1.Easy
Which fasting plasma glucose level is used to diagnose diabetes?
- A7.0 mmol/L (126 mg/dL) or higher
- B4.0 mmol/L (72 mg/dL) or higher
- C5.5 mmol/L (99 mg/dL) or higher
- D15.0 mmol/L (270 mg/dL) or higher
2.Easy
What is the correct first aid during a generalised tonic-clonic seizure?
- AHold the arms and legs down firmly until the jerking stops
- BPut a spoon or plastic airway between the teeth as soon as possible
- CSit the person up and give sips of water to prevent choking
- DCushion the head, time the seizure and put nothing in the mouth
3.Easy
A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?
- AThe opposite arm and face are weaker than the leg
- BBoth legs are weak with normal arms
- CThe opposite leg is weaker than the arm
- DThe same side of the body is weak
4.Medium
Why can a patient with an insulin pump develop DKA within hours if the pump stops working?
- AThe pump gives long-acting insulin, which builds up and stops working all at once
- BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
- CThe body becomes allergic to insulin when the pump stops
- DThe battery in the pump releases chemicals into the blood
5.Medium
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
- AStart breastfeeding again the next day
- BThere are no precautions, because the dose is tiny
- CStay in strict isolation in hospital for several months
- DLimit close contact with children and pregnant women for a time
6.Medium
A patient wakes up with stroke symptoms. They went to bed well at 23:00 and woke at 06:30. Which time is used as the time of onset?
- A06:30, when the symptoms were first noticed
- BThe time the CT scan was performed
- C23:00, when they were last known to be well
- DThe time of arrival at the hospital
7.Hard
A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?
- ASerum ferritin
- BThyroid function tests
- CSerum amylase and lipase levels
- DBlood alcohol level
8.Hard
Which patient with a spinal cord injury is at risk of autonomic dysreflexia?
- AA patient with an injury at L3
- BA patient with an injury at L5
- CA patient with an injury at T4
- DA patient with an injury at S2
Answer key
- 1. A · 7.0 mmol/L (126 mg/dL) or higher
- 2. D · Cushion the head, time the seizure and put nothing in the mouth
- 3. C · The opposite leg is weaker than the arm
- 4. B · The pump gives only rapid-acting insulin, so there is no long-acting reserve
- 5. D · Limit close contact with children and pregnant women for a time
- 6. C · 23:00, when they were last known to be well
- 7. B · Thyroid function tests
- 8. C · A patient with an injury at T4
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