1.Easy
If hair must be removed before surgery, which method is recommended?
- AElectric clippers on the day of surgery
- BPulling the hairs out with tweezers
- CA wax strip several days before surgery
- DA razor shave the night before surgery
2.Easy
Using the rule of nines in an adult, what percentage is the whole head and neck?
- A4.5%
- B1%
- C18%
- D9%
3.Easy
What is the main purpose of marking the surgical site before an operation?
- ATo record the patient's allergy status
- BTo tell the porter which theatre to go to
- CTo prevent surgery on the wrong side or site
- DTo show where the skin should be shaved
4.Medium
Which advice has good evidence for reducing cancer-related fatigue?
- ARegular light to moderate activity, such as walking
- BAvoiding all daily activities
- CComplete bed rest for the whole course of treatment
- DDrinking several strong coffees every evening
5.Medium
Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?
- ATo check for a leg bone fracture
- BTo find out how deep the ulcer is
- CTo exclude significant arterial disease
- DTo find the bacteria in the wound
6.Medium
Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?
- ATo raise the blood pressure during the anaesthetic
- BTo make the bowels open before the operation
- CTo replace the need for any IV fluids afterwards
- DTo reduce insulin resistance and improve recovery
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?
- AA category 4 pressure ulcer over the sacrum
- BA full-thickness burn
- CIncontinence-associated dermatitis
- DAn arterial ulcer caused by poor circulation
8.Hard
A patient with bowel obstruction develops constant severe pain (no longer colicky), fever, a heart rate of 120/min and a rigid, tender abdomen. What does this suggest?
- AConstipation that should be treated with a stimulant laxative
- BStrangulation or perforation needing urgent surgical review
- CNormal progress that only needs regular simple analgesia
- DThe obstruction is resolving as the bowel starts to move
Answer key
- 1. A · Electric clippers on the day of surgery
- 2. D · 9%
- 3. C · To prevent surgery on the wrong side or site
- 4. A · Regular light to moderate activity, such as walking
- 5. C · To exclude significant arterial disease
- 6. D · To reduce insulin resistance and improve recovery
- 7. C · Incontinence-associated dermatitis
- 8. B · Strangulation or perforation needing urgent surgical review
Full step-by-step solutions: practise this topic on examproblems.com.