Med-surg: cardiovascular & respiratory worksheet with answers

Free printable Med-surg: cardiovascular & respiratory worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

What is cor pulmonale?

  1. ARight-sided heart failure caused by lung disease
  2. BLeft-sided heart failure caused by a heart attack
  3. CInfection of the heart valves
  4. DInflammation of the lining around the heart
2.Easy

Which drug is commonly used to slow the heart rate in atrial fibrillation?

  1. AAmlodipine (a dihydropyridine calcium channel blocker)
  2. BAtorvastatin (a statin)
  3. CFurosemide (a loop diuretic)
  4. DBisoprolol (a beta-blocker)
3.Easy

Which examination findings are typical of a large pleural effusion?

  1. ADullness to percussion and reduced breath sounds
  2. BCoarse crackles that clear on coughing
  3. CHyper-resonance and a loud wheeze over the affected side
  4. DNormal percussion and bronchial breathing
4.Medium

A patient with a mechanical heart valve asks to switch from warfarin to apixaban. What is the correct response?

  1. AAspirin alone can replace warfarin once the valve has healed
  2. BDirect oral anticoagulants are not used for mechanical valves
  3. CMechanical valves do not need anticoagulation after the first month
  4. DAny anticoagulant works equally well once the valve is in place
5.Medium

In heart failure, why does activation of the renin–angiotensin–aldosterone system worsen symptoms over time?

  1. AIt makes the kidneys pass too much dilute urine each day
  2. BIt causes sodium and water retention and vasoconstriction
  3. CIt lowers the blood pressure to very low levels over time
  4. DIt slows the heart rate dangerously
6.Medium

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

  1. AOral bisoprolol
  2. BIntravenous atropine
  3. CIntravenous adenosine
  4. DIntravenous amiodarone
7.Hard

An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?

  1. AThe right main bronchus
  2. BThe nasal cavity
  3. CThe left main bronchus
  4. DThe oesophagus
8.Hard

A patient with COPD is breathless with SpO₂ 84% on air. A blood gas shows pH 7.30 and a raised PaCO₂ despite optimal medical treatment. Which treatment is likely to be considered?

  1. AHigh-concentration oxygen by non-rebreather mask
  2. BIV sedation to slow the breathing rate
  3. CStopping the nebulised bronchodilators
  4. DNon-invasive ventilation (NIV)

Answer key

  1. 1. A · Right-sided heart failure caused by lung disease
  2. 2. D · Bisoprolol (a beta-blocker)
  3. 3. A · Dullness to percussion and reduced breath sounds
  4. 4. B · Direct oral anticoagulants are not used for mechanical valves
  5. 5. B · It causes sodium and water retention and vasoconstriction
  6. 6. B · Intravenous atropine
  7. 7. A · The right main bronchus
  8. 8. D · Non-invasive ventilation (NIV)

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