Cevaplı Dahili-cerrahi: kardiyovasküler ve solunum çalışma kâğıdı

In hospital, how is oxygen therapy treated?

1. AAs a treatment that patients adjust themselves
2. BAs a medicine that needs a prescription with a target range
3. CAs a comfort measure that needs no prescription or monitoring
4. DAs a treatment kept only for patients who are near the end of life

What is bronchiectasis?

1. AA brief spasm of the airways that fully reverses with treatment
2. BA tumour of the main bronchus
3. CDestruction of the alveolar walls with air trapping
4. DPermanent widening of the bronchi with chronic sputum

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

A patient with chest pain has a first troponin result within the normal range one hour after the pain started. Why is a repeat test arranged?

1. ATroponin may take a few hours to rise after muscle damage
2. BThe first sample is always contaminated
3. CTroponin falls during an MI, so a lower value confirms it
4. DThe repeat test is only needed for patients over 80

A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?

1. AA nitrate-free interval prevents tolerance
2. BThe skin needs a break to absorb a larger dose
3. CIt lowers the risk of a high potassium level
4. DThe patch works only during the night

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

1. AAn expected sign that the drug is working
2. BHypoglycaemia caused by the drug
3. CA theophylline allergy causing a rash
4. DTheophylline toxicity

A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?

1. ALow blood glucose from a reduced appetite
2. BA migraine aura triggered by the fever
3. CA side effect of the IV antibiotic on the nerves
4. DAn embolus from a valve vegetation causing a stroke

A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?

1. AOral apixaban only, started next week
2. BSystemic thrombolysis
3. CCompression stockings and bed rest
4. DAn inhaled bronchodilator