1.Easy
Which signs are typical of hypoglycaemia?
- AWeight gain and swollen ankles
- BDry, hot skin and slow breathing
- CSweating, shaking and confusion
- DThirst and passing a lot of urine
2.Easy
Where is a buccal medicine placed?
- ABetween the cheek and the gum
- BUnder the tongue, where it dissolves
- COn the back of the tongue
- DInside the nostril
3.Easy
Which blood test is used to monitor patients taking warfarin?
- AThe INR
- BThe white cell count
- CThe serum sodium
- DThe HbA1c
4.Medium
A patient is at high risk of falling. Which measure is most appropriate?
- AGive a sedative at night
- BKeep the bed low, the call bell within reach and non-slip footwear on
- CRaise all bed rails routinely and keep the patient in bed until reviewed
- DRestrict the patient to bed without assessment
5.Medium
How should the opening of a stoma bag be cut?
- ASmaller than the stoma so it grips it tightly
- BTo fit closely around the stoma without pressing on it
- CIn any shape, as long as the bag sticks
- DMuch larger than the stoma so that the edge never rubs against it
6.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive the next dose of insulin
- BGive a fast-acting carbohydrate by mouth and recheck the glucose
- CGive nothing until the doctor arrives
- DGive a large meal straight away and recheck the glucose the next morning
7.Hard
A patient with type 1 diabetes is vomiting and not eating. Which advice is correct?
- AHalve every dose and stop testing the glucose
- BDrink only sugar-free fluids and stop testing for ketones until better
- CStop all insulin until eating normally again
- DKeep taking basal insulin and check glucose and ketones more often
8.Hard
Why is heat usually avoided on a fresh soft-tissue injury during the first day?
- AIt narrows blood vessels and reduces blood flow to the injury
- BIt widens blood vessels and can increase swelling and bleeding
- CIt makes the muscles weaker for several weeks
- DIt numbs the area so the patient cannot feel pain
Answer key
- 1. C · Sweating, shaking and confusion
- 2. A · Between the cheek and the gum
- 3. A · The INR
- 4. B · Keep the bed low, the call bell within reach and non-slip footwear on
- 5. B · To fit closely around the stoma without pressing on it
- 6. B · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 7. D · Keep taking basal insulin and check glucose and ketones more often
- 8. B · It widens blood vessels and can increase swelling and bleeding
Full step-by-step solutions: practise this topic on examproblems.com.