Užduočių lapas tema Vidaus ligų ir chirurginė slauga: širdies ir kraujagyslių bei kvėpavimo sistemos su atsakymais

What is a thoracentesis?

1. ARemoving fluid from the pleural space with a needle
2. BMeasuring lung volumes by blowing into a tube
3. CRemoving a lobe of the lung
4. DInserting a flexible camera into the airways to look inside

Rust-coloured sputum is classically linked with which infection?

1. AAllergic rhinitis
2. BPneumococcal pneumonia
3. COral thrush
4. DA viral common cold

Which procedure relieves cardiac tamponade?

1. APericardiocentesis
2. BBronchoscopy
3. CCardioversion
4. DThoracentesis (pleural tap)

A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?

1. AClass IV
2. BClass I
3. CClass II
4. DClass III

How big should a suction catheter be compared with the tracheostomy or endotracheal tube?

1. ANo more than half the internal diameter of the tube
2. BLarger than the tube, so that it clears it completely
3. CAny size, as the diameter does not matter
4. DExactly the same diameter as the tube, for a tight fit

Which investigation is most often used to confirm a pulmonary embolism?

1. ACT pulmonary angiography
2. BAbdominal ultrasound
3. CPeak flow measurement
4. DSputum culture

A patient on spironolactone and an ACE inhibitor has a potassium of 6,8 mmol/L (6,8 mEq/L) with peaked T waves. What is usually given first to protect the heart?

1. AIntravenous calcium gluconate or chloride
2. BAn IV furosemide bolus as the only treatment
3. COral potassium supplements
4. DA dose of digoxin

An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?

1. AWait a week to see whether the symptoms settle before testing
2. BIsolate only if they develop a rash
3. CIsolate with droplet precautions, test and expect early antivirals
4. DLeave them in the open bay and give a course of antibiotics only