1.Easy
Where are AED pads usually placed on an adult?
- AOn each upper arm
- BBoth pads on the abdomen, just below the ribs on either side
- CBelow the right collarbone and on the left side below the armpit
- DBoth pads on the back, side by side between the shoulder blades
2.Easy
What is Kussmaul breathing?
- ABreathing that alternates between deep breaths and pauses
- BVery slow, shallow breathing from opioids
- CDeep, rapid breathing in response to metabolic acidosis
- DNoisy breathing caused by a blocked upper airway
3.Easy
What does "pleuritic" chest pain mean?
- ASharp pain that worsens on breathing in or coughing
- BAching that is worse when the arm is moved
- CDull pressure that spreads to the jaw on exertion
- DBurning pain behind the breastbone after meals
4.Medium
What is the main difference between CPAP and bilevel NIV (often called BiPAP)?
- ACPAP is given only through a tracheostomy
- BBilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- CCPAP is mainly used to lower a raised PaCO₂ in COPD exacerbations
- DBilevel NIV gives oxygen only, without any positive airway pressure
5.Medium
A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?
- APrimary hyperaldosteronism
- BIron-deficiency anaemia
- CEssential hypertension of ageing
- DHypothyroidism
6.Medium
After varicose vein surgery, which advice is usually given?
- AAvoid all walking until the bruising has gone
- BWear the compression stockings as advised and walk regularly
- CStand still for long periods to help the veins heal
- DStay in bed for two weeks with the legs hanging down
7.Hard
A patient taking ramipril and indapamide for hypertension starts regular ibuprofen for back pain. A week later, creatinine has risen sharply. What is the most likely cause?
- AAn allergic reaction to the diuretic causing inflammation of the kidney
- BBack pain causing kidney damage
- CAn ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
- DIbuprofen raising the blood pressure to levels that damage the kidneys
8.Hard
An 82-year-old with community-acquired pneumonia is newly confused, with RR 32/min, BP 88/52 mmHg and urea 9 mmol/L. What does this indicate?
- AA CURB-65 score of 1: suitable for oral antibiotics at home
- BA CURB-65 score of 3: routine admission to a general ward only
- CA normal response to infection in an older adult
- DA CURB-65 score of 5: high risk needing urgent senior review
Answer key
- 1. C · Below the right collarbone and on the left side below the armpit
- 2. C · Deep, rapid breathing in response to metabolic acidosis
- 3. A · Sharp pain that worsens on breathing in or coughing
- 4. B · Bilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- 5. A · Primary hyperaldosteronism
- 6. B · Wear the compression stockings as advised and walk regularly
- 7. C · An ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
- 8. D · A CURB-65 score of 5: high risk needing urgent senior review
Full step-by-step solutions: practise this topic on examproblems.com.