1.Easy
If hair must be removed before surgery, which method is recommended?
- AElectric clippers on the day of surgery
- BA razor shave the night before surgery
- CPulling the hairs out with tweezers
- DA wax strip several days before surgery
2.Easy
Which drug group is commonly used to prevent venous thromboembolism after surgery?
- AProton pump inhibitors
- BNon-steroidal anti-inflammatory drugs
- CLow molecular weight heparins
- DLoop diuretics
3.Easy
What does black tissue in a wound bed usually indicate?
- AHealthy granulation tissue
- BNecrotic (dead) tissue
- CNormal blood clot from a fresh cut
- DNew epithelial cells
4.Medium
When breaking bad news, what is the first step in frameworks such as SPIKES?
- ASet up a private setting with enough time
- BGive the diagnosis as quickly as possible in the corridor
- CAsk the family to decide what the patient should be told
- DGive all treatment options before checking understanding
5.Medium
Which lifestyle change most improves the course of Crohn's disease?
- AEating more red meat
- BAvoiding all exercise
- CDrinking more coffee
- DStopping smoking
6.Medium
What is the role of sodium restriction and spironolactone in cirrhosis?
- ATo increase potassium loss and prevent hyperkalaemia
- BTo raise the blood pressure and improve kidney blood flow
- CTo reduce sodium and water retention and control ascites
- DTo lower blood ammonia and treat encephalopathy
7.Hard
An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?
- AIncontinence-associated dermatitis
- BAn arterial ulcer caused by poor circulation
- CA category 4 pressure ulcer over the sacrum
- DA full-thickness burn
8.Hard
A patient on a long-term opioid for chronic pain is admitted for surgery. Which statement is correct?
- AAll opioids should be stopped on admission to prevent addiction
- BThe usual opioid is continued, plus extra analgesia, due to tolerance
- CThey should receive only paracetamol after the operation is over
- DThey need lower postoperative opioid doses than opioid-naive patients
Answer key
- 1. A · Electric clippers on the day of surgery
- 2. C · Low molecular weight heparins
- 3. B · Necrotic (dead) tissue
- 4. A · Set up a private setting with enough time
- 5. D · Stopping smoking
- 6. C · To reduce sodium and water retention and control ascites
- 7. A · Incontinence-associated dermatitis
- 8. B · The usual opioid is continued, plus extra analgesia, due to tolerance
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