Scheda di esercizi di Area medico-chirurgica: cardiovascolare e respiratoria con soluzioni

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

In pericarditis, which structure is inflamed?

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

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

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

Quale affermazione sugli anticoagulanti orali diretti come apixaban e rivaroxaban è corretta?

1. ANessun controllo routinario dell'INR, ma le dosi dipendono dalla funzione renale
2. BLe dosi dimenticate non contano perché agiscono per settimane
3. CIl loro effetto si inverte somministrando vitamina K
4. DServono controlli settimanali dell'INR, come con il warfarin

A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?

1. AA single repeat reading in the same clinic visit
2. BA chest X-ray
3. CStarting two antihypertensive drugs at once at full dose
4. DAmbulatory or structured home blood pressure monitoring

Suspected pulmonary TB is being investigated. How are sputum samples usually collected?

1. AA single sample after the first week of treatment
2. BOne sample of saliva collected at any time of the day
3. CSeveral samples, ideally including early-morning sputum
4. DA swab from the nose only

Un paziente con dolore toracico ha sopraslivellamento del tratto ST nelle derivazioni II, III e aVF. PA 86/54 mmHg, polmoni liberi e vene del collo distese. Quale farmaco prescritto deve mettere in discussione l'infermiere?

1. ANitroglicerina sublinguale
2. BUn antiemetico EV
3. CAspirina 300 mg masticata
4. DOssigeno se la SpO₂ scende sotto il target

A smoker has severe shoulder and arm pain, a drooping eyelid, a small pupil and reduced sweating on the same side of the face. What should be suspected?

1. AA frozen shoulder with referred pain to the face
2. BA tumour at the apex of the lung (Pancoast tumour)
3. CA simple migraine
4. DA stroke affecting the brainstem on the opposite side