1.Easy
What is an aneurysm?
- AAn abnormal bulging of a weakened artery wall
- BA complete blockage of an artery by plaque
- CA blood clot in a deep vein
- DA tear in the inner lining of a vein
2.Easy
Which three symptoms are classic in severe aortic stenosis?
- AWheeze, cough and clear sputum
- BFever, painful swollen joints and a spreading skin rash
- CCalf pain, leg swelling and redness of one leg
- DExertional chest pain, fainting and breathlessness
3.Easy
What does a "reliever" inhaler do in asthma?
- AIt thins the mucus over several days
- BIt reduces the airway inflammation steadily over several weeks
- CIt kills bacteria in the airways
- DIt relaxes the airway muscles quickly to ease symptoms
4.Medium
After an above-knee amputation, which measure helps prevent a hip flexion contracture?
- AKeeping a pillow under the stump at all times, day and night
- BLying prone for periods and avoiding pillows under the stump
- CKeeping the hip bent to reduce stump swelling
- DSitting in a chair for most of the day with the hips bent
5.Medium
During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?
- AMyocardial ischaemia
- BHyperkalaemia
- CPericarditis
- DA normal finding during pain
6.Medium
Which ECG change is classically linked with hyperkalaemia?
- ADelta waves before the QRS
- BTall, peaked T waves
- CProminent U waves
- DA sawtooth baseline
7.Hard
A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?
- AAn intravenous beta-blocker
- BAn intravenous thrombolytic
- CAn intravenous fluid bolus
- DOral aspirin
8.Hard
Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?
- AInfection at the puncture site
- BRe-accumulation of the effusion
- CPneumothorax
- DPulmonary embolism from the leg
Answer key
- 1. A · An abnormal bulging of a weakened artery wall
- 2. D · Exertional chest pain, fainting and breathlessness
- 3. D · It relaxes the airway muscles quickly to ease symptoms
- 4. B · Lying prone for periods and avoiding pillows under the stump
- 5. A · Myocardial ischaemia
- 6. B · Tall, peaked T waves
- 7. A · An intravenous beta-blocker
- 8. C · Pneumothorax
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