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This set consist of 99 questions from cardio vascular system , Endocrine system and Gastro Intestine system
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Trans esophageal echocardiography combines ultrasonography with which other procedure?
Endoscopy
When listening to heart sound, you can best hear sound, at the
Apex of heart
What is the immediate goal of treatment for cardiac tamponade?
Releiving intra-pericardial pressure
Emergency treatment of hypovolemic shock include
Administration of IV fluids or blood product
Capillary refill time is normally
1 – 3 sec
An example of alpha – adrenegic blocking drug is
Phentolamine
The following drug are calcium channel blockers except
Ramaprill
Which measures should be performed immediately to following CABG
Vital signs, cardiac rhythm, pulse oximetry
Defrillibation should be given when patient is having
Ventricular tachycardia
The following drug are ACE inhibitors exceopt one
Verapamil
What is the normal amount of pericardial fluid
10 -30 ml
The most comon direct cause of sudden death
CAD
In attrial flutter, the key consideration in determining the treatment is …………………………
Ventricular rate
Clinical sign of left sided heat failure
Dyspenia & Tachycardia
The drug of choice for supraventricular tachycardia is ………………………………..
Adenosine
What is the most common site of injury from blunt chest trauma
Right Ventricle
Pre-hypertension is usually treated with
Life style modification
Vegetation on the heart valves result from
Bacterial Invasion
focal or diffuse inflammation of the cardiac muscle
Myocarditis
Chest pain is describes as pleuretic when it
increase with deep inspiration and decrease when patient sits up and lean foreward
The normal jugular venous pressure is
less than 9 cm of H2O
QRS complex in ECG represents
Atrial Depolarization
The gas used for inflating IABP baloon
Helium
Wenckebatch pattern is other ways named as
Mobitz type II
The formula for ejection fraction is
EF = Stroke Volume/ End Diastolic volume
Criteria for diagnosing infective endocarditis is ……………………………
Dukes Criteria
An example of cardiac tumour
Myxoma
Grape juice need to be avoided in patient getting
Cyclosporine
Occlusion of circumflex branch of coronary artery cause
Interior Wall interaction
Ventricular gallope
S3
ST depression in ECG represents
Coronary Insufficiency
Water hammer pulse is a feature of
Aortic regurgitation
Bobbing of head with wach pulse can be seen in patient with?
Aeortic Regurgitation
hyperkalemia can be managed with
Dextrose with insulin
Flushed cheeks can be seen in patient with …………………
Mitral Stenosis
Correct information regarding colonoscopy
All the above
The best dietary choice for an obese person is
Foods from the basic food groups
Identify corect about Gastroesophageal reflux disease (GERD)
Both A & B
Best position that can be given to a client after gastrectomy is ……………………….
Low fowlers
Order of using stored energy source during starvation
Glycogen, Skeletal protein, fat stores, visceral protein
Contra indicated medication in a patient with acute gastritis is …………………………..
naproxen sodium
GI irritability increase with the use of ………………………………………..
both b & c
Particular smell of fecalmatter is duo to ……………………………
indole
Health education to a client with GERD include
All the above
Correct regarding a tuberculous ulcer is ………………………….
All the above
The most accurate method of confirming the NG tube placement is ………………………..
X Ray
Absent or ineffective peristatisis of the distal oesophagus
Achalasia
Side effect of omeprazole is ……………………………….
Constipitation
In gastro intestinal perforationnurse need to suspect ………………..
Sudden, severe abdominal pain
Patient with abdominal trauma presents with hyptension, tachycardia, pallor and restlessness which among the following organ is most likely to be rupturd?
Spleen
Finding suggestive of peritonitis is ………………………..
Rebound abdominal pain
Combination of omaprezole, charithromycin, and metronidazole regimen is the treatment choice for ……………………
helicobacter pylori infection
post operatively after the initiation of feed following esophagectomy client develops increasing pain, fever and dypsenia. These are suggestives of ………………………….
Anastomosis leackage into mediastinuma
enzyme abnormality seen in pancreatitis is……………………
Serum amylase level
Which of the following is a cause of acute pancreatitis
All the above
Important management of Diarrhea is …………………………………
More intake of liquids
Location of Mc Burney’s point is ………………………………..
Midway between umbilicus and right anterior superior illiac spine
Clinical sign in which pressure on the left lower quadrant of the abdomen causes pain in the right lower quadrant is known as ………………………..
Rovsing sign
Vermiform appendix is the part which organ?
Cecum
Correct regarding appenticitis is
Rovsing’s sign is the charesteristic sign of appendicitis
Diverticulitis is most common in
All the above
Maximum normal functioning of the bowel will be present in …………………..colostomy
Sigmoid Colostomy
Which among the follwing is a clinical manisfestation of peritonits?
Abdominal Rigidity
Main clinical symptom of hiatal hernia is
Heartburn
hernia which is more prone to become strangulated is ………………………..
femoral Hernia
A client is getting inj. prednisolone as continous IV infusion important nursing management is ……………………………..
Hourly Blood sugar
Cause of SIADH
Deficiency of ADH
After thyroidectomy acidental removal of parathyroid land need to suspect if ………………..
Laryngospams and tingling in the hand and feet
Clinical manifestation related to hypothyroidism is
Weight Gain
Most reliable investigation for hypothyroidsm is ……………………….
TSH level
Drug of choice for hypothyroidism
Both A & B
In a client with SIADH sodium level ……………………………….
Increases
Drug of choice for hypothyroidism
Levothyroxine Sodium
Hormones involved in homeostatis is ……………..
Both A & B
Clinical manifestation expected in a client with SIADH is …………………..
Low urine output and hyponatremia
Which among the following is an expected lab finding in client with primary hyperparathyroidism?
Elevated serum calcium
Signs related to hypocalcemia ……………….
Both A & B
Clinical manifestation expected in a client with DI is ………………
polyuria and hypernatremia
in a client with DI sodium level ………………………
Decreases
Cause of diabetes incepedus with Diabetis Insepedus(DI) is
Deficiency of ADH
Twitching of facial muscles in response to tapping over the area of facial nerve
Chvostek’s Sign
Electrolyte abnormality seen in cushing’s syndriome
Both A & B
decreased adrenal cortex hormones secretion leads to
Addison’s syndrome
Electrolyte abnormality seen in adison’s disease
Both A & B
Increased adrenal cortex hormone secreation leads to
Cushing’s Syndrome
Which among he following site has rapid absorption rate for insulin
Abdomen
management of addison’s disease includes
All the above
decrease in secreation of adrenal cortex hormone may cause
Addison’s Syndrome
Symptoms of addison’s disease includes
All the above
Adenal Cortex hormone includes
All the above
Steroid hormones includes
All the above
Diagnostic test specificto cushing syndrome is ………………….
all the above
Adrenal medulla hormone includes ………………….
All the above
causes of cushing’s syndrome
All the above
Principal hormone high in cushing syndrome is ……………………
Glucocorticoids
Emergency hormone /stress hormones are released from
Adrenal Cortex
Correct regarding pheochromocytoma is ……………………………
All the above
Moon face , hirsutism, and truncal obesity are the characteristics of
Cushing’s Syndrome
Carpopedal spasm caused by inflating the blood pressure cuff to a level above systolic pressure for 3 minutes
Trousseu’s Sign
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