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

أين تحدث قرحات الساق الوريدية في أغلب الأحيان؟

1. Aعلى أطراف أصابع القدم
2. Bعلى مؤخرة الكعب
3. Cتحت رؤوس مشطيات القدم في باطن القدم
4. Dفوق الكعب الإنسي (الكاحل الداخلي)

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 sign often appears earliest in hypovolaemic shock in an adult?

1. AFixed, dilated pupils
2. BA slow, bounding pulse
3. CA systolic pressure below 70 mmHg
4. DA rising heart rate

A patient arrives with suspected cardiac chest pain. How soon should a 12-lead ECG be recorded?

1. AOnly after the troponin result is available
2. BWithin 2 hours of arrival
3. CWithin about 10 minutes of arrival
4. DThe following morning

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

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

Rheumatic heart disease most often follows which infection?

1. AA group A streptococcal throat infection
2. BA fungal infection of the lungs
3. CStaphylococcal infection of the skin
4. DA viral infection of the upper airway

A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?

1. AA side effect of the IV antibiotic on the nerves
2. BAn embolus from a valve vegetation causing a stroke
3. CA migraine aura triggered by the fever
4. DLow blood glucose from a reduced appetite

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. ADeliver an unsynchronised shock at once and then check the pulse
2. BGive adenosine to slow the rhythm down
3. CContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
4. DStop CPR, because an organised rhythm on the monitor means recovery