1.Easy
Which test is used to screen for an abdominal aortic aneurysm?
- AA resting 12-lead ECG
- BA plain chest X-ray
- CAn abdominal ultrasound scan
- DA peak expiratory flow test
2.Easy
What is a pneumothorax?
- AFluid in the alveoli caused by heart failure
- BPus collecting in the pleural space
- CInflammation of the lung tissue caused by infection
- DAir in the pleural space causing the lung to collapse
3.Easy
What is bronchiectasis?
- APermanent widening of the bronchi with chronic sputum
- BA brief spasm of the airways that fully reverses with treatment
- CDestruction of the alveolar walls with air trapping
- DA tumour of the main bronchus
4.Medium
A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?
- AAvoid BP cuffs and injections on the left arm where possible
- BUse only the left arm for heavy lifting to build up its muscles
- CApply tight jewellery to the left wrist
- DKeep the left arm hanging down and as still as possible all day
5.Medium
A chest drain water-seal chamber bubbles continuously, even when the patient is not coughing. What does this suggest?
- AThe lung has fully re-expanded and the drain is ready to remove
- BAn air leak from the lung or from the drainage system
- CThe suction source has been switched off
- DThe drain is blocked by a clot in the tubing
6.Medium
Analysis of a pleural effusion shows it is an exudate (high protein and LDH compared with blood). Which cause is most likely?
- AHeart failure with raised venous pressure
- BNephrotic syndrome with protein lost in urine
- CLiver cirrhosis with a low albumin
- DPneumonia or cancer affecting the pleura
7.Hard
A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?
- AReport it so occupational health can arrange follow-up screening
- BStay off work for six months in case symptoms develop
- CStart a full six-month course of TB drugs at once without any tests
- DTake no action, as healthcare workers are immune to TB
8.Hard
A nurse teaches a patient how to measure blood pressure at home. Which statement shows a need for further teaching?
- A"I will rest quietly for five minutes before measuring."
- B"I will take two readings and write them both down."
- C"I will sit with my back supported and my arm at heart level."
- D"I will measure it straight after my morning jog."
Answer key
- 1. C · An abdominal ultrasound scan
- 2. D · Air in the pleural space causing the lung to collapse
- 3. A · Permanent widening of the bronchi with chronic sputum
- 4. A · Avoid BP cuffs and injections on the left arm where possible
- 5. B · An air leak from the lung or from the drainage system
- 6. D · Pneumonia or cancer affecting the pleura
- 7. A · Report it so occupational health can arrange follow-up screening
- 8. D · "I will measure it straight after my morning jog."
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