1.Easy
Which of these is a common allergic trigger of asthma?
- AWearing cotton clothes
- BHouse dust mite
- CDrinking water
- DEating rice
2.Easy
Finger clubbing is commonly linked with which condition?
- AMild asthma
- BHigh blood pressure
- CBronchiectasis
- DAcute bronchitis
3.Easy
How does CPAP help in obstructive sleep apnoea?
- AIt slows the breathing rate during sleep
- BConstant positive pressure holds the upper airway open
- CIt removes carbon dioxide through a filter
- DIt delivers a drug that relaxes the airway muscles overnight
4.Medium
Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?
- AA chest drain is in place
- BAn accurate, recent body weight is recorded
- CThe patient has fasted for 12 hours
- DThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
5.Medium
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- APeople with angina must stop smoking without any help
- BNicotine replacement only works if smoking continues
- CNicotine patches are much more harmful to the heart than cigarettes
- DNicotine replacement is much safer than smoking and is recommended
6.Medium
A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?
- ABiological valves last longer but need lifelong warfarin
- BBoth types need no medicines after surgery
- CMechanical valves wear out within one year
- DMechanical valves last longer but need lifelong anticoagulation
7.Hard
A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?
- AHeart block is caused by the thrombolytic drug
- BInferior infarcts always destroy the bundle of His permanently
- CThe right coronary artery usually supplies the AV node
- DThe left anterior descending artery supplies the SA node only
8.Hard
A patient taking ramipril and indapamide for hypertension starts regular ibuprofen for back pain. A week later, creatinine has risen sharply. What is the most likely cause?
- AAn allergic reaction to the diuretic causing inflammation of the kidney
- BBack pain causing kidney damage
- CIbuprofen raising the blood pressure to levels that damage the kidneys
- DAn ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
Answer key
- 1. B · House dust mite
- 2. C · Bronchiectasis
- 3. B · Constant positive pressure holds the upper airway open
- 4. B · An accurate, recent body weight is recorded
- 5. D · Nicotine replacement is much safer than smoking and is recommended
- 6. D · Mechanical valves last longer but need lifelong anticoagulation
- 7. C · The right coronary artery usually supplies the AV node
- 8. D · An ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
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