1.Easy
Which side effect is linked to SGLT2 inhibitors such as dapagliflozin?
- AOrange urine
- BHair loss
- COvergrowth of the gums
- DGenital fungal infections
2.Easy
Which equipment should be ready at the bedside of a patient on seizure precautions?
- AWrist restraints to stop the limbs jerking
- BA tongue depressor to place between the teeth
- CWorking suction and oxygen
- DA urinary catheter in case of incontinence
3.Easy
Which eGFR defines stage 5 chronic kidney disease (kidney failure)?
- ABelow 15 mL/min/1.73 m²
- BBelow 90 mL/min/1.73 m²
- CBelow 120 mL/min/1.73 m²
- DBelow 60 mL/min/1.73 m²
4.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?
- AExpressive (Broca's) aphasia
- BReceptive (Wernicke's) aphasia
- CGlobal aphasia with no speech at all
- DDysarthria from facial weakness
5.Medium
What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?
- ATo treat a urinary infection after the operation
- BTo measure the size of the bladder
- CTo give the patient extra fluids
- DTo stop blood clots from blocking the catheter
6.Medium
A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?
- ACheck glucose once a day only and rest in bed until better
- BStop all insulin until normal eating restarts
- CKeep taking basal insulin and check glucose and ketones more often
- DAvoid drinking fluids to reduce the vomiting
7.Hard
Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?
- AThe patient actually has type 2 diabetes
- BThe diabetes has been cured, so insulin can stop
- CA honeymoon phase, but insulin is still needed
- DThe insulin has gone off and should be replaced
8.Hard
Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?
- ADehydration that needs only more oral fluids and rest
- BA side effect of sun exposure
- CAcute rejection, needing urgent transplant team review
- DA normal finding as the kidney settles in
Answer key
- 1. D · Genital fungal infections
- 2. C · Working suction and oxygen
- 3. A · Below 15 mL/min/1.73 m²
- 4. B · Receptive (Wernicke's) aphasia
- 5. D · To stop blood clots from blocking the catheter
- 6. C · Keep taking basal insulin and check glucose and ketones more often
- 7. C · A honeymoon phase, but insulin is still needed
- 8. C · Acute rejection, needing urgent transplant team review
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