1.Easy
What is lymphoedema?
- ASwelling from poor lymph drainage, for example after node removal
- BFluid in the lungs from heart failure
- CSwelling from a broken bone in the arm
- DInflammation of the lymph nodes in the neck and armpits from a virus
2.Easy
Radiotherapy to the pelvis commonly causes which side effects?
- AHair loss from the scalp
- BDry mouth and changes in taste for many months afterwards
- CCough and breathlessness
- DDiarrhoea and frequent, painful passing of urine
3.Easy
Which first aid is recommended for a thermal burn?
- ACool running water for about 20 minutes
- BIce applied directly to the burn for 20 minutes
- CBursting the blisters straight away
- DButter or oil spread over the burn
4.Medium
What is TENS?
- AA strong opioid given through the skin as a weekly adhesive patch
- BA device that sends mild electrical pulses through skin pads
- CA pain score used for babies
- DA type of epidural catheter inserted in theatre
5.Medium
Which infection control measure is correct for a patient with C. difficile diarrhoea?
- AA shared bay, as long as alcohol gel is used after every contact
- BA face mask for the patient and visitors only
- CNo special measures once antibiotics have started
- DA single room with its own toilet, and soap-and-water handwashing
6.Medium
Which early symptoms suggest local anaesthetic systemic toxicity?
- ATingling around the mouth, a metallic taste and tinnitus
- BA red rash only at the injection site, with no other symptoms
- CMild itching of the feet the next day
- DIncreased hunger and thirst over several hours, with a dry mouth
7.Hard
A patient receiving filgrastim (G-CSF) after chemotherapy asks which side effect to expect. Which side effect is most common?
- AComplete hair loss within days of the first injection
- BAching bone pain, as the bone marrow is stimulated
- CPermanent hearing loss
- DA rapid fall in the white cell count
8.Hard
A patient with an epidural after abdominal surgery has BP 82/48 mmHg, a pulse of 70/min and warm feet. Bleeding has been excluded. What is the most likely cause?
- ACardiogenic shock after surgery
- BAnaphylaxis to the local anaesthetic
- CHypovolaemic shock from blood loss
- DSympathetic block from the epidural
Answer key
- 1. A · Swelling from poor lymph drainage, for example after node removal
- 2. D · Diarrhoea and frequent, painful passing of urine
- 3. A · Cool running water for about 20 minutes
- 4. B · A device that sends mild electrical pulses through skin pads
- 5. D · A single room with its own toilet, and soap-and-water handwashing
- 6. A · Tingling around the mouth, a metallic taste and tinnitus
- 7. B · Aching bone pain, as the bone marrow is stimulated
- 8. D · Sympathetic block from the epidural
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