Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowy: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
Where are AED pads usually placed on an adult?
ABoth pads on the back, side by side between the shoulder blades
BOn each upper arm
CBoth pads on the abdomen, just below the ribs on either side
DBelow the right collarbone and on the left side below the armpit
2.Łatwy
Która interwencja najskuteczniej spowalnia postęp POChP u palacza?
ACodzienne doustne glikokortykosteroidy
BZaprzestanie palenia
CDługotrwałe doustne antybiotyki
DDługotrwała domowa tlenoterapia
3.Łatwy
What does a positive tuberculin skin test or interferon-gamma release assay show?
AThat the patient has never met TB
BInfection with TB at some time, not necessarily active disease
CComplete, lifelong immunity to TB after a previous vaccine
DActive, infectious TB of the lungs that needs isolation now
4.Średni
A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?
AGiving meals while the patient is drowsy
BGiving thin fluids quickly through a straw between meals
CA swallowing assessment and sitting upright for meals
DLying flat for 30 minutes after eating to aid digestion
5.Średni
A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?
AThe order makes no difference to either drug
BSalbutamol first, then the steroid after a short wait
CSteroid first, then salbutamol straight afterwards
DBoth inhalers puffed together in one breath
6.Średni
Jaka ocena jest niezbędna przed zastosowaniem terapii uciskowej w żylnym owrzodzeniu podudzia?
AWskaźnik kostka–ramię (ABPI)
BWymaz z rany do posiewu i antybiogramu
CZdjęcie rentgenowskie klatki piersiowej i EKG
DMorfologia krwi i CRP
7.Trudny
A 70-year-old man has a small abdominal aortic aneurysm found on screening and is placed under surveillance. Which advice is most important?
AStop all blood pressure medicines to avoid low pressure
BAvoid all exercise and lifting for the rest of his life to protect the aorta
CHave the aneurysm repaired immediately, whatever its size or growth rate
DStop smoking, control BP and seek help at once for sudden back pain
8.Trudny
An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?
AIsolate only if they develop a rash
BLeave them in the open bay and give a course of antibiotics only
CWait a week to see whether the symptoms settle before testing
DIsolate with droplet precautions, test and expect early antivirals
Klucz odpowiedzi
1. D · Below the right collarbone and on the left side below the armpit
2. B · Zaprzestanie palenia
3. B · Infection with TB at some time, not necessarily active disease
4. C · A swallowing assessment and sitting upright for meals
5. B · Salbutamol first, then the steroid after a short wait
6. A · Wskaźnik kostka–ramię (ABPI)
7. D · Stop smoking, control BP and seek help at once for sudden back pain
8. D · Isolate with droplet precautions, test and expect early antivirals
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