1.Easy
Which drug is commonly used to slow the heart rate in atrial fibrillation?
- AAtorvastatin (a statin)
- BAmlodipine (a dihydropyridine calcium channel blocker)
- CFurosemide (a loop diuretic)
- DBisoprolol (a beta-blocker)
2.Easy
What is the normal PR interval on an adult ECG?
- A1.0–1.2 seconds
- B0.40–0.60 seconds
- C0.12–0.20 seconds
- D0.02–0.06 seconds
3.Easy
Which arrhythmia most increases the risk of ischaemic stroke?
- ASinus tachycardia during exercise
- BAtrial fibrillation
- CSinus bradycardia in an athlete
- DSinus arrhythmia
4.Medium
How should a patient with asthma record their peak flow at home?
- ATake the best of three blows, ideally morning and evening
- BTake the average of ten blows after exercise
- CTake one gentle blow once a week, at any time of day
- DBlow only during an asthma attack, never when well
5.Medium
Suspected pulmonary TB is being investigated. How are sputum samples usually collected?
- ASeveral samples, ideally including early-morning sputum
- BOne sample of saliva collected at any time of the day
- CA swab from the nose only
- DA single sample after the first week of treatment
6.Medium
A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?
- AStop it suddenly if the heart rate rises after the first few doses
- BTake the first dose at bedtime, as dizziness and fainting can occur
- CAvoid all potassium-containing foods
- DTake it with a large glass of grapefruit juice to improve absorption
7.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
8.Hard
Three days after an MI, a patient faints on the commode while straining hard to open the bowels. The heart rate was 42/min at the time. What is the most likely mechanism?
- AA new pulmonary embolism
- BLow blood glucose from fasting
- CAn allergic reaction to the commode
- DA vagal response to straining
Answer key
- 1. D · Bisoprolol (a beta-blocker)
- 2. C · 0.12–0.20 seconds
- 3. B · Atrial fibrillation
- 4. A · Take the best of three blows, ideally morning and evening
- 5. A · Several samples, ideally including early-morning sputum
- 6. B · Take the first dose at bedtime, as dizziness and fainting can occur
- 7. D · High-concentration oxygen via a non-rebreather mask
- 8. D · A vagal response to straining
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