Question 1
A 64-year-old man presents with central crushing chest pain for 40 minutes, radiating to the left arm, with sweating and nausea. His ECG shows 2 mm ST-segment elevation in leads II, III and aVF. Which is the single most appropriate immediate management priority?
Correct Answer:
Arrange urgent primary percutaneous coronary intervention
Question 2
A 72-year-old woman with hypertension presents with sudden palpitations. ECG shows an irregularly irregular rhythm with absent P waves at a rate of 140/min, and she is haemodynamically stable. What is the most appropriate first-line assessment to guide stroke-prevention therapy?
Correct Answer:
CHA2DS2-VASc score
Question 3
A 58-year-old smoker presents with progressive exertional breathlessness and a chronic productive cough. Spirometry shows a post-bronchodilator FEV1/FVC ratio of 0.62 that does not normalise. Which diagnosis is most consistent with these findings?
Correct Answer:
Chronic obstructive pulmonary disease
Question 4
A 25-year-old woman with known asthma presents acutely breathless and unable to complete sentences, with a respiratory rate of 32/min, heart rate 120/min and peak flow 40% of predicted. What is the single most appropriate first treatment?
Correct Answer:
High-flow oxygen with nebulised salbutamol
Question 5
A 45-year-old man with a history of alcohol excess presents with epigastric pain radiating to the back and vomiting. Serum lipase is markedly elevated at six times the upper limit of normal. Which is the single best initial investigation to assess severity and exclude gallstones as a cause?
Correct Answer:
Abdominal ultrasound
Question 1
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About this Exam

Prepare with the PRES 2 Practice Questions - PRES Level 2 - Pre-Registration Examination System (Medical Council of Ireland) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, single, diagnosis, and pain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PRES 2 Practice Questions - PRES Level 2 - Pre-Registration Examination System (Medical Council of Ireland) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, single, diagnosis, and pain. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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