ورقة عمل التمريض الباطني الجراحي: القلب والأوعية والجهاز التنفسي مع الإجابات

When do the coronary arteries of the left ventricle mainly fill with blood?

1. ADuring diastole
2. BOnly during exercise
3. COnly during inspiration
4. DDuring systole

What is pitting oedema?

1. ASwelling that is hard and does not dent at all when pressed
2. BSwelling that keeps a dent for a while after firm pressure
3. CA small sore that forms on the shin
4. DRedness of the skin that turns white when it is pressed

How is cystic fibrosis inherited?

1. AX-linked recessive
2. BIt is not inherited
3. CAutosomal dominant
4. DAutosomal recessive

ما التطعيمات الموصى بها عادةً لمرضى COPD؟

1. Aمعزز الكزاز السنوي فقط
2. Bلقاح BCG كل خمس سنوات
3. Cلقاح الإنفلونزا السنوي ولقاح المكورات الرئوية
4. Dلا لقاحات إطلاقًا، لأنها معروفة بإثارة التفاقم

سيتلقى مريض مصاب بتسرع القلب فوق البطيني الأدينوزين وريديًا. ما الذي ينبغي أن تحذّره منه الممرضة؟

1. Aعدة ساعات من النعاس وتداخل الكلام والتشوش بعد ذلك
2. Bاحمرار عابر أو ضيق في الصدر وتوقف لبضع ثوانٍ
3. Cألم حارق على طول وريد الذراع لنحو أسبوع
4. Dصداع يدوم عدة أيام بعد ذلك

What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?

1. ATo make both ventricles contract together and more efficiently
2. BTo replace a damaged heart valve
3. CTo deliver a shock whenever the heart rate exceeds 100/min
4. DTo slow the atrial rate in patients with atrial fibrillation

Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?

1. AThe patient is stable because the blood pressure is normal
2. BEarly haemorrhagic shock is likely, so escalate urgently
3. CThe tachycardia is from pain and needs only analgesia
4. DThe drain is working well, so no action is needed

A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?

1. AGTN makes the narrowed aortic valve tighten further within a few minutes
2. BGTN raises the blood pressure dangerously in aortic stenosis
3. CThere is no reason for caution, because GTN acts only on the coronary arteries
4. DVasodilators can cause a severe fall in BP with a fixed outflow obstruction