1.Easy
What does the grade of a cancer describe?
- AHow abnormal the cancer cells look under a microscope
- BHow many treatments the patient has had so far, including surgery
- CThe patient's age when diagnosed
- DHow far the cancer has spread in the body
2.Easy
Which blood test is commonly used to diagnose acute pancreatitis?
- ABilirubin over three times the upper normal limit
- BLipase or amylase over 3 times normal
- CTroponin above the 99th centile
- DThyroid-stimulating hormone level
3.Easy
Why are pressure areas padded when a patient is positioned for surgery?
- ATo keep the patient from moving during the operation
- BTo prevent pressure injury and nerve damage
- CTo make the operating table look tidy
- DTo warm the patient during the procedure
4.Medium
Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?
- ATo check whether they caught hepatitis B from the vaccine
- BTo decide whether they need a liver biopsy
- CTo measure liver damage caused by the vaccine
- DTo confirm that the vaccine produced immunity
5.Medium
Why is it important when a patient on opioids becomes more sedated?
- ASedation means that a higher dose is now needed
- BRising sedation usually comes before respiratory depression
- CSedation means that the pain is now fully and safely controlled
- DSedation is a harmless and expected effect of all opioids
6.Medium
Why should antacids usually be taken at a different time from other medicines?
- AThey make all other drugs much more toxic
- BThey destroy other drugs before they are swallowed
- CThey stop the kidneys from clearing other drugs
- DThey can reduce the absorption of many other drugs
7.Hard
A patient arrives in recovery with a temperature of 35.2 °C and is shivering. What is the most appropriate action?
- ASend the patient to the ward to warm up there under extra blankets
- BRemove all blankets to let the body adjust
- CGive cold IV fluids to settle the shivering
- DStart active warming and monitor the temperature
8.Hard
A patient with bone metastases is starting regular zoledronic acid. Which advice is important?
- AStop drinking all fluids on the day of each infusion
- BAvoid all physical activity for six months
- CHave a dental check and report jaw pain or loose teeth
- DTake extra calcium only on the day of infusion
Answer key
- 1. A · How abnormal the cancer cells look under a microscope
- 2. B · Lipase or amylase over 3 times normal
- 3. B · To prevent pressure injury and nerve damage
- 4. D · To confirm that the vaccine produced immunity
- 5. B · Rising sedation usually comes before respiratory depression
- 6. D · They can reduce the absorption of many other drugs
- 7. D · Start active warming and monitor the temperature
- 8. C · Have a dental check and report jaw pain or loose teeth
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