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

Which coronary artery mainly supplies the front (anterior) wall of the left ventricle?

1. AThe left anterior descending artery
2. BThe right coronary artery and its marginal branch
3. CThe circumflex artery only
4. DThe pulmonary artery

What is the approximate tidal volume of a resting adult?

1. AAbout 500 mL
2. BAbout 50 mL
3. CAbout 1,5 litres
4. DAbout 5 litres

Which three signs make up Beck's triad in cardiac tamponade?

1. AChest pain, ST elevation and raised troponin
2. BFever, a new heart murmur and splinter haemorrhages under the nails
3. CLow blood pressure, distended neck veins and muffled heart sounds
4. DHigh blood pressure, a slow pulse and irregular breathing

A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?

1. AClass IV
2. BClass III
3. CClass II
4. DClass I

Septic shock belongs to which category of shock?

1. AObstructive shock
2. BDistributive shock
3. CCardiogenic shock
4. DHypovolaemic shock

A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?

1. AIntravenous potassium chloride as a bolus
2. BIntravenous adenosine
3. CIntravenous magnesium sulfate
4. DOral digoxin

مريض يتناول الأبيكسابان بسبب الرجفان الأذيني محجوز لجراحة اختيارية. أيّ عبارة تعكس الممارسة الصحيحة؟

1. Aيُوقف قبل الجراحة بأسبوعين ويُستبدل بالوارفارين
2. Bيُستمر عليه دائمًا حتى صباح العملية
3. Cيُوقف ثم يُعكس بفيتامين K فموي
4. Dيُوقف لمدة محددة، بحسب خطر النزف ووظيفة الكلى

A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?

1. AStop all contraception during TB treatment, as pregnancy cannot occur
2. BContinue the pill as usual, because there is no interaction with TB drugs
3. CTake two pills a day to make up for the drug
4. DUse another reliable method, as rifampicin reduces the pill's effect