1.Easy
What is the approximate tidal volume of a resting adult?
- AAbout 5 litres
- BAbout 1.5 litres
- CAbout 500 mL
- DAbout 50 mL
2.Easy
What is a thoracentesis?
- AMeasuring lung volumes by blowing into a tube
- BRemoving a lobe of the lung
- CRemoving fluid from the pleural space with a needle
- DInserting a flexible camera into the airways to look inside
3.Easy
What does "hypovolaemia" mean?
- AA low level of sodium in the blood
- BA reduced volume of blood in the circulation
- CA high level of fluid in the tissues
- DA low level of haemoglobin with a normal blood volume
4.Medium
Which energy-conservation advice is most useful for a patient with severe COPD?
- ASit down for tasks such as washing and dressing, and pace activities
- BDo all the household tasks quickly in the morning to get them done
- CAvoid any activity at all, staying in a chair to save their energy
- DHold the breath while lifting heavy objects
5.Medium
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- AExactly the same diameter as the tube, for a tight fit
- BLarger than the tube, so that it clears it completely
- CAny size, as the diameter does not matter
- DNo more than half the internal diameter of the tube
6.Medium
What does a raised D-dimer result mean?
- AThe anticoagulant dose is too low and must rise
- BFibrin breakdown is present, but it does not prove a clot
- CA pulmonary embolism or DVT has been confirmed
- DA deep vein thrombosis has been safely excluded
7.Hard
Which method best confirms that an endotracheal tube is in the trachea?
- AA sustained waveform on capnography
- BMisting inside the tube
- CThe patient's skin colour improving
- DThe chest rising on one side only
8.Hard
A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?
- ACranial diabetes insipidus from brain metastases
- BSevere dehydration from poor oral intake
- CSyndrome of inappropriate ADH secretion
- DExcess salt in the diet over several weeks
Answer key
- 1. C · About 500 mL
- 2. C · Removing fluid from the pleural space with a needle
- 3. B · A reduced volume of blood in the circulation
- 4. A · Sit down for tasks such as washing and dressing, and pace activities
- 5. D · No more than half the internal diameter of the tube
- 6. B · Fibrin breakdown is present, but it does not prove a clot
- 7. A · A sustained waveform on capnography
- 8. C · Syndrome of inappropriate ADH secretion
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