1.Easy
Which first aid is recommended for a thermal burn?
- AIce applied directly to the burn for 20 minutes
- BBursting the blisters straight away
- CButter or oil spread over the burn
- DCool running water for about 20 minutes
2.Easy
What is diverticulosis?
- ASmall pouches in the wall of the colon
- BA tumour growing inside the rectum
- CA twist of the sigmoid colon on itself
- DInflammation of the whole small bowel wall
3.Easy
Which statement about hepatitis C is correct?
- AIt always clears by itself within two weeks
- BIt is spread mainly by food, and a vaccine is given to babies
- CIt is spread mainly through blood, and there is no vaccine
- DIt can be treated only with a liver transplant
4.Medium
What is the most important safety point about misoprostol?
- AIt can cause miscarriage and must not be used in pregnancy
- BIt causes severe constipation in most patients
- CIt must be given only by deep intramuscular injection
- DIt strongly raises blood glucose in people with diabetes
5.Medium
Why is it important to prevent perioperative hypothermia?
- AIt reduces the amount of anaesthetic needed, which is unsafe
- BIt makes patients wake up from the anaesthetic too quickly
- CIt increases bleeding, wound infection and heart complications
- DIt lowers the risk of pain after surgery
6.Medium
What is the first priority when a patient arrives in recovery after a general anaesthetic?
- AAirway and breathing
- BThe drug history
- CThe wound dressing and drains
- DA drink of water
7.Hard
Why is folinic acid (leucovorin) given after high-dose methotrexate?
- ATo treat the patient's anaemia only
- BTo rescue normal cells from methotrexate toxicity
- CTo prevent hair loss during treatment
- DTo increase the anticancer effect on the tumour
8.Hard
A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?
- AAdvise the patient to avoid spicy food at future meals
- BGive an antacid and reassess the pain in an hour
- CBook a routine endoscopy for later in the week
- DRecord a 12-lead ECG and escalate as possible cardiac pain
Answer key
- 1. D · Cool running water for about 20 minutes
- 2. A · Small pouches in the wall of the colon
- 3. C · It is spread mainly through blood, and there is no vaccine
- 4. A · It can cause miscarriage and must not be used in pregnancy
- 5. C · It increases bleeding, wound infection and heart complications
- 6. A · Airway and breathing
- 7. B · To rescue normal cells from methotrexate toxicity
- 8. D · Record a 12-lead ECG and escalate as possible cardiac pain
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