उत्तरों सहित मेड-सर्ज: हृदय-संवहनी और श्वसन वर्कशीट

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

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

What is haemoptysis?

1. ABlood in the urine
2. BBleeding from the nose that runs into the throat
3. CCoughing up blood from the lungs or airways
4. DVomiting blood that comes from the stomach

What is a thoracentesis?

1. AInserting a flexible camera into the airways to look inside
2. BRemoving a lobe of the lung
3. CMeasuring lung volumes by blowing into a tube
4. DRemoving fluid from the pleural space with a needle

Which exercise advice is recommended for intermittent claudication?

1. AStopping walking at the very first twinge of pain each time
2. BSupervised walking until pain is near maximal, then rest and repeat
3. CWalking only on days when the legs feel warm and painless
4. DComplete bed rest until the leg pain has gone for at least a month

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AAn expected sign that the drug is working
2. BA theophylline allergy causing a rash
3. CTheophylline toxicity
4. DHypoglycaemia caused by the drug

शिरापरक पैर के अल्सर के लिए कम्प्रेशन चिकित्सा लगाने से पहले कौन-सा आकलन आवश्यक है?

1. Aछाती का एक्स-रे और ECG
2. Bपूर्ण रक्त गणना और CRP
3. Cएंकल–ब्रैकियल प्रेशर इंडेक्स (ABPI)
4. Dकल्चर और सेंसिटिविटी के लिए घाव का स्वैब

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

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

Three days after an MI, a patient faints on the commode while straining hard to open the bowels. The heart rate was 42/min at the time. What is the most likely mechanism?

1. AA vagal response to straining
2. BAn allergic reaction to the commode
3. CA new pulmonary embolism
4. DLow blood glucose from fasting