Quiz Test
Quiz
Full Name
01. A 56-year-old male with COPD presents with increasing dyspnoea and confusion. His ABG shows pH 7.29, pCO₂ 65 mmHg, pO₂ 50 mmHg on 2L O₂ via nasal cannula. What is the next best step in management?
Initiate non-invasive ventilation
Administer IV antibiotics
Administer IV furosemide
Increase oxygen flow to 6L/min
Prepare for immediate intubation
02. A 70-year-old female post-op hysterectomy patient is febrile (39.2°C), BP 88/54 mmHg, HR 125 bpm, and has a lactate of 3.9. According to the Sepsis Six protocol, what is the most time-critical first intervention?
Blood culture
Lactate measurement
Oxygen therapy
Fluid resuscitation
IV antibiotics
03. A 32-year-old woman delivers vaginally and loses 900ml of blood within 20 minutes. Her uterus is firm. What is the most likely cause of bleeding?
Coagulopathy
Uterine atony
Uterine inversion
Retained placental tissue
Genital tract trauma
04. A 19-year-old with type 1 diabetes presents with DKA. Labs: pH 7.15, glucose 24 mmol/L, K⁺ 5.2 mmol/L. What is the most appropriate initial insulin regimen?
IV insulin infusion without bolus
SC insulin every 4 hours
Start basal insulin immediately
10 units IV bolus, then infusion
Insulin only after potassium correction
05. A 24-year-old female presents after a paracetamol overdose. She has a history of depression, was recently fired, and lives alone. She is calm and cooperative in the ED.
Calm demeanor
Female gender
First suicide attempt
Lack of physical illness
Living alone
06. A nurse is documenting a patient’s condition. Which sentence is grammatically correct and professionally appropriate in the patient record?
Patient has been discharged and is feeling better.
The patient was discharge yesterday and feel good.
Patient feel discharged and good.
Discharged patient yesterday, feeling well now.
07. Which line is most appropriate for a written discharge note?
The patient go home, he OK now.
Discharge happening and patient better.
Discharged home, stable condition, follow-up in 7 days.
Gone home. Feel good. Done.
08. You are giving a discharge summary to a patient with limited English proficiency. Which of the following statements is the most clear and appropriate?
"No need meds stop unless told no stop."
"Don’t forget to not stop taking your meds unless told."
"Stop meds only when forget."
"Continue your medicine until further notice from the doctor."
09. Which phrase would you most likely find in a formal informed consent document?
“You are free to decline participation at any time.”
“Please agree by your own wish.”
“Let’s get this over with quickly.”
“You’ll be fine, just sign here.”
10. Which is the clearest and safest instruction for a patient who speaks English as a second language?
“You have to take this pill if you want to get better.”
“Take one tablet with food every morning.”
“You should maybe probably take this with food.”
“No food pill after only OK sometimes.”
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