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

After a myocardial infarction, for roughly how long can the troponin level stay raised?

  1. AUp to about 10–14 days
  2. BFor about 6 months
  3. COnly until the chest pain stops
  4. DOnly for the first 2 hours
2.Easy

Thromboangiitis obliterans (Buerger's disease) is most strongly linked with which factor?

  1. ADrinking coffee
  2. BLack of sleep
  3. CSmoking tobacco
  4. DA high-salt diet
3.Easy

Which side effect is typical of an inhaled long-acting antimuscarinic such as tiotropium?

  1. ADiarrhoea
  2. BDry mouth
  3. COral thrush
  4. DWeight gain
4.Medium

Which combination of drug classes improves survival in heart failure with reduced ejection fraction?

  1. AACE inhibitor or ARNI, beta-blocker, MRA and SGLT2 inhibitor
  2. BAn NSAID, aspirin, a statin and a thiazide diuretic
  3. CA loop diuretic alone at the highest tolerated dose
  4. DLoop diuretic, digoxin, nitrate and a calcium channel blocker
5.Medium

Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?

  1. AIt raises the heart rate sharply during an acute asthma attack
  2. BIt thickens airway mucus by drying the airways
  3. CIt makes inhaled corticosteroids work too strongly
  4. DIt can cause bronchospasm by blocking beta-2 receptors
6.Medium

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

  1. AIt causes the aortic valve to leak backwards into the ventricle
  2. BIt compresses the heart and stops the ventricles filling
  3. CIt makes the heart muscle contract too strongly and too fast
  4. DIt dilates the arteries throughout the body
7.Hard

Three days after an MI, a patient faints on the commode while straining hard to open the bowels. The heart rate was 42/min at the time. What is the most likely mechanism?

  1. AA vagal response to straining
  2. BA new pulmonary embolism
  3. CLow blood glucose from fasting
  4. DAn allergic reaction to the commode
8.Hard

A patient with severe sepsis becomes increasingly breathless over 24 hours. SpO₂ stays low despite high-flow oxygen, and the chest X-ray shows bilateral infiltrates. The heart function is normal. Which condition is most likely?

  1. AAcute respiratory distress syndrome
  2. BSpontaneous pneumothorax
  3. CAcute left ventricular failure after an MI
  4. DAn acute asthma attack

Answer key

  1. 1. A · Up to about 10–14 days
  2. 2. C · Smoking tobacco
  3. 3. B · Dry mouth
  4. 4. A · ACE inhibitor or ARNI, beta-blocker, MRA and SGLT2 inhibitor
  5. 5. D · It can cause bronchospasm by blocking beta-2 receptors
  6. 6. B · It compresses the heart and stops the ventricles filling
  7. 7. A · A vagal response to straining
  8. 8. A · Acute respiratory distress syndrome

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