Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowy: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
What does "hypovolaemia" mean?
AA low level of sodium in the blood
BA high level of fluid in the tissues
CA low level of haemoglobin with a normal blood volume
DA reduced volume of blood in the circulation
2.Łatwy
In pericarditis, which structure is inflamed?
AThe sac that surrounds the heart
BThe heart muscle itself
CThe coronary arteries
DThe inner lining of the heart chambers
3.Łatwy
What is atelectasis?
AInfection of the lung tissue causing the alveoli to fill with pus
BNarrowing of the airways caused by spasm of smooth muscle
CFluid in the space around the lung
DCollapse of part of the lung so the alveoli contain no air
4.Średni
A 70 kg patient has passed 20 mL of urine per hour for the last three hours. How should this be interpreted?
CNormal, because any measurable urine output is reassuring
DHigh, suggesting fluid overload that needs a diuretic
5.Średni
Suspected pulmonary TB is being investigated. How are sputum samples usually collected?
AA single sample after the first week of treatment
BSeveral samples, ideally including early-morning sputum
COne sample of saliva collected at any time of the day
DA swab from the nose only
6.Średni
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
AClass I
BClass II
CClass IV
DClass III
7.Trudny
A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?
AUse another reliable method, as rifampicin reduces the pill's effect
BTake two pills a day to make up for the drug
CStop all contraception during TB treatment, as pregnancy cannot occur
DContinue the pill as usual, because there is no interaction with TB drugs
8.Trudny
After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?
AAsthma triggered by the infection
BA parapneumonic effusion or empyema
CNormal recovery from pneumonia
DAn allergic reaction to the antibiotic
Klucz odpowiedzi
1. D · A reduced volume of blood in the circulation
2. A · The sac that surrounds the heart
3. D · Collapse of part of the lung so the alveoli contain no air
4. B · Below 0,5 mL/kg/h, suggesting poor kidney perfusion
5. B · Several samples, ideally including early-morning sputum
6. D · Class III
7. A · Use another reliable method, as rifampicin reduces the pill's effect
8. B · A parapneumonic effusion or empyema
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