1.Easy
What causes myasthenia gravis?
- ALoss of dopamine-producing cells in the midbrain
- BAntibodies against acetylcholine receptors on muscle
- CDamage to myelin in the brain and spinal cord
- DCompression of a nerve root in the lower back
2.Easy
Which three responses make up the Glasgow Coma Scale?
- AEye opening, verbal response and motor response
- BPupil size, pulse and blood pressure
- CReflexes, muscle tone and sensation
- DOrientation to time, place and person, plus memory
3.Easy
In dialysis care, what does "dry weight" mean?
- AThe weight after the patient has drunk nothing for a day
- BThe weight measured with an empty bladder
- CThe weight of the patient's clothes
- DThe weight without excess fluid in the body
4.Medium
A patient has a homonymous hemianopia after a stroke. How should the nurse help at first?
- AApproach from the seeing side and teach head-turning to scan
- BKeep the room dark to reduce visual stimulation
- CCover the eye on the affected side with a patch
- DPut the call bell and drinks on the side without vision, to train it
5.Medium
A man starts finasteride for an enlarged prostate. Which statement is correct?
- AIt lowers the blood pressure, so dizziness is very common
- BIt is used only for a few days at a time
- CIt takes months to work; pregnant women must not handle broken tablets
- DIt works within hours by relaxing the bladder muscle
6.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
- CA thyroid storm caused by surgery
- DLow calcium from parathyroid injury
7.Hard
A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?
- ANarcolepsy
- BAn anxiety disorder
- CObstructive sleep apnoea
- DNormal snoring
8.Hard
Which patient on a stroke unit is most at risk of falling?
- AA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
- BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
- CA patient with mild dysarthria who walks steadily with a frame
- DA patient with a TIA whose symptoms resolved completely yesterday
Answer key
- 1. B · Antibodies against acetylcholine receptors on muscle
- 2. A · Eye opening, verbal response and motor response
- 3. D · The weight without excess fluid in the body
- 4. A · Approach from the seeing side and teach head-turning to scan
- 5. C · It takes months to work; pregnant women must not handle broken tablets
- 6. A · Damage to a recurrent laryngeal nerve
- 7. C · Obstructive sleep apnoea
- 8. B · A patient with a right-hemisphere stroke who is impulsive and denies having weakness
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