1.Easy
Post-streptococcal glomerulonephritis typically follows which event?
- AA long course of antibiotics for pneumonia
- BA kidney stone passed the week before
- CA throat or skin infection a few weeks earlier
- DAn episode of bloody diarrhoea from food poisoning
2.Easy
What is spinal shock?
- AA permanent loss of feeling in both hands only, from nerve damage
- BA severe allergic reaction to spinal anaesthetic
- CA very low blood pressure caused by blood loss after trauma
- DA temporary loss of reflexes and tone below a spinal cord injury
3.Easy
What causes Graves' disease?
- AA viral infection of the parathyroid glands
- BA lack of iodine in the diet
- CAntibodies that stimulate the TSH receptor
- DToo much TSH from a pituitary tumour
4.Medium
Which side effects are common with oxybutynin for an overactive bladder?
- ADiarrhoea and heavy sweating
- BWeight loss and a fast tremor
- CDry mouth and constipation
- DA cough and a raised potassium
5.Medium
A patient's fistula starts to bleed at home after the needles were removed. What should they do first?
- AWait for the next dialysis session
- BPress firmly on the site with clean gauze
- CRaise the arm and let it bleed freely
- DApply a tight tourniquet above the fistula
6.Medium
A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?
- AGlobal aphasia with no speech at all
- BDysarthria from facial weakness
- CReceptive (Wernicke's) aphasia
- DExpressive (Broca's) aphasia
7.Hard
A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?
- AThyroid function tests
- BSerum amylase and lipase levels
- CSerum ferritin
- DBlood alcohol level
8.Hard
A 22-year-old with type 1 diabetes has glucose 28 mmol/L, ketones 5.2 mmol/L, pH 7.10 and potassium 5.9 mmol/L. Which statement about potassium is correct?
- ATotal-body potassium is low, and the level will fall with treatment
- BThe insulin should be withheld to keep the potassium level stable
- CTotal-body potassium is high, so a potassium binder is needed now
- DPotassium need not be rechecked once insulin has been started
Answer key
- 1. C · A throat or skin infection a few weeks earlier
- 2. D · A temporary loss of reflexes and tone below a spinal cord injury
- 3. C · Antibodies that stimulate the TSH receptor
- 4. C · Dry mouth and constipation
- 5. B · Press firmly on the site with clean gauze
- 6. C · Receptive (Wernicke's) aphasia
- 7. A · Thyroid function tests
- 8. A · Total-body potassium is low, and the level will fall with treatment
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