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

What defines type 2 respiratory failure?

1. ANormal PaO₂ with a low PaCO₂
2. BHigh PaO₂ with a high bicarbonate
3. CLow PaO₂ with a raised PaCO₂
4. DLow PaO₂ with a normal or low PaCO₂

What does a positive tuberculin skin test or interferon-gamma release assay show?

1. AActive, infectious TB of the lungs that needs isolation now
2. BComplete, lifelong immunity to TB after a previous vaccine
3. CInfection with TB at some time, not necessarily active disease
4. DThat the patient has never met TB

Where are AED pads usually placed on an adult?

1. AOn each upper arm
2. BBoth pads on the abdomen, just below the ribs on either side
3. CBelow the right collarbone and on the left side below the armpit
4. DBoth pads on the back, side by side between the shoulder blades

How is a patient usually positioned for a thoracentesis?

1. AProne with the arms by the sides
2. BFlat on the back with the legs raised
3. CSitting upright and leaning forward over a table
4. DLying on the affected side with the head down

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

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

After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?

1. ALift the arms above the head often to stretch the chest
2. BAvoid walking until the stitches are removed
3. CSleep only on the stomach to protect the wound
4. DAvoid heavy lifting and pushing up with the arms

A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?

1. AA peak flow diary for a month
2. BScreening for latent tuberculosis
3. CA sweat chloride test
4. DAn exercise ECG test on a treadmill

Two adults with cystic fibrosis are admitted to the same ward. What is the correct infection-control plan?

1. AUse standard precautions only, as CF is not infectious
2. BPut them in the same bay so they can support each other
3. CNurse them in separate single rooms and keep them apart
4. DLet them share physiotherapy sessions and equipment