Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowy: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Który lek powszechnie stosuje się do zwolnienia czynności serca w migotaniu przedsionków?

  1. ABisoprolol (bloker receptorów beta)
  2. BAtorwastatyna (statyna)
  3. CFurosemid (diuretyk pętlowy)
  4. DAmlodypina (bloker kanału wapniowego z grupy dihydropirydyn)
2.Łatwy

What is the approximate tidal volume of a resting adult?

  1. AAbout 50 mL
  2. BAbout 5 litres
  3. CAbout 1,5 litres
  4. DAbout 500 mL
3.Łatwy

Drug names ending in "-olol", such as bisoprolol and atenolol, belong to which class?

  1. ALoop diuretics
  2. BBeta-blockers
  3. CACE inhibitors
  4. DCalcium channel blockers
4.Średni

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

  1. ARemove the device battery at home if it fires more than once
  2. BIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
  3. COne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
  4. DDrive straight to hospital alone after any shock so the device can be checked by the team
5.Średni

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
6.Średni

After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?

  1. AStatins are given after an ACS mainly to lower the blood pressure
  2. BStatins work as painkillers for chest pain
  3. CStatins reduce further events whatever the starting cholesterol
  4. DStatins are needed only if the cholesterol level is very high
7.Trudny

An 84-year-old with heart failure becomes breathless with new crackles and a rising blood pressure during a blood transfusion. What should the nurse suspect?

  1. AA mild febrile reaction
  2. BNormal effects of the transfusion
  3. CTransfusion-associated circulatory overload
  4. DAn acute haemolytic reaction from wrong blood
8.Trudny

A patient with a valid, documented do-not-attempt-CPR decision (DNACPR in the UK, DNR or DNAR in the US) is found in cardiac arrest. What should the nurse do?

  1. ACall the arrest team and let them decide whether to resuscitate
  2. BStart full CPR because the patient's family is not present
  3. CNot start CPR, call for support, and provide dignity and comfort
  4. DStart CPR but use only chest compressions

Klucz odpowiedzi

  1. 1. A · Bisoprolol (bloker receptorów beta)
  2. 2. D · About 500 mL
  3. 3. B · Beta-blockers
  4. 4. C · One shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
  5. 5. C · Several samples, ideally including early-morning sputum
  6. 6. C · Statins reduce further events whatever the starting cholesterol
  7. 7. C · Transfusion-associated circulatory overload
  8. 8. C · Not start CPR, call for support, and provide dignity and comfort

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