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
Apakah tujuan spirometri insentif selepas pembedahan?
AUntuk menggalakkan pernafasan dalam dan mencegah atelektasis
BUntuk menyampaikan ubat bronkodilator nebulisasi
CUntuk mengukur ketepuan oksigen pesakit
DUntuk menguji fungsi paru-paru sebelum discaj
2.Mudah
Which test is classically used to diagnose cystic fibrosis?
APeak flow test
BTuberculin skin test
CSweat chloride test
DD-dimer test
3.Mudah
What is the normal range for arterial blood pH?
A7.35–7.45
B6.80–7.00
C7.50–7.65
D7.00–7.20
4.Sederhana
A patient is starting long-term amiodarone. Which teaching and monitoring are most important?
AExpect orange urine and no need for blood tests
BAvoid dairy products and have the INR checked once at the start
CProtect skin from sunlight and have thyroid, liver and lung checks
DEat extra salt and stop the drug as soon as the pulse is regular
5.Sederhana
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
ATo widen the airways within minutes
BTo kill bacteria in the airways
CTo stop the patient coughing completely, day and night
DTo make sputum thinner and easier to cough up
6.Sederhana
A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?
AAn immediate unsynchronised shock with the defibrillator
BChest compressions until the rate slows
CVagal manoeuvres such as a modified Valsalva
DA large oral dose of digoxin
7.Sukar
A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?
AVia nasal cannula at 2 L/min
BVia a mask or humidified device over the neck stoma
CVia a standard face mask over the nose and mouth
DVia a non-rebreather mask over the mouth only
8.Sukar
Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?
AEarly haemorrhagic shock is likely, so escalate urgently
BThe tachycardia is from pain and needs only analgesia
CThe patient is stable because the blood pressure is normal
DThe drain is working well, so no action is needed
Kunci jawapan
1. A · Untuk menggalakkan pernafasan dalam dan mencegah atelektasis
2. C · Sweat chloride test
3. A · 7.35–7.45
4. C · Protect skin from sunlight and have thyroid, liver and lung checks
5. D · To make sputum thinner and easier to cough up
6. C · Vagal manoeuvres such as a modified Valsalva
7. B · Via a mask or humidified device over the neck stoma
8. A · Early haemorrhagic shock is likely, so escalate urgently
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