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

Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?

1. AA fast, irregular heart rate
2. BSwelling of both ankles
3. CA persistent dry cough
4. DA productive cough with green sputum

What is cor pulmonale?

1. ALeft-sided heart failure caused by a heart attack
2. BInflammation of the lining around the heart
3. CInfection of the heart valves
4. DRight-sided heart failure caused by lung disease

Which sound is typical of a pleural friction rub?

1. AA creaking, grating sound with each breath
2. BA harsh sound on breathing in from the throat
3. CFine bubbling sounds that clear with coughing
4. DA high-pitched musical sound on expiration

Septic shock belongs to which category of shock?

1. AHypovolaemic shock
2. BObstructive shock
3. CDistributive shock
4. DCardiogenic shock

ضغط دم مريض 200/125 mmHg مع تشوش جديد وتشوش الرؤية. كيف يُخفَّض عادةً؟

1. Aبقرص فموي جديد ومراجعة بعد أسبوع
2. Bلا يُخفَّض إطلاقًا، لأن الدماغ يعتمد الآن على الضغط المرتفع
3. Cبأدوية وريدية متدرجة الجرعة، بنسبة تصل إلى نحو 25% في الساعة الأولى
4. Dبأسرع ما يمكن، إلى قيمة طبيعية خلال دقائق

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

1. A80 mmHg
2. B60 mmHg
3. C100 mmHg
4. D90 mmHg

A fit 24-year-old marathon runner has a resting heart rate of 46/min on admission for minor surgery. He has no dizziness, chest pain or breathlessness, and his BP is 118/70 mmHg. What is the appropriate response?

1. AGive IV atropine straight away to bring the rate above 60/min
2. BDocument and report it, as this is often normal in an athlete
3. CStart chest compressions
4. DCancel the surgery and arrange a permanent pacemaker urgently

A smoker has severe shoulder and arm pain, a drooping eyelid, a small pupil and reduced sweating on the same side of the face. What should be suspected?

1. AA stroke affecting the brainstem on the opposite side
2. BA frozen shoulder with referred pain to the face
3. CA tumour at the apex of the lung (Pancoast tumour)
4. DA simple migraine