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. AДо 10–14 дней
  2. BОколо 6 месяцев
  3. CТолько пока не прекратится боль в груди
  4. DТолько первые 2 часа
2.Лёгкая

Where does gas exchange between air and blood take place in the lungs?

  1. AIn the alveoli
  2. BIn the pleural space
  3. CIn the trachea
  4. DIn the main bronchi
3.Лёгкая

Which test is classically used to diagnose cystic fibrosis?

  1. APeak flow test
  2. BSweat chloride test
  3. CTuberculin skin test
  4. DD-dimer test
4.Средняя

How is a patient usually positioned for a thoracentesis?

  1. ASitting upright and leaning forward over a table
  2. BFlat on the back with the legs raised
  3. CProne with the arms by the sides
  4. DLying on the affected side with the head down
5.Средняя

A patient is starting long-term amiodarone. Which teaching and monitoring are most important?

  1. AExpect orange urine and no need for blood tests
  2. BProtect skin from sunlight and have thyroid, liver and lung checks
  3. CAvoid dairy products and have the INR checked once at the start
  4. DEat extra salt and stop the drug as soon as the pulse is regular
6.Средняя

During airway suctioning, when should suction be applied?

  1. AOnly while withdrawing the catheter
  2. BOnly while inserting the catheter
  3. CBefore the catheter enters the airway
  4. DContinuously for at least 30 seconds
7.Сложная

A patient being treated for pulmonary TB repeatedly misses doses and stops when they feel better. Which strategy is most effective?

  1. AStopping treatment, as it is clearly not working for this patient
  2. BDoubling the dose on the days the patient remembers to take it
  3. CSwitching to a single drug to make it easier
  4. DDirectly observed therapy with support for barriers to adherence
8.Сложная

A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?

  1. AContinue the infusion at the same rate and pack the nose firmly
  2. BStop the infusion, inform the prescriber and anticipate protamine
  3. CIncrease the infusion, as the aPTT will settle
  4. DGive vitamin K and continue the infusion at a slightly lower rate

Ответы

  1. 1. A · До 10–14 дней
  2. 2. A · In the alveoli
  3. 3. B · Sweat chloride test
  4. 4. A · Sitting upright and leaning forward over a table
  5. 5. B · Protect skin from sunlight and have thyroid, liver and lung checks
  6. 6. A · Only while withdrawing the catheter
  7. 7. D · Directly observed therapy with support for barriers to adherence
  8. 8. B · Stop the infusion, inform the prescriber and anticipate protamine

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