COVID-19 practice exam questions and answers

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| By Catherine Halcomb
Catherine Halcomb
Community Contributor
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  • 1/10 Questions

    A 60-year-old male is admitted from home with suspected COVID-19 infection due to fever and dyspnoea. He has otherwise been well and has no other medical history of note. He is being assessed in the admissions unit and COVID-19 infection is probable. He complains of a 5-day history of progressive fever and more recently has been concerned by dyspnoea. Examination reveals a temperature of 38.5 °C, a pulse rate of 98 bpm regular, blood pressure of 112/78 mmHg, respiratory rate of 18/min and his oxygen saturations are 92% on room air. His chest is clear on examination. Investigations return with normal FBC and a CRP of 30 mg/l (normal range <5). Which of the following would prompt his admission rather than discharge?

    • CRP of 30 mg/l
    • Oxygen saturations of 92% on room air
    • Pulse 98 bpm regular
    • Respiratory rate of 18/min
    • Temperature of 38.5 °C
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About This Quiz

Check out our COVID-19 practice exam questions and answers and test your knowledge as a medical practitioner. What to do in a critical situation if a patient with coronavirus admits to your hospital or clinic? Here, we will ask some simple questions based on the condition of patients suffering from COVID-19, and you have to submit the best possible answer. Afterward, your scores will tell if you still need to learn about this virus. Let's get started.

Covid-19 Practice Exam Questions And Answers - Quiz

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  • 2. 

    A 23-year-old female physiotherapist presents with symptoms of fatigue and anosmia. She has no other symptoms and her temperature is 36.7°C. As she works with patients, she is tested for COVID-19 infection and is found to be positive through RT-PCR testing of pharyngeal and nasal swabs. Anosmia is an increasingly recognised sign of COVID-19 infection. What is considered to be the underlying mechanism for anosmia?

    • Apoptosis of frontal lobe neurones related to viral infection

    • Viral injury of nasal respiratory epithelium

    • Viral injury of nasal sensory olfactory epithelium

    • Viral injury of the olfactory bulbs

    • Rhinosinusitis

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  • 3. 

    A 45-year-old male presents with deterioration of breathlessness. His initial symptoms began 7 days ago with a dry cough and fever. He has more recently developed dyspnoea. RT-PCR of throat and nasal swabs returned 2 days ago confirming COVID-19 infection. His symptoms of breathlessness have progressed over the last 2 days. On examination, his temperature is 37.9 °C, pulse 90 bpm reg, blood pressure 112/80 mmHg, oxygen saturations are 90% at rest on room air and he has a respiratory rate of 26/min. Which of the following signs would define this patient as severe infection?

    • BP 112/80 mmHg

    • Pulse 90 bpm

    • Respiratory rate 26/min

    • Saturations 90% at rest

    • Temperature 37.9 °C

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  • 4. 

    You are called by a neighbour to attend to his wife who is 78-years-old and has collapsed in their house. She has been ill and has had flu-like symptoms. She has had breathlessness, which has rapidly deteriorated and culminated in her collapse. She collapsed about 3 minutes ago and the neighbour knows you are a medic and has sought your help. You enter the room and find the patient unresponsive, with no respiratory effort and she is pulseless. You suspect that she has arrested as a consequence of COVID-19 infection. The neighbour has dialled 999 and an ambulance has been dispatched. How do you resuscitate this patient?

    •  Do not commence CPR as you have no protective equipment and aerosolisation is well described with CPR. Await arrival of the ambulance

    • Do not give CPR and try and get a defibrillator from a park nearby

    • Provide chest compressions only

    • Provide CPR at a ratio of 15 chest compressions : 1 breath

    • Provide CPR at a rate of 30 chest compressions : 2 breaths

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  • 5. 

    A 72-year-old female is admitted with severe COVID-19 infection having developed fever and progressive breathlessness 7 days earlier. She has a history of hypertension, for which she takes ramipril 10 mg daily and amlodipine 10 mg daily. Her clinical condition deteriorates despite high flow of oxygen. The critical care team is called, and it is decided to transfer the patient to ITU for ventilation. Roughly, what is the crude mortality rate amongst such patients requiring mechanical ventilation?

