1.Easy
How should a peritoneal dialysis catheter exit site be cared for?
- AKept clean and dry and checked daily for redness
- BCovered with a tight bandage and not looked at for a week
- CSoaked in a hot bath every day
- DCleaned with a strong bleach solution
2.Easy
What is the main cause of type 1 diabetes?
- AAutoimmune destruction of the insulin-making beta cells
- BInsulin resistance caused mainly by excess body weight
- CEating too much sugar and sweet food during childhood
- DA lack of glucagon from the pancreas
3.Easy
Which statement about a transient ischaemic attack (TIA) is correct?
- ASymptoms last for days and leave the patient with lasting weakness
- BNo follow-up is needed, because all the symptoms go away
- CSymptoms resolve fully, but stroke risk is high, so urgent review is needed
- DIt is caused by a small bleed into the brain tissue
4.Medium
A patient with diabetic neuropathy has an ulcer on the ball of the foot. Which measure is most important for healing?
- AWalking more to improve blood flow
- BSoaking the foot in hot water daily
- CTaking pressure off the ulcer
- DCovering it and checking it in a month
5.Medium
Why is good blood pressure control important in chronic kidney disease?
- AIt slows the decline in kidney function
- BIt lowers the blood glucose
- CIt raises the haemoglobin level in the blood
- DIt cures chronic kidney disease
6.Medium
Which statement about the PSA blood test is correct?
- AIt can be raised by benign problems as well as by cancer
- BA raised result always means prostate cancer
- CIt is only raised in women with bladder cancer
- DA normal result always rules out any prostate cancer
7.Hard
A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?
- A"I will wipe from front to back."
- B"I will pass urine soon after sex."
- C"I will hold my urine for as long as I can."
- D"I will drink enough fluids during the day."
8.Hard
An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?
- AFocal impaired awareness seizure
- BMyoclonic seizure
- CAbsence seizure
- DAtonic (drop) seizure with a fall
Answer key
- 1. A · Kept clean and dry and checked daily for redness
- 2. A · Autoimmune destruction of the insulin-making beta cells
- 3. C · Symptoms resolve fully, but stroke risk is high, so urgent review is needed
- 4. C · Taking pressure off the ulcer
- 5. A · It slows the decline in kidney function
- 6. A · It can be raised by benign problems as well as by cancer
- 7. C · "I will hold my urine for as long as I can."
- 8. A · Focal impaired awareness seizure
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