1.Easy
Which sound is typical of a pleural friction rub?
- AA high-pitched musical sound on expiration
- BA harsh sound on breathing in from the throat
- CA creaking, grating sound with each breath
- DFine bubbling sounds that clear with coughing
2.Easy
What is the main cause of varicose veins?
- AInflammation of the lymph nodes in the groin
- BNarrowing of the leg arteries by plaque
- CA clot blocking a deep vein in the calf
- DFaulty valves in the superficial leg veins
3.Easy
What is a pneumothorax?
- APus collecting in the pleural space
- BAir in the pleural space causing the lung to collapse
- CFluid in the alveoli caused by heart failure
- DInflammation of the lung tissue caused by infection
4.Medium
Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?
- AA nasogastric tube and a feeding pump
- BA urinary catheter set, a blood glucose meter and a thermometer
- CSpare tubes (same size and one smaller), suction and oxygen
- DOnly a spare oxygen mask, since the tube rarely causes problems
5.Medium
What is the ejection fraction?
- AThe pressure in the left ventricle at the end of diastolic filling
- BThe volume of blood pumped out with each heartbeat
- CThe volume of blood the heart pumps out every minute
- DThe percentage of ventricular blood ejected with each beat
6.Medium
Which patient is most typical of a primary spontaneous pneumothorax?
- AAn older woman with long-standing heart failure
- BA middle-aged woman with high blood pressure
- CA tall, thin young man who smokes
- DA child with a viral sore throat
7.Hard
As the defibrillator charges, a nurse sees a colleague still holding the patient's bed rail. What should the nurse do?
- AAsk the colleague to hold the patient's hand instead
- BCall clearly for everyone to stand clear and check before the shock
- CTurn off the defibrillator and start a new cycle of CPR
- DDeliver the shock now, as the bed rail is not part of the patient
8.Hard
A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?
- AA low-dose opioid with a hand-held fan and calm positioning
- BEncouraging long walks to build fitness
- CHigh-flow oxygen at 15 L/min whatever the oxygen saturation is
- DStopping all medicines, including inhalers
Answer key
- 1. C · A creaking, grating sound with each breath
- 2. D · Faulty valves in the superficial leg veins
- 3. B · Air in the pleural space causing the lung to collapse
- 4. C · Spare tubes (same size and one smaller), suction and oxygen
- 5. D · The percentage of ventricular blood ejected with each beat
- 6. C · A tall, thin young man who smokes
- 7. B · Call clearly for everyone to stand clear and check before the shock
- 8. A · A low-dose opioid with a hand-held fan and calm positioning
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