1.Easy
What is a thoracentesis?
- ARemoving fluid from the pleural space with a needle
- BInserting a flexible camera into the airways to look inside
- CRemoving a lobe of the lung
- DMeasuring lung volumes by blowing into a tube
2.Easy
What is the normal resting respiratory rate for an adult?
- A12–20 breaths per minute
- B30–40 breaths per minute
- C6–10 breaths per minute
- D24–30 breaths per minute
3.Easy
Which side effect of ethambutol should patients report straight away?
- ANumbness and tingling of the feet and hands
- BA painful, red and swollen big toe joint
- CBlurred vision or changes in colour vision
- DOrange-red colouring of the urine and tears
4.Medium
Which ECG change is classically linked with hyperkalaemia?
- AProminent U waves
- BTall, peaked T waves
- CA sawtooth baseline
- DDelta waves before the QRS
5.Medium
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- ANicotine patches are much more harmful to the heart than cigarettes
- BNicotine replacement is much safer than smoking and is recommended
- CPeople with angina must stop smoking without any help
- DNicotine replacement only works if smoking continues
6.Medium
Why is a raised serum lactate concerning in a patient with shock?
- AIt suggests tissues are short of oxygen and using anaerobic metabolism
- BIt confirms a bacterial infection is present
- CIt shows only that the patient has eaten a large meal in the past hour
- DIt means the kidneys are working harder than normal to clear fluid
7.Hard
A patient regains a pulse after a ventricular fibrillation arrest that was probably caused by a heart attack. Which investigation is most urgent?
- AAn abdominal ultrasound
- BA lumbar puncture
- CA 12-lead ECG
- DSpirometry
8.Hard
A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?
- A"I will call if I gain weight quickly or get more breathless."
- B"I will use a salt substitute instead of ordinary salt."
- C"I will avoid ibuprofen for my joint pain."
- D"I will weigh myself every morning after I go to the toilet."
Answer key
- 1. A · Removing fluid from the pleural space with a needle
- 2. A · 12–20 breaths per minute
- 3. C · Blurred vision or changes in colour vision
- 4. B · Tall, peaked T waves
- 5. B · Nicotine replacement is much safer than smoking and is recommended
- 6. A · It suggests tissues are short of oxygen and using anaerobic metabolism
- 7. C · A 12-lead ECG
- 8. B · "I will use a salt substitute instead of ordinary salt."
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