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

Which symptom lasting more than three weeks is a classic warning sign of laryngeal cancer?

  1. AOccasional hiccups
  2. BPersistent hoarseness of the voice
  3. CItching of the eyes
  4. DMild sneezing and a runny nose in the morning
2.Easy

What does "myocardial infarction" mean?

  1. AInflammation of the membrane that surrounds the heart
  2. BTemporary chest pain with no muscle damage
  3. CInfection of the heart valves
  4. DDeath of heart muscle caused by a blocked blood supply
3.Easy

Which group of signs suggests carbon dioxide retention (hypercapnia)?

  1. ATingling fingers and lips after a spell of rapid breathing
  2. BPale, cold, clammy skin with a weak, thready pulse
  3. CPinpoint pupils with a very slow heart rate
  4. DDrowsiness, headache, flushed skin and a bounding pulse
4.Medium

How should a patient breathe in when using a dry powder inhaler?

  1. ASlowly and gently over about ten seconds
  2. BThrough the nose with the mouthpiece in the mouth
  3. CSeveral times, breathing out into the device between breaths
  4. DQuickly and deeply, after breathing out away from the device
5.Medium

Which pneumonia severity score uses confusion, urea, respiratory rate, blood pressure and age?

  1. ACHA₂DS₂-VASc
  2. BWells score
  3. CNEWS2
  4. DCURB-65
6.Medium

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 repeat test is only needed for patients over 80
  3. CThe first sample is always contaminated
  4. DTroponin falls during an MI, so a lower value confirms it
7.Hard

A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?

  1. ASeal it completely with tape on all four sides and leave it alone
  2. BCover it with a vented chest seal or a dressing taped on three sides
  3. CPack the wound tightly with gauze pushed deep into the chest
  4. DLeave it open and give a nebuliser
8.Hard

A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?

  1. AThe circumflex artery
  2. BThe right coronary artery and its branches
  3. CThe left subclavian artery
  4. DThe left anterior descending artery

Answer key

  1. 1. B · Persistent hoarseness of the voice
  2. 2. D · Death of heart muscle caused by a blocked blood supply
  3. 3. D · Drowsiness, headache, flushed skin and a bounding pulse
  4. 4. D · Quickly and deeply, after breathing out away from the device
  5. 5. D · CURB-65
  6. 6. A · Troponin may take a few hours to rise after muscle damage
  7. 7. B · Cover it with a vented chest seal or a dressing taped on three sides
  8. 8. D · The left anterior descending artery

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