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Question 1
A 63-year-old man has 2 hours of severe tearing chest pain radiating to his back. He has hypertension and a 60 pack-year smoking history. Pulse is 98 bpm; blood pressure is 192/94 mmHg in the right arm and 156/74 mmHg in the left. Which is the single most appropriate investigation to establish the diagnosis?
Correct Answer:
CT angiogram of the aorta
Question 2
A 24-year-old woman presents with sudden breathlessness and pleuritic chest pain 10 days after a long-haul flight. She takes the combined oral contraceptive pill. Heart rate is 112 bpm, respiratory rate 24, and oxygen saturation 93% on air. Her chest X-ray is normal. Which is the single most appropriate next step?
Correct Answer:
Calculate a Wells score and act on it
Question 3
A 19-year-old man is brought to the emergency department after a collapse at a music festival. He is drowsy with a temperature of 38.9°C, heart rate 130 bpm, blood pressure 88/50 mmHg and a non-blanching purpuric rash. Which is the single most important immediate management step?
Correct Answer:
Give intravenous benzylpenicillin or ceftriaxone immediately
Question 4
A 30-year-old woman with known asthma presents acutely breathless. She is unable to complete sentences, has a respiratory rate of 28, heart rate 122 bpm and a peak expiratory flow rate that is 40% of her predicted best. Which feature, if present, would reclassify this as life-threatening rather than acute severe asthma?
Correct Answer:
Silent chest on auscultation
Question 5
A 55-year-old man collapses on a ward. He is unresponsive and not breathing normally. The cardiac monitor shows ventricular fibrillation. CPR is in progress and a defibrillator is attached. Which is the single most appropriate immediate action?
Correct Answer:
Deliver a single unsynchronised shock then resume chest compressions
Question 1
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About this Exam

Prepare with the UKMLA AKT Practice Questions - UKMLA Applied Knowledge Test (AKT) Exam practice quiz. This question bank includes 100 questions covering year-old, single, presents, diagnosis, and woman. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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UKMLA AKT Practice Questions - UKMLA Applied Knowledge Test (AKT) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, single, presents, diagnosis, and woman. 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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