1.Easy
What is an embolus?
- AA bulge in the weakened wall of an artery that may rupture
- BA narrowing of an artery caused by a build-up of fatty plaque
- CA clot that stays fixed in the vessel where it first formed
- DA clot or other mass that travels in the blood and lodges elsewhere
2.Easy
Which drug is commonly used to slow the heart rate in atrial fibrillation?
- ABisoprolol (a beta-blocker)
- BFurosemide (a loop diuretic)
- CAmlodipine (a dihydropyridine calcium channel blocker)
- DAtorvastatin (a statin)
3.Easy
What does an SpO₂ reading measure?
- AThe percentage of haemoglobin carrying oxygen
- BThe total haemoglobin level
- CThe amount of carbon dioxide dissolved in the blood
- DThe oxygen level in the brain
4.Medium
How should a patient breathe in when using a dry powder inhaler?
- ASeveral times, breathing out into the device between breaths
- BQuickly and deeply, after breathing out away from the device
- CSlowly and gently over about ten seconds
- DThrough the nose with the mouthpiece in the mouth
5.Medium
A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?
- AAn angiotensin II receptor blocker such as losartan
- BA loop diuretic such as furosemide
- CA non-selective beta-blocker such as propranolol
- DA nitrate such as isosorbide mononitrate
6.Medium
A patient has a prosthetic heart valve. Which teaching best reduces the risk of infective endocarditis?
- AKeep teeth and gums healthy with regular dental check-ups
- BAvoid all physical exercise for the rest of their life
- CTake a daily antibiotic tablet indefinitely
- DAvoid eating dairy products and raw vegetables
7.Hard
Three weeks after a myocardial infarction, a patient has fever, pleuritic chest pain that eases on leaning forward and a pericardial friction rub. Which condition is most likely?
- AAcute left ventricular failure
- BPost-MI (Dressler's) syndrome
- CA new STEMI in another artery
- DAcute aortic dissection
8.Hard
A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?
- AGive IV adenosine
- BTreat the fever, pain and possible dehydration, then reassess
- CArrange urgent electrical cardioversion to restore a normal rate
- DGive a beta-blocker to bring the heart rate below 100/min
Answer key
- 1. D · A clot or other mass that travels in the blood and lodges elsewhere
- 2. A · Bisoprolol (a beta-blocker)
- 3. A · The percentage of haemoglobin carrying oxygen
- 4. B · Quickly and deeply, after breathing out away from the device
- 5. A · An angiotensin II receptor blocker such as losartan
- 6. A · Keep teeth and gums healthy with regular dental check-ups
- 7. B · Post-MI (Dressler's) syndrome
- 8. B · Treat the fever, pain and possible dehydration, then reassess
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