Lembaran kerja Perubatan-pembedahan: kardiovaskular & respiratori dengan jawapan
Lembaran kerja Perubatan-pembedahan: kardiovaskular & respiratori percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What does a positive tuberculin skin test or interferon-gamma release assay show?
AActive, infectious TB of the lungs that needs isolation now
BInfection with TB at some time, not necessarily active disease
CThat the patient has never met TB
DComplete, lifelong immunity to TB after a previous vaccine
2.Mudah
Which organism causes tuberculosis?
AMycobacterium tuberculosis
BPseudomonas aeruginosa
CStaphylococcus aureus
DCorynebacterium diphtheriae
3.Mudah
On spirometry, what does a reduced FEV1/FVC ratio indicate?
AWeak heart muscle
BNormal lung function
CObstruction to airflow
DLow haemoglobin
4.Sederhana
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
AA high haemoglobin level
BAn unusually strong cardiac output
CReduced peripheral perfusion
DNormal peripheral perfusion
5.Sederhana
A patient has just started an ACE inhibitor. Which blood tests are usually checked within the first one to two weeks?
AINR and platelet count
BTroponin and creatine kinase
CLiver enzymes and amylase
DPotassium and creatinine
6.Sederhana
Why is a raised serum lactate concerning in a patient with shock?
AIt suggests tissues are short of oxygen and using anaerobic metabolism
BIt means the kidneys are working harder than normal to clear fluid
CIt shows only that the patient has eaten a large meal in the past hour
DIt confirms a bacterial infection is present
7.Sukar
An older patient with three rib fractures is breathing shallowly and refuses to cough because of pain. What is the priority intervention?
AEffective analgesia so they can breathe deeply and cough
BWithhold analgesia to avoid depressing breathing
CKeep the patient flat and still in bed until the pain settles
DStrap the chest tightly with bandages to stop the ribs moving
8.Sukar
A patient's blood gas shows pH 7.26, PaCO₂ 9.0 kPa (68 mmHg) and bicarbonate 25 mmol/L. What does this show?
ARespiratory alkalosis
BMetabolic acidosis with compensation
CAcute respiratory acidosis
DMetabolic alkalosis
Kunci jawapan
1. B · Infection with TB at some time, not necessarily active disease
2. A · Mycobacterium tuberculosis
3. C · Obstruction to airflow
4. C · Reduced peripheral perfusion
5. D · Potassium and creatinine
6. A · It suggests tissues are short of oxygen and using anaerobic metabolism
7. A · Effective analgesia so they can breathe deeply and cough
8. C · Acute respiratory acidosis
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