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

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Imię: ____________________   Data: ____________

1.Łatwy

What does a positive tuberculin skin test or interferon-gamma release assay show?

  1. AInfection with TB at some time, not necessarily active disease
  2. BActive, infectious TB of the lungs that needs isolation now
  3. CComplete, lifelong immunity to TB after a previous vaccine
  4. DThat the patient has never met TB
2.Łatwy

Which valve lies between the left atrium and the left ventricle?

  1. AThe aortic valve
  2. BThe pulmonary valve
  3. CThe mitral valve
  4. DThe tricuspid valve
3.Łatwy

Which structure is the heart's natural pacemaker?

  1. AThe atrioventricular (AV) node
  2. BThe Purkinje fibres
  3. CThe sinoatrial (SA) node
  4. DThe bundle of His
4.Średni

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

  1. ATake an extra dose if the ankles swell
  2. BKeep the genital area clean, as fungal infections are more common
  3. CExpect the urine to turn bright orange and stain underwear and clothes
  4. DAvoid drinking any fluids at all for the first week of treatment
5.Średni

What is the main problem in heart failure with preserved ejection fraction?

  1. AA leaking aortic valve
  2. BA blocked pulmonary artery
  3. CA dilated ventricle that cannot contract strongly
  4. DA stiff ventricle that fills poorly in diastole
6.Średni

Pacjent z chorobą tętnic obwodowych odczuwa ból nóg w nocy. Jaka pozycja może go złagodzić?

  1. APrzyłożenie termoforu bezpośrednio do stóp
  2. BUniesienie nóg na poduszkach powyżej poziomu serca
  3. CZwieszenie nóg poza krawędź łóżka
  4. DOwinięcie nóg bandażami uciskowymi
7.Trudny

A nurse phones the doctor about a patient with pneumonia whose observations are worsening. Using SBAR, which statement is the clearest "recommendation"?

  1. A"His heart rate is 124/min, his BP is 88/50 mmHg and he is confused."
  2. B"I am calling about the patient in bed 6."
  3. C"I think he may have sepsis; please review him within 30 minutes."
  4. D"He is 72 and was admitted yesterday with community-acquired pneumonia."
8.Trudny

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

  1. AContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
  2. BStop CPR, because an organised rhythm on the monitor means recovery
  3. CDeliver an unsynchronised shock at once and then check the pulse
  4. DGive adenosine to slow the rhythm down

Klucz odpowiedzi

  1. 1. A · Infection with TB at some time, not necessarily active disease
  2. 2. C · The mitral valve
  3. 3. C · The sinoatrial (SA) node
  4. 4. B · Keep the genital area clean, as fungal infections are more common
  5. 5. D · A stiff ventricle that fills poorly in diastole
  6. 6. C · Zwieszenie nóg poza krawędź łóżka
  7. 7. C · "I think he may have sepsis; please review him within 30 minutes."
  8. 8. A · Continue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable

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