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?

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

Which organism causes tuberculosis?

  1. AMycobacterium tuberculosis
  2. BPseudomonas aeruginosa
  3. CStaphylococcus aureus
  4. DCorynebacterium diphtheriae
3.Mudah

On spirometry, what does a reduced FEV1/FVC ratio indicate?

  1. AWeak heart muscle
  2. BNormal lung function
  3. CObstruction to airflow
  4. DLow haemoglobin
4.Sederhana

A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?

  1. AA high haemoglobin level
  2. BAn unusually strong cardiac output
  3. CReduced peripheral perfusion
  4. 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?

  1. AINR and platelet count
  2. BTroponin and creatine kinase
  3. CLiver enzymes and amylase
  4. DPotassium and creatinine
6.Sederhana

Why is a raised serum lactate concerning in a patient with shock?

  1. AIt suggests tissues are short of oxygen and using anaerobic metabolism
  2. BIt means the kidneys are working harder than normal to clear fluid
  3. CIt shows only that the patient has eaten a large meal in the past hour
  4. 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?

  1. AEffective analgesia so they can breathe deeply and cough
  2. BWithhold analgesia to avoid depressing breathing
  3. CKeep the patient flat and still in bed until the pain settles
  4. 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?

  1. ARespiratory alkalosis
  2. BMetabolic acidosis with compensation
  3. CAcute respiratory acidosis
  4. DMetabolic alkalosis

Kunci jawapan

  1. 1. B · Infection with TB at some time, not necessarily active disease
  2. 2. A · Mycobacterium tuberculosis
  3. 3. C · Obstruction to airflow
  4. 4. C · Reduced peripheral perfusion
  5. 5. D · Potassium and creatinine
  6. 6. A · It suggests tissues are short of oxygen and using anaerobic metabolism
  7. 7. A · Effective analgesia so they can breathe deeply and cough
  8. 8. C · Acute respiratory acidosis

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