1.Easy
What is the "nadir" in chemotherapy?
- AThe first day of a new chemotherapy cycle
- BThe time when blood counts are highest after a cycle
- CThe last day of a course of radiotherapy
- DThe time when blood counts are lowest after a cycle
2.Easy
What is the purpose of anti-embolism stockings for surgical patients?
- ATo keep the legs warm in theatre
- BTo reduce the risk of deep vein thrombosis
- CTo lower the blood pressure after surgery
- DTo prevent pressure ulcers on the heels
3.Easy
What should patients usually be told about hair loss from chemotherapy?
- AIt means the treatment is not working
- BIt is always permanent with every drug
- CIt happens with every type of cancer treatment, including surgery
- DIt is usually temporary, and hair grows back afterwards
4.Medium
Which statement about moist wound healing is correct?
- AA moist, not wet, wound bed helps cells move and heal faster
- BA wet wound bed always prevents infection
- CWounds heal fastest when left to dry out and form a scab
- DWounds should be soaked in water for hours every day
5.Medium
A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?
- AMigraine caused by hospital lighting
- BPost-dural puncture headache
- CRaised blood pressure from pain
- DA side effect of the antibiotic
6.Medium
Which statement about multimodal analgesia is correct?
- AIt is a method used only for long-term chronic pain
- BSeveral different opioids are combined for a stronger overall effect
- COnly one analgesic should ever be given at any one time
- DDrugs with different actions are combined to reduce opioid needs
7.Hard
A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?
- ALow blood calcium from the surgery
- BNormal swelling after neck surgery
- CA haematoma pressing on the airway
- DAn allergy to the wound dressing
8.Hard
On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?
- APostoperative constipation
- BA normal day 5 recovery
- CAn anastomotic leak
- DA urinary tract infection
Answer key
- 1. D · The time when blood counts are lowest after a cycle
- 2. B · To reduce the risk of deep vein thrombosis
- 3. D · It is usually temporary, and hair grows back afterwards
- 4. A · A moist, not wet, wound bed helps cells move and heal faster
- 5. B · Post-dural puncture headache
- 6. D · Drugs with different actions are combined to reduce opioid needs
- 7. C · A haematoma pressing on the airway
- 8. C · An anastomotic leak
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