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Question Bank

SBA questions mapped to MLA domains and UK curriculum

100 Questions
10 Systems
100 MLA Tagged
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🎯 Quiz Session — 10 questions
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10 questions in session · Respiratory
Q1
Respiratory Easy condition
A 68-year-old male with known COPD presents with increasing breathlessness and productive cough with green sputum. On examination, he is stable but has widespread wheeze. He is already using a SABA and a LAMA/LABA combination inhaler. What is the most appropriate management for this acute exacerbation according to NICE guidelines?
Q2
Respiratory Medium presentation, condition
A 70-year-old man presents with a gradual onset of breathlessness and a dull ache in his left chest. Examination reveals stony dullness to percussion at the left base. A pleural fluid sample shows a protein level of 42 g/L; the serum protein is 68 g/L. What is the most likely cause of this effusion?
Q3
Respiratory Medium skill, condition
A 45-year-old woman with a history of childhood whooping cough presents with a chronic cough productive of large volumes of purulent sputum. Examination reveals coarse crackles that change with coughing. Which investigation is most definitive for diagnosing bronchiectasis?
Q4
Respiratory Easy condition
A 52-year-old man with a BMI of 34 kg/m² reports excessive daytime sleepiness and loud snoring. His partner notices he occasionally stops breathing during sleep. He is a HGV driver. What is the 'gold standard' investigation to confirm the diagnosis?
Q5
Respiratory Medium skill
A 72-year-old man with severe COPD is admitted with breathlessness. His arterial blood gas on room air shows: pH 7.24, pO2 7.1 kPa, pCO2 9.5 kPa, Bicarbonate 29 mmol/L. What is the correct interpretation of this ABG?
Q6
Respiratory Medium condition
An 82-year-old woman is brought to the GP by her daughter due to confusion and a cough. Her observations show: BP 85/55 mmHg, HR 100 bpm, RR 32/min. A chest X-ray confirms right lower lobe consolidation. Urea is 8.2 mmol/L. Based on the CURB-65 score, what is the most appropriate management setting?
Q7
Respiratory Medium presentation, condition
A 64-year-old woman presents with sudden onset shortness of breath and pleuritic chest pain. She underwent a total hip replacement two weeks ago. Her observations are BP 122/80 mmHg, HR 105 bpm, RR 24/min, and oxygen saturations 93% on room air. Her Wells score is calculated as 6. What is the most appropriate next step in management?
Q8
Respiratory Easy condition
A 28-year-old woman recently arrived from Southeast Asia presents with a 4-week history of night sweats, weight loss, and a cough productive of blood-stained sputum. A sputum smear is positive for acid-fast bacilli. Which of the following is a recognized side effect of rifampicin?
Q9
Respiratory Medium condition
A 35-year-old woman with asthma is using a SABA inhaler four times a week for symptomatic relief. She has woken up twice in the last month with wheeze. According to NICE guidelines, what is the most appropriate next step in her maintenance therapy?
Q10
Respiratory Medium presentation, condition
A 20-year-old tall, thin man presents to A&E with sudden onset right-sided pleuritic chest pain and breathlessness. A chest X-ray shows a primary spontaneous pneumothorax with a 3 cm rim of air at the level of the hilum. He is currently hemodynamically stable and not hypoxic. What is the first-line management?