1.Easy
What is the main cause of COPD in high-income countries?
- AChildhood asthma
- BEating too much salt
- CA viral infection
- DCigarette smoking
2.Easy
Legionnaires' disease is usually acquired from which source?
- AContact with cats' litter trays while cleaning them at home
- BEating undercooked chicken or eggs bought from a market stall
- CMosquito bites when travelling in warm, humid countries
- DContaminated water systems such as cooling towers and showers
3.Easy
What does an SpO₂ reading measure?
- AThe oxygen level in the brain
- BThe percentage of haemoglobin carrying oxygen
- CThe amount of carbon dioxide dissolved in the blood
- DThe total haemoglobin level
4.Medium
A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?
- AThe reading will be falsely high
- BThe reading will be accurate but slower
- COnly the pulse rate will be affected
- DThe reading will be falsely low
5.Medium
What is the main problem in heart failure with preserved ejection fraction?
- AA leaking aortic valve
- BA stiff ventricle that fills poorly in diastole
- CA dilated ventricle that cannot contract strongly
- DA blocked pulmonary artery
6.Medium
Which finding shows that long-standing hypertension has caused target organ damage?
- AA normal fasting glucose
- BClear lung fields on the chest X-ray
- CLeft ventricular hypertrophy on the ECG
- DA heart rate of 72/min
7.Hard
After positive end-expiratory pressure (PEEP) is increased on a ventilated patient, the blood pressure falls. What is the most likely reason?
- APEEP directly weakens the heart muscle and its contraction
- BPEEP causes immediate blood loss from the alveolar capillaries
- CPEEP lowers the blood oxygen level
- DHigher chest pressure reduces venous return to the heart
8.Hard
A patient with severe chronic kidney disease needs therapeutic anticoagulation for a DVT. Why might unfractionated heparin be chosen instead of a low-molecular-weight heparin?
- ALMWH is cleared by the kidneys and can accumulate
- BUnfractionated heparin is taken by mouth
- CUnfractionated heparin has no bleeding risk at all
- DLMWH cannot be given to anyone over 60
Answer key
- 1. D · Cigarette smoking
- 2. D · Contaminated water systems such as cooling towers and showers
- 3. B · The percentage of haemoglobin carrying oxygen
- 4. A · The reading will be falsely high
- 5. B · A stiff ventricle that fills poorly in diastole
- 6. C · Left ventricular hypertrophy on the ECG
- 7. D · Higher chest pressure reduces venous return to the heart
- 8. A · LMWH is cleared by the kidneys and can accumulate
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