Терапия и хирургия: сердечно-сосудистая и дыхательная системы: лист заданий с ответами

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1.Лёгкая

Как долго примерно после инфаркта миокарда может оставаться повышенным уровень тропонина?

  1. AОколо 6 месяцев
  2. BТолько пока не прекратится боль в груди
  3. CТолько первые 2 часа
  4. DДо 10–14 дней
2.Лёгкая

What is an embolus?

  1. AA bulge in the weakened wall of an artery that may rupture
  2. BA narrowing of an artery caused by a build-up of fatty plaque
  3. CA clot that stays fixed in the vessel where it first formed
  4. DA clot or other mass that travels in the blood and lodges elsewhere
3.Лёгкая

In a tension pneumothorax, which way does the trachea usually shift?

  1. AIt never moves in a pneumothorax
  2. BAway from the affected side
  3. CUpwards towards the chin
  4. DTowards the affected side
4.Средняя

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

  1. ATheophylline toxicity
  2. BAn expected sign that the drug is working
  3. CHypoglycaemia caused by the drug
  4. DA theophylline allergy causing a rash
5.Средняя

A 70 kg patient has passed 20 mL of urine per hour for the last three hours. How should this be interpreted?

  1. ANormal, because any measurable urine output is reassuring
  2. BBelow 0,5 mL/kg/h, suggesting poor kidney perfusion
  3. CHigh, suggesting fluid overload that needs a diuretic
  4. DNormal, because the target is 0,1 mL/kg/h
6.Средняя

During airway suctioning, when should suction be applied?

  1. ABefore the catheter enters the airway
  2. BOnly while inserting the catheter
  3. CContinuously for at least 30 seconds
  4. DOnly while withdrawing the catheter
7.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?

  1. ACall for emergency help and prepare for urgent vascular surgery
  2. BGive oral analgesia and reassess the pain in an hour
  3. CEncourage him to walk to ease the back pain
  4. DArrange a routine outpatient ultrasound scan of the aneurysm
8.Сложная

A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?

  1. AVia a non-rebreather mask over the mouth only
  2. BVia a mask or humidified device over the neck stoma
  3. CVia a standard face mask over the nose and mouth
  4. DVia nasal cannula at 2 L/min

Ответы

  1. 1. D · До 10–14 дней
  2. 2. D · A clot or other mass that travels in the blood and lodges elsewhere
  3. 3. B · Away from the affected side
  4. 4. A · Theophylline toxicity
  5. 5. B · Below 0,5 mL/kg/h, suggesting poor kidney perfusion
  6. 6. D · Only while withdrawing the catheter
  7. 7. A · Call for emergency help and prepare for urgent vascular surgery
  8. 8. B · Via a mask or humidified device over the neck stoma

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