1.Easy
What is Kussmaul breathing?
- ADeep, rapid breathing in response to metabolic acidosis
- BNoisy breathing caused by a blocked upper airway
- CBreathing that alternates between deep breaths and pauses
- DVery slow, shallow breathing from opioids
2.Easy
How is cystic fibrosis inherited?
- AAutosomal dominant
- BAutosomal recessive
- CX-linked recessive
- DIt is not inherited
3.Easy
What is the main cause of varicose veins?
- AA clot blocking a deep vein in the calf
- BNarrowing of the leg arteries by plaque
- CInflammation of the lymph nodes in the groin
- DFaulty valves in the superficial leg veins
4.Medium
Why are beta-blockers often started after a myocardial infarction?
- AThey dissolve the clot that is blocking the coronary artery
- BThey reduce cholesterol in the blood
- CThey lower the heart's oxygen demand and reduce arrhythmias
- DThey raise the heart rate to improve blood flow to the muscle
5.Medium
Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?
- ARapid doses cause severe constipation
- BRapid doses cause the potassium level to rise
- CSlow injection makes the urine output larger
- DRapid high doses can damage hearing
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 patient with three rib fractures is breathing shallowly and refuses to cough because of pain. What is the priority intervention?
- AStrap the chest tightly with bandages to stop the ribs moving
- BWithhold analgesia to avoid depressing breathing
- CKeep the patient flat and still in bed until the pain settles
- DEffective analgesia so they can breathe deeply and cough
8.Hard
The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?
- AFailure to sense
- BNormal pacemaker function
- CFailure to capture
- DAtrial fibrillation
Answer key
- 1. A · Deep, rapid breathing in response to metabolic acidosis
- 2. B · Autosomal recessive
- 3. D · Faulty valves in the superficial leg veins
- 4. C · They lower the heart's oxygen demand and reduce arrhythmias
- 5. D · Rapid high doses can damage hearing
- 6. C · ACE inhibitor or ARNI, beta-blocker, MRA and SGLT2 inhibitor
- 7. D · Effective analgesia so they can breathe deeply and cough
- 8. C · Failure to capture
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