1.Easy
Which symptoms are typical of benign prostatic hyperplasia?
- ABurning pain on passing urine with a high fever
- BA weak stream, hesitancy and passing urine at night
- CLeaking urine only when coughing or laughing
- DPainless red urine with clots and weight loss
2.Easy
Which HbA1c result is commonly used as the threshold for diagnosing diabetes?
- A75 mmol/mol (9.0%) or higher
- B38 mmol/mol (5.6%) or higher
- C30 mmol/mol (4.9%) or higher
- D48 mmol/mol (6.5%) or higher
3.Easy
What is the usual first-line treatment for stress urinary incontinence in women?
- ASurgery straight away
- BPelvic floor muscle training
- CRestricting fluids to half a litre a day
- DA permanent urinary catheter
4.Medium
A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?
- AA high-calorie diet with enough protein
- BA strict low-protein diet
- CA diet very high in caffeine for energy
- DA low-calorie diet to protect the heart
5.Medium
A week after thyroid surgery, a patient's voice is still hoarse and weak. Which complication is most likely?
- ADamage to a recurrent laryngeal nerve
- BAn allergic reaction to the adhesive dressing tape
- CLow calcium from parathyroid injury
- DA thyroid storm caused by surgery
6.Medium
Which statement about giving IV potassium is correct?
- AIt is diluted and given through an infusion pump, never as a bolus
- BIt is safest given through a small vein in the hand at a fast rate
- CIt needs no monitoring at all once the infusion is running
- DIt can be given quickly as a push to correct the level fast
7.Hard
A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?
- A"I will drink enough fluids during the day."
- B"I will wipe from front to back."
- C"I will hold my urine for as long as I can."
- D"I will pass urine soon after sex."
8.Hard
A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6.9 mmol/L. What is the priority?
- ALarge IV fluid boluses to improve the circulation
- BOral potassium supplements and rest
- CA routine dialysis session at the next planned slot
- DUrgent dialysis, with cardiac monitoring meanwhile
Answer key
- 1. B · A weak stream, hesitancy and passing urine at night
- 2. D · 48 mmol/mol (6.5%) or higher
- 3. B · Pelvic floor muscle training
- 4. A · A high-calorie diet with enough protein
- 5. A · Damage to a recurrent laryngeal nerve
- 6. A · It is diluted and given through an infusion pump, never as a bolus
- 7. C · "I will hold my urine for as long as I can."
- 8. D · Urgent dialysis, with cardiac monitoring meanwhile
Full step-by-step solutions: practise this topic on examproblems.com.