2025 Nat Comp Prep Week 3

Multiple Choice

65 year-old male, underlying hypertension, fell down in the toilet this morning when he was about to shower. When his daughter went into the toilet, he was awake, but appeared to be confused and he was having blurry vision. What are the most likely condition that have happened?

• Heart Attack

• Stroke

• Seizure

• Hypoglycaemia

• Dehydration

Multiple Choice

After fasting for 18 hours, Jenny said that she is feeling ants crawling on her hands and she sees bright lights coming from far, and she is smacking her lips. What are these signs called? What will you doing to prepare for upcoming activities

• Absence seizure, jot down the timing and call 999

• Aura, leave her to call 999

• Sensation Hallucination, feed her some sugary drinks

• Aura , move dangerous items in the surrounding

• Visual Hallucination, put her to recovery position

Multiple Choice

10 years old boy, helped his mother to clean up a dusty store room, he was breathing very fast and his hands are tingling. He was hyperventilating with some high pitched breathing sound inside the dusty room. What do you suspect and what is the most immediate action?

• Airway obstruction , open airway and look for foreign object

• Anaphylaxis, find epipen and help him inject

• Asthma attack, bring the boy out of the room

• Croup, calm the boy down

• Epiglottitis, call 999 immediately

Multiple Choice

The same boy happened to have inhaler at home. He have blue and purple inhaler with a spacer. How would you assist the boy to take the inhaler?

• Take purple inhaler only without spacer

• Take purple inhaler followed by blue inhaler with spacer

• Take blue inhaler followed by purple inhaler with spacer

• Take blue inhaler only without spacer

• Take blue inhaler with spacer following asthma action plan

Open Ended

Brandon accidentally took a bowl of hokkien mee soup that is made of prawns and a few lobster ball. He was allergy to seafood but he says he would only have rashes. 5 minutes later, he started having difficulty in breathing, neck and lips swelling, puffy eyes, fast heart rate. 

What do you think he has? 

Type it out and justify your answer

Multiple Choice

Jordan went hiking in Gunung Tahan and get bitten by a creature leaving 2 puncture hole on his left tibia. What is your immediate action as his friend.

• Find the snake and take a picture of it

• Immobilize the limb

• Bandage up the injured part

• Raise up the injured limb above injured part 

• Make sure the snake is out of sight before helping

Multiple Choice

Martin represented school for football match in Padang Brown, during the last 3 minutes, he was tripped by the opponent and he fell down, screaming in pain. Upon examination, you saw that his left ankle is swollen and there are restriction in range of motion. What do you do?

• Exercise the joint to regain full range of motion

• Apply bandage to support the injured part

• Put counter pain / spray and allow him back to game.

• Relax the muscle affected by massaging

• Rest the ankle, cover a cloth and apply ice.

Multiple Choice

Simon went for freshwater diving and you were there for a trip, his equipment was broken while he was ascending, he was then rescued from the sea and you did a primary survey on him. He was unconscious and not breathing. What is your immediate next action?

• Start CPR

• Give 5 effective rescue breath

• Instruct someone to find AED

• Perform chest/abdominal thrust to remove the water

• Call 999