Терапия и хирургия: сердечно-сосудистая и дыхательная системы: лист заданий с ответами
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1.Лёгкая
What is the normal resting heart rate range for an adult?
A60–100 beats per minute
B40–60 beats per minute
C30–50 beats per minute
D100–140 beats per minute
2.Лёгкая
What is the compression-to-ventilation ratio for adult CPR?
A5 compressions to 1 breath
B30 compressions to 2 breaths
C50 compressions to 5 breaths
D15 compressions to 2 breaths
3.Лёгкая
What is the role of cilia in the airways?
AThey make surfactant to keep the small alveoli open
BThey move mucus and trapped particles up towards the throat
CThey contract to narrow the airways and keep out particles of dust
DThey exchange oxygen and carbon dioxide with the blood
4.Средняя
Which ECG finding is typical of atrial flutter?
AP waves with no relationship to the QRS complexes
BWide, bizarre QRS complexes at 180/min
CRegular sawtooth flutter waves between QRS complexes
DA chaotic baseline with no clear P waves and irregular QRS
5.Средняя
How does digoxin help a patient with atrial fibrillation and heart failure?
AIt slows AV node conduction and increases contractility
BIt speeds conduction through the AV node to the ventricles
CIt lowers potassium to stabilise the heart
DIt dissolves clots that have formed in the left atrium
6.Средняя
A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?
AHypoglycaemia will always cause a very slow and weak pulse
BSome warning signs, such as a fast heartbeat, may be masked
CThe beta-blocker will prevent all episodes of hypoglycaemia
DInsulin should be stopped while taking a beta-blocker
7.Сложная
A patient taking warfarin for AF falls and hits their head. An hour later they are drowsy and have vomited. What is the priority?
AEncourage sleep and check observations at the next routine time
BWithhold tonight's warfarin and review tomorrow
CUrgent escalation for CT of the head and anticoagulant reversal
DGive paracetamol (acetaminophen) and a light meal
8.Сложная
A nurse receives handover on four patients. Which patient should be seen first?
AA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
BA patient with pneumonia on IV antibiotics who now has a temperature of 38,2 °C
CA patient with asthma who wants a reliever inhaler before a walk
DA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night
Ответы
1. A · 60–100 beats per minute
2. B · 30 compressions to 2 breaths
3. B · They move mucus and trapped particles up towards the throat
4. C · Regular sawtooth flutter waves between QRS complexes
5. A · It slows AV node conduction and increases contractility
6. B · Some warning signs, such as a fast heartbeat, may be masked
7. C · Urgent escalation for CT of the head and anticoagulant reversal
8. A · A patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
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