1.Easy
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AAphasia
- BAgnosia
- CAtaxia
- DApraxia
2.Easy
Which medicine may be used to treat moderate serotonin syndrome?
- APhenelzine
- BCyproheptadine
- CTramadol
- DSertraline
3.Easy
An opioid overdose has been reversed with naloxone, and the patient is now awake. Why must he still be observed closely?
- ANaloxone itself causes slow breathing several hours later as it is broken down
- BThere is no need to observe him once he is awake
- CNaloxone may wear off before the opioid, so his breathing can slow down again
- DNaloxone makes the opioid act for twice as long
4.Medium
Which monitoring is important for a patient starting valproate?
- ALiver function and signs of pancreatitis, and counselling about pregnancy risks
- BHearing tests
- CEye pressure only
- DLung function and regular chest X-rays, because of the risk of pulmonary fibrosis
5.Medium
Which general principle applies to patients admitted involuntarily under mental health legislation?
- AThey can be kept in hospital indefinitely without any independent review, as long as one doctor agrees it is needed
- BThey can never refuse any treatment
- CThey keep their rights, except those specifically limited by law, and must be informed of their rights
- DThey lose all their rights
6.Medium
Which effect is expected and temporary after electroconvulsive therapy (ECT)?
- ALoss of speech for months
- BPermanent loss of all long-term memories from before the treatment
- CParalysis of the legs
- DShort-term confusion and memory loss around the time of treatment
7.Hard
A patient taking an MAOI returns from a party with a severe headache at the back of the head, a stiff neck and palpitations. What should the nurse do first?
- ACheck the blood pressure and notify the prescriber urgently
- BAdvise her to lie down and sleep it off
- CGive her next MAOI dose early
- DGive a cup of strong coffee for the headache
8.Hard
A patient on clozapine has a temperature of 38.5 °C and a sore throat. What is the priority?
- AGive paracetamol and continue the clozapine as usual
- BReport it urgently so a full blood count with neutrophils can be checked before the next dose
- CTell the patient it is probably a common cold, encourage fluids and continue the clozapine as usual
- DWait until the next routine blood test
Answer key
- 1. A · Aphasia
- 2. B · Cyproheptadine
- 3. C · Naloxone may wear off before the opioid, so his breathing can slow down again
- 4. A · Liver function and signs of pancreatitis, and counselling about pregnancy risks
- 5. C · They keep their rights, except those specifically limited by law, and must be informed of their rights
- 6. D · Short-term confusion and memory loss around the time of treatment
- 7. A · Check the blood pressure and notify the prescriber urgently
- 8. B · Report it urgently so a full blood count with neutrophils can be checked before the next dose
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