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

What does the term "hypoxaemia" mean?

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

Which vaccine is used to protect against tuberculosis?

1. AMMR
2. BBCG
3. CDTaP
4. DHPV

Which chamber of the heart pumps blood into the aorta?

1. AThe right ventricle
2. BThe left atrium
3. CThe left ventricle
4. DThe right atrium

Which ECG finding is typical of atrial flutter?

1. ARegular sawtooth flutter waves between QRS complexes
2. BA chaotic baseline with no clear P waves and irregular QRS
3. CWide, bizarre QRS complexes at 180/min
4. DP waves with no relationship to the QRS complexes

A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?

1. AVagal manoeuvres such as a modified Valsalva
2. BChest compressions until the rate slows
3. CAn immediate unsynchronised shock with the defibrillator
4. DA large oral dose of digoxin

A woman with hypertension who takes lisinopril says she is planning a pregnancy. What should the nurse advise?

1. ADiscuss switching medicine with the prescriber before trying to conceive
2. BContinue lisinopril, as it is the safest blood pressure drug in pregnancy
3. CStop all blood pressure treatment straight away without telling anyone
4. DDouble the dose to protect the baby from high blood pressure

A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?

1. AOral apixaban only, started next week
2. BCompression stockings and bed rest
3. CSystemic thrombolysis
4. DAn inhaled bronchodilator

हृदय की सर्जरी के एक घंटे बाद मीडियास्टाइनल चेस्ट ड्रेन से 350 mL चमकीला लाल रक्त निकल चुका है और हृदय गति बढ़ रही है। नर्स को क्या करना चाहिए?

1. Aआगे रक्त हानि रोकने के लिए ड्रेन को क्लैम्प करना
2. Bहर पाँच मिनट में ट्यूबिंग को ज़ोर से दबाकर खींचना
3. Cमात्रा दर्ज करना और हर घंटे की जाँच जारी रखना
4. Dतुरंत शल्य टीम को सूचित करना