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

In pericarditis, which structure is inflamed?

1. AThe coronary arteries
2. BThe sac that surrounds the heart
3. CThe heart muscle itself
4. DThe inner lining of the heart chambers

What does the term "hypoxaemia" mean?

1. AA low level of haemoglobin in the blood
2. BA fast breathing rate with normal oxygen
3. CA high level of carbon dioxide in the blood
4. DA low level of oxygen in the arterial blood

Which serious complication is strongly linked with untreated hypertension?

1. ACataract
2. BAsthma
3. CPneumonia
4. DStroke

मॉनिटर पर वेंट्रिकुलर फ़िब्रिलेशन दिख रहा है। मरीज़ अनुत्तरदायी है और सामान्य रूप से साँस नहीं ले रहा। मुख्य उपचार क्या है?

1. Aगहरी बेहोशी में सिंक्रोनाइज़्ड कार्डियोवर्शन
2. BCPR और यथाशीघ्र डीफ़िब्रिलेशन
3. CIV एट्रोपिन और बाहरी पेसिंग
4. Dतेज़ IV एडेनोसिन और उसके बाद फ़्लश

A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?

1. AAdvise that it will be ignored until it stops
2. BExplain that burning pain in the missing foot shows wound infection
3. CTell the patient the pain must be imaginary as the foot has gone
4. DExplain that phantom limb pain is real and arrange treatment

A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?

1. ALying flat for 30 minutes after eating to aid digestion
2. BA swallowing assessment and sitting upright for meals
3. CGiving thin fluids quickly through a straw between meals
4. DGiving meals while the patient is drowsy

A patient is listed for coronary angiography in the morning. Which pre-procedure result should the nurse report to the team?

1. AA blood glucose of 5.4 mmol/L (97 mg/dL)
2. BA markedly reduced eGFR
3. CA normal platelet count
4. DA haemoglobin in the normal range

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