1.Easy
What is the role of surfactant in the lungs?
- AIt kills bacteria that reach the alveoli from the air
- BIt lowers surface tension so the alveoli stay open
- CIt moves mucus up towards the throat
- DIt carries oxygen across the membrane into the blood
2.Easy
What does the term "hypoxaemia" mean?
- AA fast breathing rate with normal oxygen
- BA high level of carbon dioxide in the blood
- CA low level of oxygen in the arterial blood
- DA low level of haemoglobin in the blood
3.Easy
What is the compression-to-ventilation ratio for adult CPR?
- A5 compressions to 1 breath
- B15 compressions to 2 breaths
- C50 compressions to 5 breaths
- D30 compressions to 2 breaths
4.Medium
Before compression therapy is applied for a venous leg ulcer, which assessment is essential?
- AA wound swab for culture and sensitivity
- BAn ankle–brachial pressure index (ABPI)
- CA chest X-ray and ECG
- DA full blood count and CRP
5.Medium
A patient arrives with suspected cardiac chest pain. How soon should a 12-lead ECG be recorded?
- AOnly after the troponin result is available
- BWithin about 10 minutes of arrival
- CThe following morning
- DWithin 2 hours of arrival
6.Medium
How is the jugular venous pressure usually assessed?
- APatient sitting upright with the arms raised above the head
- BPatient reclined at 45° with the head turned slightly to the left
- CPatient standing with the neck flexed forward
- DPatient lying completely flat with the head turned to the right
7.Hard
After a pneumonectomy, how is the patient usually positioned?
- AOn the back or the operated side, not fully on the remaining lung
- BHead down with the legs raised, to drain secretions from the lung
- CFlat and prone for the whole of the first day after surgery
- DFully on the non-operated side, to help drain the empty space
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
- BHelp the patient sit up and walk to the toilet to void
- CApply firm pressure just above the puncture site and call for help
- DIncrease the heparin infusion rate so that no clot forms at the site
Answer key
- 1. B · It lowers surface tension so the alveoli stay open
- 2. C · A low level of oxygen in the arterial blood
- 3. D · 30 compressions to 2 breaths
- 4. B · An ankle–brachial pressure index (ABPI)
- 5. B · Within about 10 minutes of arrival
- 6. B · Patient reclined at 45° with the head turned slightly to the left
- 7. A · On the back or the operated side, not fully on the remaining lung
- 8. C · Apply firm pressure just above the puncture site and call for help
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