prevent dehydration and keep secretions thinner
- DTo lower the temperature by diluting the blood plasma
7.Hard
Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?
- AA myocardial infarction
- BAnaphylaxis
- CA vasovagal reaction
- DA tension pneumothorax
8.Hard
A patient regains a pulse after a ventricular fibrillation arrest that was probably caused by a heart attack. Which investigation is most urgent?
- ASpirometry
- BA lumbar puncture
- CAn abdominal ultrasound
- DA 12-lead ECG
Answer key
- 1. C · Airborne precautions with a respirator mask
- 2. D · Emphysema and chronic bronchitis
- 3. C · Orthopnoea
- 4. A · It can cause bronchospasm by blocking beta-2 receptors
- 5. B · Hold a pillow firmly against the wound while coughing
- 6. C · To prevent dehydration and keep secretions thinner
- 7. C · A vasovagal reaction
- 8. D · A 12-lead ECG
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