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

أيّ عرض نموذجي لمرض الشرايين المحيطية؟

1. Aتشنج في الربلة عند المشي يزول بالراحة
2. Bتورم الكاحلين يزداد خلال النهار ويخف ليلًا
3. Cحكة وجلد بني حول الكاحلين
4. Dربلة ساخنة حمراء متورمة من جانب واحد

أيّ مجموعة من العلامات تشير إلى احتباس ثاني أكسيد الكربون (فرط ثنائي أكسيد الكربون في الدم)؟

1. Aجلد شاحب بارد رطب مع نبض ضعيف خيطي
2. Bحدقتان نقطيتان مع بطء شديد في القلب
3. Cنعاس وصداع واحمرار الجلد ونبض قفّاز
4. Dتنميل في الأصابع والشفتين بعد فترة تنفس سريع

What is haemoptysis?

1. AVomiting blood that comes from the stomach
2. BBleeding from the nose that runs into the throat
3. CBlood in the urine
4. DCoughing up blood from the lungs or airways

Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?

1. ARapid doses cause severe constipation
2. BRapid high doses can damage hearing
3. CRapid doses cause the potassium level to rise
4. DSlow injection makes the urine output larger

Which investigation is usually used to confirm a deep vein thrombosis in the leg?

1. AA plain chest X-ray and an ECG
2. BA lung function test
3. CCompression duplex ultrasound
4. DAn exercise ECG

In heart failure, why does activation of the renin–angiotensin–aldosterone system worsen symptoms over time?

1. AIt slows the heart rate dangerously
2. BIt lowers the blood pressure to very low levels over time
3. CIt causes sodium and water retention and vasoconstriction
4. DIt makes the kidneys pass too much dilute urine each day

A patient with pneumonia has a heart rate of 118/min, BP 86/50 mmHg, RR 28/min and a high lactate. Sepsis is recognised. Which action should not be delayed?

1. ATake blood cultures and give IV antibiotics within the first hour
2. BDelay fluids until a chest X-ray has been reported
3. CGive oral antibiotics and reassess the next day
4. DWait for the sputum culture result before choosing an antibiotic

A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?

1. ANon-ST-elevation myocardial infarction
2. BST-elevation myocardial infarction (STEMI)
3. CStable angina
4. DAcute pericarditis