1.Easy
What is atelectasis?
- AFluid in the space around the lung
- BCollapse of part of the lung so the alveoli contain no air
- CInfection of the lung tissue causing the alveoli to fill with pus
- DNarrowing of the airways caused by spasm of smooth muscle
2.Easy
In which situation can a pulse oximeter show a falsely normal reading?
- AA regular pulse of 80/min
- BBreathing room air
- CA warm hand at rest
- DCarbon monoxide poisoning
3.Easy
On spirometry, what is the forced vital capacity (FVC)?
- AThe volume of air that is left in the lungs after breathing out
- BThe volume of one normal resting breath
- CThe total volume blown out forcefully after a full breath in
- DThe volume of air blown out in the first second of the test only
4.Medium
Before compression therapy is applied for a venous leg ulcer, which assessment is essential?
- AA chest X-ray and ECG
- BA full blood count and CRP
- CA wound swab for culture and sensitivity
- DAn ankle–brachial pressure index (ABPI)
5.Medium
Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?
- ARapid doses cause severe constipation
- BSlow injection makes the urine output larger
- CRapid high doses can damage hearing
- DRapid doses cause the potassium level to rise
6.Medium
Which combination of drug classes improves survival in heart failure with reduced ejection fraction?
- AA loop diuretic alone at the highest tolerated dose
- BAn NSAID, aspirin, a statin and a thiazide diuretic
- CACE inhibitor or ARNI, beta-blocker, MRA and SGLT2 inhibitor
- DLoop diuretic, digoxin, nitrate and a calcium channel blocker
7.Hard
An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?
- ACommunity-acquired pneumonia
- BIdiopathic pulmonary fibrosis
- CAn acute asthma attack
- DSpontaneous pneumothorax
8.Hard
Four hours after PCI via the femoral artery, the groin dressing is soaked with blood and a firm swelling is growing. What is the immediate action?
- ARemove the dressing and leave the site open to the air
- BIncrease the heparin infusion rate so that no clot forms at the site
- CApply firm pressure just above the puncture site and call for help
- DHelp the patient sit up and walk to the toilet to void
Answer key
- 1. B · Collapse of part of the lung so the alveoli contain no air
- 2. D · Carbon monoxide poisoning
- 3. C · The total volume blown out forcefully after a full breath in
- 4. D · An ankle–brachial pressure index (ABPI)
- 5. C · Rapid high doses can damage hearing
- 6. C · ACE inhibitor or ARNI, beta-blocker, MRA and SGLT2 inhibitor
- 7. B · Idiopathic pulmonary fibrosis
- 8. C · Apply firm pressure just above the puncture site and call for help
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