    • 1%

    • 10%

    •  20%

    • 50%

    • 70%

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  • 6. 
    A 55-year-old female is admitted to the hospital with fever and dyspnoea. On initial examination, her temperature is 38.3 °C, pulse 88 bpm, blood pressure 112/80 mmHg and oxygen saturations are 94% on 5 L of oxygen. She is suspected to have COVID-19 infection. As part of the investigations, a chest x-ray is performed which shows the following: - ProProfs

    A 55-year-old female is admitted to the hospital with fever and dyspnoea. On initial examination, her temperature is 38.3 °C, pulse 88 bpm, blood pressure 112/80 mmHg and oxygen saturations are 94% on 5 L of oxygen. She is suspected to have COVID-19 infection. As part of the investigations, a chest x-ray is performed which shows the following:

    • Bilateral pleural effusions

    • Hilar lymphadenopathy

    •  Lobar collapse

    • Lobar consolidation

    • Peripheral ground glass opacification

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  • 7. 

    A 42-year-old female calls her GP surgery for a telephone consultation. She has a two-day history of fever, sore throat and dry cough. She has a past history of Addison’s disease for which she takes hydrocortisone 10 mg bd. She is suspected to have COVID-19 infection. She has mild symptoms presently and doesn’t feel too bad. Her call is to enquire how to best manage her steroid replacement. She is speaking in full sentences and explains that her temperature is currently 37.5 °C. Last week her husband, who is a healthcare assistant, was diagnosed with COVID-19 following a positive throat swab. Which of the following is the most appropriate approach to the management of her steroid replacement therapy?

    • Advise her to half the dose of her hydrocortisone

    • Continue on the current dose of hydrocortisone

    • Double the dose of the hydrocortisone for the duration of the illness

    • Switch hydrocortisone to once daily dexamethasone as evidence suggests that hydrocortisone may be associated with a worse prognosis

    • Switch hydrocortisone to once daily prednisolone

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  • 8. 

    An 81-year-old female is seen with a 7-day history of fever, cough and dyspnoea. She was confirmed to have COVID-19 infection on RT-PCR. Her dyspnoea had deteriorated during her admission and her oxygen saturations are now 80% on 10 L of face mask-delivered oxygen. Critical care has reviewed the patient and feels that she would not be a suitable candidate for ventilatory support, as prior to this acute infection she had become increasingly frail over the last 1-2 years. Following a discussion with the family, a palliative approach was elected. She is struggling for breath and is distressed. Which of the following would be the most appropriate approach to relieve breathlessness in this patient?

    • Glycopyrronium

    • Lorazepam

    •  Oral morphine sulphate immediate release

    • Salbutamol nebuliser

    • SC morphine sulphate

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  • 9. 

    A 72-year-old man was admitted 3 days ago with dyspnoea and fever. Throat swab confirmed COVID-19 infection. His breathlessness has been treated with 10% oxygen via face mask and he has maintained oxygen saturations of around 95%. He has a past history of ischaemic heart disease, having been treated with stent insertion 5 years ago. He has become rather agitated and slightly confused, which has made things difficult to manage. The nurses also explain it has been increasingly difficult to get him to take his oral treatments due to his delirium. Non-pharmacological approaches have been implemented but still, he remains agitated and confused, endeavouring to climb out of bed or pull his lines. On examination, he appears confused, has a temperature of 37.8 °C, pulse of 88 bpm regular, blood pressure of 122/88 mmHg and oxygen saturations of 95% on 10 L of oxygen. Which of the following would be the most appropriate approach to managing his agitation/delirium?

    • IM haloperidol

    •  Oral lorazepam

    • SC levomepromazine

    •  SC midazolam

    • SC morphine

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  • 10. 

    You are called to the arrest of a patient on the medical ward. The patient is a 63-year-old male with a 9-day history of deteriorating breathlessness, fever and dry cough. His throat swab on admission returned positive for COVID-19. He has a background history of hypertension for which he takes ramipril and amlodipine. He has had deteriorating breathlessness but has just arrested on your ward. You attend with a surgical mask, gloves and a plastic apron. You quickly check ABC and there is no pulse, no respiratory effort and his airway appears clear. The nurse has connected him to the defibrillator pads, which show the trace below, and he has a venflon inserted into his left antecubital fossa. A crash call has gone out to the resuscitation team, but they are not expected to arrive quickly. Which of the following is the most appropriate approach to the management of the patient?

    • Commence chest decompressions and use an oxygen mask with bag for ventilation

    • Give a precordial thump and commence chest decompressions only

    • Give an initial DC shock and, if rhythm is not restored, commence full CPR with chest compressions and bagged ventilation

    •  Give an initial DC shock and, if unsuccessful, commence chest compressions only

    • Give an initial DC shock and up to 2 further DC shocks. Do not undertake chest compressions or bagging

    Rate this question:

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  • Current Version
  • Aug 17, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 05, 2022
    Quiz Created by
    Catherine Halcomb
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