Терапия и хирургия: сердечно-сосудистая и дыхательная системы: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
What does the term "preload" describe?
AThe amount of blood left in the atria after systole
BThe force of contraction regardless of filling
CThe resistance the ventricle pumps against
DThe stretch of the ventricle at the end of filling
2.Лёгкая
What is the pleura?
AThe cartilage rings of the trachea
BA double membrane lining the lungs and the inner chest wall
CThe tiny air sacs at the ends of the airways where gas exchange happens
DThe dome-shaped muscle that separates the chest from the abdomen
3.Лёгкая
Drug names ending in "-olol", such as bisoprolol and atenolol, belong to which class?
ABeta-blockers
BACE inhibitors
CCalcium channel blockers
DLoop diuretics
4.Средняя
How does varenicline help people stop smoking?
AIt replaces nicotine through the skin, like a nicotine patch
BIt speeds the clearance of nicotine by the liver
CIt partly stimulates and partly blocks nicotine receptors
DIt makes cigarettes taste of metal so smoking feels unpleasant
5.Средняя
A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?
AHigh potassium is the main effect of furosemide
BPotassium has no link with either medicine
CLow potassium makes digoxin stop working completely
DLow potassium increases the risk of digoxin toxicity
6.Средняя
A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?
AStable exertional angina from a fixed plaque
BAortic stenosis
CAcute pericarditis
DVasospastic (Prinzmetal) angina
7.Сложная
A patient with heart failure wakes extremely breathless, coughing pink frothy sputum. BP is 168/96 mmHg and SpO₂ 86%. Help has been called. What is the best initial nursing action?
AEncourage the patient to walk to ease the breathing
BSit the patient upright with the legs down and give oxygen
CGive a large IV fluid bolus to support the circulation
DLie the patient flat with the legs raised on pillows
8.Сложная
A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?
AGive oral analgesia and reassess the pain in an hour
BArrange a routine outpatient ultrasound scan of the aneurysm
CCall for emergency help and prepare for urgent vascular surgery
DEncourage him to walk to ease the back pain
Ответы
1. D · The stretch of the ventricle at the end of filling
2. B · A double membrane lining the lungs and the inner chest wall
3. A · Beta-blockers
4. C · It partly stimulates and partly blocks nicotine receptors
5. D · Low potassium increases the risk of digoxin toxicity
6. D · Vasospastic (Prinzmetal) angina
7. B · Sit the patient upright with the legs down and give oxygen
8. C · Call for emergency help and prepare for urgent vascular surgery
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