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

Which group of symptoms suggests obstructive sleep apnoea?

1. AFever, cough and rust-coloured sputum
2. BLoud snoring, pauses in breathing and daytime sleepiness
3. CWheeze, cough and itchy eyes that come on after exercise
4. DNight sweats, weight loss and a cough lasting several weeks

Which three symptoms are classic in severe aortic stenosis?

1. ACalf pain, leg swelling and redness of one leg
2. BFever, painful swollen joints and a spreading skin rash
3. CExertional chest pain, fainting and breathlessness
4. DWheeze, cough and clear sputum

Which chamber of the heart pumps blood into the aorta?

1. AThe right ventricle
2. BThe left atrium
3. CThe left ventricle
4. DThe right atrium

Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?

1. AAn accurate, recent body weight is recorded
2. BThe patient has fasted for 12 hours
3. CThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
4. DA chest drain is in place

A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?

1. AA chest X-ray
2. BAmbulatory or structured home blood pressure monitoring
3. CA single repeat reading in the same clinic visit
4. DStarting two antihypertensive drugs at once at full dose

How should a patient with asthma record their peak flow at home?

1. ABlow only during an asthma attack, never when well
2. BTake one gentle blow once a week, at any time of day
3. CTake the average of ten blows after exercise
4. DTake the best of three blows, ideally morning and evening

A 74-year-old with atrial fibrillation, hypertension and diabetes asks why she needs an anticoagulant when she feels well. Which reply is best?

1. AThe anticoagulant will stop the irregular heartbeat for good
2. BIt is needed only while she has palpitations
3. CIt is given to lower her blood pressure
4. DHer risk of stroke is high, and an anticoagulant lowers it

بعد ثلاثة أسابيع من احتشاء عضلة القلب، يعاني مريض حمى وألم صدر جنبيًا يخف بالانحناء إلى الأمام واحتكاكًا تامّوريًا. أيّ حالة هي الأرجح؟

1. Aمتلازمة ما بعد الاحتشاء (متلازمة دريسلر)
2. Bتسلخ الأبهر الحاد
3. Cقصور البطين الأيسر الحاد
4. Dاحتشاء STEMI جديد في شريان آخر