1.Easy
What is diverticulosis?
- ASmall pouches in the wall of the colon
- BA tumour growing inside the rectum
- CA twist of the sigmoid colon on itself
- DInflammation of the whole small bowel wall
2.Easy
Which lifestyle advice helps reduce night-time reflux symptoms?
- AHave the largest meal of the day just before going to bed to aid sleep
- BNo food for 3 hours before bed, with the head of the bed raised
- CSleep flat on several pillows placed under the knees
- DDrink a large glass of fizzy water before lying down
3.Easy
Which factor most increases the risk of Clostridioides difficile infection?
- ARegular exercise
- BRecent antibiotic treatment
- CA diet high in fibre
- DDrinking bottled water
4.Medium
Why do patients usually have a dental review before radiotherapy to the head and neck?
- ATeeth block the radiation beam completely
- BThe dentist gives the radiotherapy
- CRadiotherapy can only be given once all the teeth have been removed
- DIt causes dry mouth and raises the risk of decay and jaw damage
5.Medium
What is the first priority when a patient arrives in recovery after a general anaesthetic?
- AThe wound dressing and drains
- BAirway and breathing
- CA drink of water
- DThe drug history
6.Medium
Which infection control measure is correct for a patient with C. difficile diarrhoea?
- AA face mask for the patient and visitors only
- BA single room with its own toilet, and soap-and-water handwashing
- CA shared bay, as long as alcohol gel is used after every contact
- DNo special measures once antibiotics have started
7.Hard
A nurse has a needlestick injury after taking blood from a patient with hepatitis B. What should the nurse do first?
- AScrub the area hard with a nail brush and alcohol
- BFinish the shift and report it the next day
- CSuck the wound to remove as much of the blood as possible
- DWash the site with soap and running water, without scrubbing
8.Hard
A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?
- ACalf swelling is a normal effect of chemotherapy
- BCancer and its treatment greatly increase clot risk
- CIt is only a muscle strain from walking
- DThe swelling shows the cancer has gone
Answer key
- 1. A · Small pouches in the wall of the colon
- 2. B · No food for 3 hours before bed, with the head of the bed raised
- 3. B · Recent antibiotic treatment
- 4. D · It causes dry mouth and raises the risk of decay and jaw damage
- 5. B · Airway and breathing
- 6. B · A single room with its own toilet, and soap-and-water handwashing
- 7. D · Wash the site with soap and running water, without scrubbing
- 8. B · Cancer and its treatment greatly increase clot risk
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