Cevaplı Dahili-cerrahi: kardiyovasküler ve solunum çalışma kâğıdı

Anjina için gliseril trinitrat (nitrogliserin) sprey veya tabletleri nasıl verilmelidir?

1. AYemekten sonra çiğnetip yutturularak
2. BHasta dik dururken dil altına
3. CBir bardak suyla bütün olarak yutturularak
4. DHasta otururken dil altına

Where is the apex beat normally felt in an adult?

1. AOver the middle of the breastbone
2. BJust below the right nipple
3. CThe fifth intercostal space in the left mid-clavicular line
4. DThe second intercostal space to the right of the sternum

During manual blood pressure measurement, what does the first clear tapping sound (Korotkoff phase 1) mark?

1. AThe mean arterial pressure
2. BThe systolic pressure
3. CThe pulse pressure
4. DThe diastolic pressure

How does ezetimibe lower cholesterol?

1. AIt dissolves plaques already in the arteries
2. BIt reduces absorption of cholesterol from the gut
3. CIt increases cholesterol loss in the urine
4. DIt blocks cholesterol production by enzymes in the liver

A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?

1. AA swallowing assessment and sitting upright for meals
2. BGiving meals while the patient is drowsy
3. CLying flat for 30 minutes after eating to aid digestion
4. DGiving thin fluids quickly through a straw between meals

Which investigation is usually used to confirm a deep vein thrombosis in the leg?

1. AA lung function test
2. BA plain chest X-ray and an ECG
3. CCompression duplex ultrasound
4. DAn exercise ECG

After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?

1. AUrgent needle or finger decompression of the right chest
2. BLying the patient flat with the legs raised
3. CInsertion of a urinary catheter to monitor output
4. DA chest X-ray to confirm the diagnosis before any treatment

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Teach him how to use his new inhaler this afternoon after his rest."
2. B"Tell me straight away if his SpO₂ is under 88% or he is more breathless."
3. C"Turn his oxygen up to whatever he needs if he looks short of breath."
4. D"Listen to his chest after lunch and let me know what you can hear."