Cevaplı Dahili-cerrahi: kardiyovasküler ve solunum çalışma kâğıdı

What is the compression-to-ventilation ratio for adult CPR?

1. A50 compressions to 5 breaths
2. B15 compressions to 2 breaths
3. C30 compressions to 2 breaths
4. D5 compressions to 1 breath

Which group of symptoms suggests obstructive sleep apnoea?

1. AWheeze, cough and itchy eyes that come on after exercise
2. BFever, cough and rust-coloured sputum
3. CNight sweats, weight loss and a cough lasting several weeks
4. DLoud snoring, pauses in breathing and daytime sleepiness

Which colour change is typical of Raynaud's phenomenon?

1. AFingers stay red and hot for several days
2. BFingers turn yellow, then green, then brown
3. CThe whole arm turns pale and then black
4. DFingers turn white, then blue, then red

A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?

1. AIt causes the cholesterol level to rise sharply
2. BIt turns the statin into a blood thinner
3. CIt raises statin levels and the risk of muscle damage
4. DIt stops the statin from being absorbed from the gut at all

Why is pyridoxine (vitamin B6) often given with isoniazid?

1. ATo prevent peripheral neuropathy
2. BTo prevent orange discolouration of urine
3. CTo prevent loss of colour vision
4. DTo prevent gout attacks

Rheumatic heart disease most often follows which infection?

1. AA viral infection of the upper airway
2. BA fungal infection of the lungs
3. CStaphylococcal infection of the skin
4. DA group A streptococcal throat infection

A patient taking warfarin for AF falls and hits their head. An hour later they are drowsy and have vomited. What is the priority?

1. AUrgent escalation for CT of the head and anticoagulant reversal
2. BEncourage sleep and check observations at the next routine time
3. CGive paracetamol (acetaminophen) and a light meal
4. DWithhold tonight's warfarin and review tomorrow

The monitor shows a regular broad-complex tachycardia at 180/min. The patient is alert with BP 126/78 mmHg and no chest pain. What is the most appropriate plan?

1. AStart chest compressions straight away and give a dose of IV adrenaline
2. BDeliver an unsynchronised shock immediately, before any other assessment
3. CReassure the patient, as this is a normal rhythm
4. DRecord a 12-lead ECG, call senior help and anticipate an antiarrhythmic