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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1.Easy

How does montelukast work in asthma?

  1. AIt thins mucus by breaking down DNA
  2. BIt kills bacteria in the bronchi
  3. CIt stimulates beta-2 receptors in the airways
  4. DIt blocks leukotriene receptors in the airways
2.Easy

What is the usual INR target range for a patient taking warfarin for atrial fibrillation?

  1. A4.0–5.0
  2. B0.5–1.0
  3. C1.0–1.5
  4. D2.0–3.0
3.Easy

When should a sputum sample for culture ideally be collected in suspected pneumonia?

  1. AAt any time, because antibiotics do not affect cultures
  2. BAfter three days of antibiotic treatment
  3. COnly if there is no improvement after a week
  4. DBefore the first antibiotic dose, without delaying it
4.Medium

A patient arrives with suspected cardiac chest pain. How soon should a 12-lead ECG be recorded?

  1. AOnly after the troponin result is available
  2. BWithin 2 hours of arrival
  3. CWithin about 10 minutes of arrival
  4. DThe following morning
5.Medium

A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?

  1. AAortic stenosis
  2. BVasospastic (Prinzmetal) angina
  3. CAcute pericarditis
  4. DStable exertional angina from a fixed plaque
6.Medium

Which finding shows that long-standing hypertension has caused target organ damage?

  1. AA normal fasting glucose
  2. BA heart rate of 72/min
  3. CLeft ventricular hypertrophy on the ECG
  4. DClear lung fields on the chest X-ray
7.Hard

After a faulty gas heater was found at home, a patient has headache, nausea and confusion. SpO₂ is 99% on air. What is the priority treatment?

  1. AParacetamol (acetaminophen) and observation only
  2. BOxygen at 1 L/min via nasal cannula
  3. CHigh-concentration oxygen via a non-rebreather mask
  4. DReassurance, because the oxygen saturation is normal
8.Hard

After positive end-expiratory pressure (PEEP) is increased on a ventilated patient, the blood pressure falls. What is the most likely reason?

  1. APEEP lowers the blood oxygen level
  2. BPEEP causes immediate blood loss from the alveolar capillaries
  3. CHigher chest pressure reduces venous return to the heart
  4. DPEEP directly weakens the heart muscle and its contraction

Answer key

  1. 1. D · It blocks leukotriene receptors in the airways
  2. 2. D · 2.0–3.0
  3. 3. D · Before the first antibiotic dose, without delaying it
  4. 4. C · Within about 10 minutes of arrival
  5. 5. B · Vasospastic (Prinzmetal) angina
  6. 6. C · Left ventricular hypertrophy on the ECG
  7. 7. C · High-concentration oxygen via a non-rebreather mask
  8. 8. C · Higher chest pressure reduces venous return to the heart

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