1.Easy
What is the most common cause of dementia?
- AAlzheimer's disease
- BMultiple sclerosis
- CParkinson's disease
- DHuntington's disease
2.Easy
What causes Graves' disease?
- AA viral infection of the parathyroid glands
- BAntibodies that stimulate the TSH receptor
- CA lack of iodine in the diet
- DToo much TSH from a pituitary tumour
3.Easy
Which common painkiller can harm the kidneys, especially in dehydration?
- ACodeine
- BIbuprofen
- CMorphine
- DParacetamol (acetaminophen)
4.Medium
Why can a patient with an insulin pump develop DKA within hours if the pump stops working?
- AThe body becomes allergic to insulin when the pump stops
- BThe pump gives long-acting insulin, which builds up and stops working all at once
- CThe battery in the pump releases chemicals into the blood
- DThe pump gives only rapid-acting insulin, so there is no long-acting reserve
5.Medium
Which group of problems is typical of primary hyperparathyroidism?
- AKidney stones, bone pain, abdominal pain and low mood
- BMuscle cramps, tingling lips and seizures
- CHair loss, weight gain and feeling cold
- DHeat intolerance, tremor, weight loss and diarrhoea
6.Medium
Why is once-daily prednisolone usually taken in the morning with food?
- ATo match the natural cortisol rhythm and protect the stomach
- BBecause it cannot be absorbed at night
- CBecause it causes drowsiness and is safer to take during the day
- DBecause food doubles the strength of the dose
7.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
- BAbsence seizure
- CMyoclonic seizure
- DAtonic (drop) seizure with a fall
8.Hard
A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?
- A"I will count all drinks, including soup, in my daily total."
- B"I will report any headaches or confusion."
- C"If I feel thirsty, I can drink as much water as I like."
- D"I will weigh myself every morning."
Answer key
- 1. A · Alzheimer's disease
- 2. B · Antibodies that stimulate the TSH receptor
- 3. B · Ibuprofen
- 4. D · The pump gives only rapid-acting insulin, so there is no long-acting reserve
- 5. A · Kidney stones, bone pain, abdominal pain and low mood
- 6. A · To match the natural cortisol rhythm and protect the stomach
- 7. A · Focal impaired awareness seizure
- 8. C · "If I feel thirsty, I can drink as much water as I like."
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