1.Easy
What does a nebuliser do?
- AIt turns a liquid medicine into a fine mist to breathe in
- BIt measures the level of oxygen in the blood through the skin
- CIt warms and filters the air entering a tracheostomy tube
- DIt sucks secretions out of the airway
2.Easy
In which situation can a pulse oximeter show a falsely normal reading?
- AA warm hand at rest
- BA regular pulse of 80/min
- CBreathing room air
- DCarbon monoxide poisoning
3.Easy
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- AA productive cough with green sputum
- BA fast, irregular heart rate
- CSwelling of both ankles
- DA persistent dry cough
4.Medium
Which investigation is usually used to confirm a deep vein thrombosis in the leg?
- AAn exercise ECG
- BA plain chest X-ray and an ECG
- CA lung function test
- DCompression duplex ultrasound
5.Medium
What is the main problem in heart failure with preserved ejection fraction?
- AA dilated ventricle that cannot contract strongly
- BA blocked pulmonary artery
- CA leaking aortic valve
- DA stiff ventricle that fills poorly in diastole
6.Medium
A patient with heart failure asks why salt is being limited. Which explanation is correct?
- ASodium raises the heart rate during sleep
- BSodium directly weakens the contracting heart muscle
- CSodium makes the body retain water, which adds to congestion
- DSodium stops the diuretic tablets from being absorbed properly
7.Hard
A nurse is reviewing four telemetry patients. Which rhythm needs attention first?
- ARate-controlled atrial fibrillation at 82/min
- BRepeated runs of ventricular tachycardia in a patient who feels dizzy
- CFirst-degree heart block with a stable blood pressure and no symptoms
- DSinus bradycardia of 54/min in a patient who is asleep and comfortable
8.Hard
A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?
- AAcute pericarditis
- BST-elevation myocardial infarction (STEMI)
- CStable angina
- DNon-ST-elevation myocardial infarction
Answer key
- 1. A · It turns a liquid medicine into a fine mist to breathe in
- 2. D · Carbon monoxide poisoning
- 3. D · A persistent dry cough
- 4. D · Compression duplex ultrasound
- 5. D · A stiff ventricle that fills poorly in diastole
- 6. C · Sodium makes the body retain water, which adds to congestion
- 7. B · Repeated runs of ventricular tachycardia in a patient who feels dizzy
- 8. D · Non-ST-elevation myocardial infarction
Full step-by-step solutions: practise this topic on examproblems.com.