1.Easy
Which test is classically used to diagnose cystic fibrosis?
- ATuberculin skin test
- BPeak flow test
- CD-dimer test
- DSweat chloride test
2.Easy
After a myocardial infarction, for roughly how long can the troponin level stay raised?
- AOnly for the first 2 hours
- BFor about 6 months
- CUp to about 10–14 days
- DOnly until the chest pain stops
3.Easy
What does "hypovolaemia" mean?
- AA reduced volume of blood in the circulation
- BA low level of haemoglobin with a normal blood volume
- CA low level of sodium in the blood
- DA high level of fluid in the tissues
4.Medium
Why are patients with mitral stenosis at high risk of atrial fibrillation?
- AThe right ventricle shrinks and stops contracting properly over time
- BThe narrow valve presses on the sinus node and slows it down directly
- CThe coronary arteries become blocked by the valve
- DThe left atrium enlarges as it pushes blood through the narrow valve
5.Medium
How should subcutaneous enoxaparin from a prefilled syringe be given?
- AInto the abdomen, leaving the air bubble in, without rubbing
- BInto the same abdominal site each day, then massaged
- CInto the deltoid muscle, after first expelling the air bubble
- DAs a rapid intravenous bolus through a cannula
6.Medium
A patient is starting warfarin for a DVT. Why is heparin or LMWH also given for the first several days?
- AWarfarin takes several days to reach its full effect
- BHeparin protects against bleeding from warfarin
- CBoth drugs must always be continued together for life
- DHeparin improves the absorption of warfarin
7.Hard
A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?
- AContinue the infusion, as this is expected
- BMassage the area firmly to spread the drug out into the surrounding tissue
- CIncrease the rate so the drug enters the vein faster and leaks less
- DStop it at that site, inform the team and follow the extravasation policy
8.Hard
After a faulty gas heater was found at home, a patient has headache, nausea and confusion. SpO₂ is 99% on air. What is the priority treatment?
- AOxygen at 1 L/min via nasal cannula
- BReassurance, because the oxygen saturation is normal
- CParacetamol (acetaminophen) and observation only
- DHigh-concentration oxygen via a non-rebreather mask
Answer key
- 1. D · Sweat chloride test
- 2. C · Up to about 10–14 days
- 3. A · A reduced volume of blood in the circulation
- 4. D · The left atrium enlarges as it pushes blood through the narrow valve
- 5. A · Into the abdomen, leaving the air bubble in, without rubbing
- 6. A · Warfarin takes several days to reach its full effect
- 7. D · Stop it at that site, inform the team and follow the extravasation policy
- 8. D · High-concentration oxygen via a non-rebreather mask
Full step-by-step solutions: practise this topic on examproblems.com.