1.Easy
Which side effect of opioids usually does not lessen with continued use?
- ASedation
- BNausea and vomiting
- CConstipation
- DItching
2.Easy
What is the main purpose of a surgical wound drain?
- ATo feed the patient after surgery
- BTo remove fluid or blood that collects at the operation site
- CTo give IV fluids and antibiotics straight into the wound bed
- DTo measure the patient's temperature
3.Easy
Which sign suggests acute cholecystitis?
- APain in the left lower abdomen when the right side is pressed
- BPain that stops a deep breath when the right upper abdomen is pressed
- CBruising around the umbilicus and over both flanks of the abdomen
- DA flapping tremor of the hands when the arms are held out
4.Medium
What is a Curling's ulcer?
- AA burn on the sole of the foot
- BA stress ulcer of the stomach or duodenum after a major burn
- CA leg ulcer caused by venous disease after long bed rest
- DA pressure ulcer under a splint that has been left on too long
5.Medium
A patient with cirrhosis takes lactulose for hepatic encephalopathy. What is the usual aim?
- ANo bowel movement for several days
- BTen or more watery stools a day
- CTwo to three soft stools a day
- DOne firm stool every week
6.Medium
How can low-dose opioids help a patient with breathlessness from advanced cancer?
- AThey cure the underlying lung disease
- BThey open the airways like an inhaler
- CThey increase the oxygen level in the blood
- DThey reduce the feeling of breathlessness
7.Hard
During general anaesthesia, a patient develops jaw rigidity, rising end-tidal CO₂ and tachycardia, then a rapidly rising temperature. Which drug is the specific treatment?
- ANaloxone
- BDantrolene
- CSuxamethonium
- DParacetamol
8.Hard
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?
- ALiver damage after paracetamol occurs only within the first hour or so
- BLiver damage may still develop, and appears only days later
- CFeeling well means the dose was too small to cause harm
- DTreatment is not needed if the patient has not vomited
Answer key
- 1. C · Constipation
- 2. B · To remove fluid or blood that collects at the operation site
- 3. B · Pain that stops a deep breath when the right upper abdomen is pressed
- 4. B · A stress ulcer of the stomach or duodenum after a major burn
- 5. C · Two to three soft stools a day
- 6. D · They reduce the feeling of breathlessness
- 7. B · Dantrolene
- 8. B · Liver damage may still develop, and appears only days later
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