1.Easy
What is the correct first aid for an adult with a nosebleed?
- ALie flat on the back with the head turned to one side for an hour
- BSit forward and pinch the soft part of the nose for 10–15 minutes
- CTilt the head back and pinch the bony bridge of the nose firmly
- DBlow the nose hard to clear the clots
2.Easy
What does an SpO₂ reading measure?
- AThe percentage of haemoglobin carrying oxygen
- BThe total haemoglobin level
- CThe oxygen level in the brain
- DThe amount of carbon dioxide dissolved in the blood
3.Easy
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- AA fast, irregular heart rate
- BSwelling of both ankles
- CA persistent dry cough
- DA productive cough with green sputum
4.Medium
During airway suctioning, when should suction be applied?
- AOnly while withdrawing the catheter
- BContinuously for at least 30 seconds
- CBefore the catheter enters the airway
- DOnly while inserting the catheter
5.Medium
Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?
- AIt cannot be inhaled without a nebuliser
- BWithout an inhaled steroid, it is linked with severe and fatal attacks
- CIt always causes immediate severe bronchospasm when used on its own
- DIt works only when it is taken together with a course of antibiotics
6.Medium
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AAbout one hour each morning
- BAt least 15 hours a day
- COnly when walking outside
- DOnly during meals
7.Hard
A patient with stable severe COPD has a blood gas showing pH 7.37, a raised PaCO₂ and a raised bicarbonate. How should this be interpreted?
- AChronic respiratory acidosis with metabolic compensation
- BAcute respiratory acidosis needing emergency intubation
- CRespiratory alkalosis from hyperventilation
- DA normal blood gas with no abnormality
8.Hard
After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?
- AStay for observation, then go home with an adrenaline auto-injector and teaching
- BGo home and take antihistamines only if the throat swells
- CStay in hospital for at least two weeks on daily intravenous antihistamines
- DGo home straight away, because anaphylaxis never recurs once adrenaline has worked
Answer key
- 1. B · Sit forward and pinch the soft part of the nose for 10–15 minutes
- 2. A · The percentage of haemoglobin carrying oxygen
- 3. C · A persistent dry cough
- 4. A · Only while withdrawing the catheter
- 5. B · Without an inhaled steroid, it is linked with severe and fatal attacks
- 6. B · At least 15 hours a day
- 7. A · Chronic respiratory acidosis with metabolic compensation
- 8. A · Stay for observation, then go home with an adrenaline auto-injector and teaching
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