Lembar kerja Medikal-bedah: kardiovaskular & respirasi dengan jawaban

Pemeriksaan darah mana yang digunakan untuk memantau terapi warfarin?

1. AJumlah trombosit
2. BKadar anti-Xa
3. CINR (international normalised ratio)
4. DWaktu tromboplastin parsial teraktivasi

Which symptom should a patient taking a statin report promptly?

1. ASlightly darker morning urine
2. BUnexplained muscle pain or weakness
3. CA brief headache on the first day
4. DMild hunger before meals

What is the main cause of varicose veins?

1. AA clot blocking a deep vein in the calf
2. BNarrowing of the leg arteries by plaque
3. CFaulty valves in the superficial leg veins
4. DInflammation of the lymph nodes in the groin

Seorang pasien mengalami nyeri dada sentral dan STEMI pada EKG. Apa yang biasanya diperlukan?

1. ARawat inap dan EKG ulang pada pagi berikutnya
2. BReperfusi darurat, sebaiknya dengan PCI primer
3. CPenyekat beta oral dan pulang bila nyeri mereda
4. DHasil troponin sebelum keputusan pengobatan apa pun dibuat

Menurut pedoman terkini, kapan oksigen diberikan kepada pasien dengan sindrom koroner akut?

1. AHanya setelah hasil troponin tersedia
2. BTidak pernah, karena oksigen merusak otot jantung
3. CHanya bila SpO₂ di bawah rentang target
4. DSelalu 15 L/menit, berapa pun saturasinya

A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?

1. AMix it with an eye drop before putting it in the nebuliser
2. BGive it only with the patient lying completely flat
3. CUse a mouthpiece or protect the eyes from the mist
4. DRun it at the highest possible gas flow

A patient with a large pericardial effusion has a systolic pressure that falls by more than 10 mmHg during inspiration. What is this finding called?

1. AA collapsing pulse
2. BPulsus alternans
3. CPulsus paradoxus
4. DA pulse deficit

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. AAn inhaled bronchodilator
2. BOral apixaban only, started next week
3. CSystemic thrombolysis
4. DCompression stockings and bed rest