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

In a healthy person, what is the main chemical stimulus for breathing?

1. AA falling level of glucose in the blood after fasting
2. BA rising level of oxygen in the blood
3. CA falling level of potassium in the blood
4. DA rising level of carbon dioxide in the blood

Which description fits stable angina?

1. AChest pain at rest that lasts longer than an hour and keeps returning
2. BSharp chest pain that worsens with each breath
3. CChest pain that appears only after heavy meals
4. DChest pain on exertion that eases with rest or nitrates

Finger clubbing is commonly linked with which condition?

1. AHigh blood pressure
2. BAcute bronchitis
3. CMild asthma
4. DBronchiectasis

A young patient with hypertrophic cardiomyopathy asks why they are told to avoid dehydration. What is the best explanation?

1. ALow blood volume can worsen obstruction of blood leaving the heart
2. BDehydration is the cause of the inherited condition
3. CDehydration makes the heart muscle grow thicker within a few hours
4. DFluids dissolve the extra muscle in the heart wall

Why is a shock for cardioversion synchronised with the QRS complex?

1. ATo make the shock less painful for the patient
2. BTo keep the pads from burning the skin
3. CTo allow the use of a lower battery charge
4. DTo avoid delivering the shock during the T wave

A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?

1. APhaeochromocytoma
2. BAsthma
3. CAortic stenosis
4. DStable angina

مريض يتعافى من احتشاء عضلة القلب قلق من العودة إلى الحياة الطبيعية. أيّ تدخل يدعم التعافي على أفضل وجه؟

1. Aالنصح بتجنب كل التمارين بصورة دائمة
2. Bالنصح بإيقاف الأقراص بمجرد الشعور بالتحسن
3. Cالإحالة إلى التأهيل القلبي
4. Dالنصح بالراحة في السرير ثلاثة أشهر

A patient taking warfarin for AF falls and hits their head. An hour later they are drowsy and have vomited. What is the priority?

1. AWithhold tonight's warfarin and review tomorrow
2. BUrgent escalation for CT of the head and anticoagulant reversal
3. CEncourage sleep and check observations at the next routine time
4. DGive paracetamol (acetaminophen) and a light meal