1.Easy
What is abdominal paracentesis?
- ADraining fluid from the abdominal cavity with a needle or drain
- BInjection of dye into a vein in the arm
- CRemoval of the gallbladder through several small abdominal incisions
- DA camera test of the lining of the large bowel
2.Easy
Which drug group is commonly used to prevent venous thromboembolism after surgery?
- ANon-steroidal anti-inflammatory drugs
- BLow molecular weight heparins
- CProton pump inhibitors
- DLoop diuretics
3.Easy
How is hepatitis A mainly spread?
- ABlood transfusion and needles
- BFaecal-oral route
- CBreathing in airborne droplets
- DTick and mosquito bites
4.Medium
Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?
- AFluid restriction and a thiazide diuretic
- BOral calcium tablets and vitamin D
- CIV fluids followed by an IV bisphosphonate
- DA high-calcium diet with extra milk
5.Medium
Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?
- AA test of colour vision
- BA bone density scan
- CScreening for tuberculosis
- DA test for coeliac disease
6.Medium
Which score is used to assess risk in an upper GI bleed before endoscopy?
- AWaterlow pressure ulcer risk score
- BGlasgow-Blatchford score
- CGlasgow Coma Scale
- DWells score for DVT
7.Hard
Which history should most alert the nurse to a possible latex allergy before surgery?
- AA rash after taking amoxicillin as a child, with a family history of asthma
- BFeeling sick after eating shellfish once
- CItching with bananas, avocado and kiwi, and many operations
- DHay fever every spring since childhood
8.Hard
A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?
- ARecord a 12-lead ECG and escalate as possible cardiac pain
- BAdvise the patient to avoid spicy food at future meals
- CGive an antacid and reassess the pain in an hour
- DBook a routine endoscopy for later in the week
Answer key
- 1. A · Draining fluid from the abdominal cavity with a needle or drain
- 2. B · Low molecular weight heparins
- 3. B · Faecal-oral route
- 4. C · IV fluids followed by an IV bisphosphonate
- 5. C · Screening for tuberculosis
- 6. B · Glasgow-Blatchford score
- 7. C · Itching with bananas, avocado and kiwi, and many operations
- 8. A · Record a 12-lead ECG and escalate as possible cardiac pain
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