The medication used as first-line for anaphylaxis?
A) Salbutamol
B) IM Adrenaline
C) Loratadine
B) IM Adrenaline
Which symptom is most typical of a simple migraine?
A) Unilateral headache with nausea
B) Bilateral weakness
C) Dizziness
A) Unilateral headache with nausea
Which mask delivers the highest FiO₂ without positive pressure?
A) Nasal prongs
B) Non-rebreather mask
C) Simple face mask
B) Non-rebreather mask
What is the usual concentration of IV adrenaline used during cardiac arrest? Is this a nurse initiated medications?
A) 1:1000, yes
B) 1:10,000, yes
C) 1:1, no
B) 1:10,000, yes
(minijets also available for first rounds)
A typical early sign of sepsis in adults is:
A) Bradycardia
B) Tachycardia
C) Hypothermia
B) Tachycardia
Which condition is most associated with a barking cough?
A) Asthma
B) Croup
C) Pneumonia
What is the treatment for this type of cough?
A) Prednisolone
B) Dexamethasone
C) Nurofen
B) Croup
B) Dexamethasone
A 25-year-old with flank pain and haematuria likely has:
A) Kidney stone
B) Appendicitis
C) Pancreatitis
A) Kidney stone
Which drug is used for rapid termination of SVT in stable patients?
A) Adenosine
B) Atropine
C) Amiodarone
A) Adenosine
Which ECG change is classic for STEMI?
A) ST elevation
B) U waves
C) Tall, peaked T waves
A) ST elevation

A paediatric patient with fever, drooling, and leaning forward may have:
A) Otitis media
B) Epiglottitis
C) Constipation
B) Epiglottitis


Which combination strongly suggests DKA?
A) High BGL + low ketones + normal pH
B) High BGL + ketones + metabolic acidosis
C) Low BGL + high ketones + alkalosis
B) High BGL + ketones + metabolic acidosis
Which medication is preferred for status epilepticus as first-line?
A) Midazolam
B) Phenytoin
C) Levetiracetam
A) Midazolam
Which acid–base result is most consistent with septic shock?
A) Respiratory alkalosis
B) High lactate with metabolic acidosis
C) Normal lactate and respiratory acidosis
B) High lactate with metabolic acidosis
A child with high fever, petechiae, and prolonged cap refill is most concerning for:
A) Viral infection
B) Meningococcal disease
C) Scarlet fever
B) Meningococcal disease
In acute pancreatitis, which lab result correlates most with severity?
A) Amylase
B) Lipase
C) Rising lactate and acidosis
C) Rising lactate and acidosis
How is Ketamine prepared and what is the final concentration?
A) 200mg/2ml, drawn up with 18mls N/Saline = conc 10mg/ml
B) 200/2ml, drawn up with 8mls N/Saline = conc 20mg/ml
C) 100mcg/ml, drawn up in 8mls N/Saline = conc 10mg/ml
A) 200mg/2ml, drawn up with 18mls N/Saline = conc 20mg/ml
In paediatric head injury, which sign strongly suggests raised ICP?
A) Photophobia
B) Cushing’s triad
C) Rhinorrhoea
B) Cushing’s triad
