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

Which group of symptoms suggests obstructive sleep apnoea?

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

Which type of leg ulcer is most common?

1. AUlcers from spider bites
2. BMalignant ulcers
3. CArterial ulcers
4. DVenous ulcers

Together with fever, which finding should raise suspicion of infective endocarditis?

1. APain in one calf
2. BA dry, tickly cough
3. CA new heart murmur
4. DA slow heart rate

ماذا يعني ارتفاع نتيجة D-dimer؟

1. Aوجود تحلل للفبرين، لكنه لا يثبت وجود خثرة
2. Bتأكد حدوث انصمام رئوي أو خثار أوردة عميقة
3. Cاستُبعد خثار الأوردة العميقة بأمان
4. Dجرعة مضاد التخثر منخفضة ويجب رفعها

Why are patients with mitral stenosis at high risk of atrial fibrillation?

1. AThe left atrium enlarges as it pushes blood through the narrow valve
2. BThe narrow valve presses on the sinus node and slows it down directly
3. CThe coronary arteries become blocked by the valve
4. DThe right ventricle shrinks and stops contracting properly over time

How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?

1. AAs hard and fast as possible, then press the canister afterwards
2. BNormally, while breathing out through the mouthpiece
3. CIn short gasps through the nose while pressing the canister
4. DSlowly and deeply while pressing the canister, then hold the breath

The monitor shows a regular broad-complex tachycardia at 180/min. The patient is alert with BP 126/78 mmHg and no chest pain. What is the most appropriate plan?

1. AReassure the patient, as this is a normal rhythm
2. BDeliver an unsynchronised shock immediately, before any other assessment
3. CRecord a 12-lead ECG, call senior help and anticipate an antiarrhythmic
4. DStart chest compressions straight away and give a dose of IV adrenaline

تخطط ممرضة لرعاية أربعة مرضى. أيّ مريض ينبغي تقييمه أولًا؟

1. Aمريض بارتفاع ضغط مضبوط يسأل عن الملح
2. Bمريض قصور قلب مستقر ينتظر وزنه اليومي
3. Cمريض بقرحة وريدية حان موعد تغيير ضمادها
4. Dمريض COPD انخفض SpO₂ لديه من 90% إلى 83% مع نعاس جديد