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Вход3 weeks topics. 20 questions 12 min
Список вопросов теста
Вопрос 1
Most common heart disease which is associated with maximum mortality during pregnancy
Варианты ответов
- Eisenmenger syndrome
- MC
- AS
- VSD
Вопрос 2
Which of the following is not a contraindication to pregnancy?
Варианты ответов
- Marfan syndrome with dilated aorta
- Large secundum atrial septal defect with left to right shunt
- Severe obstructive valvular lesions
- Severe pulmonary hypertension
Вопрос 3
Which of the following factors indicates an increased risk of advancement to higher stages of kidney disease?
Варианты ответов
- Proteinuria
- Increasing GFRC
- Older age at diagnosis
- Hematuria of nonrenal origin
Вопрос 4
Which of the following is the modality of choice for detecting renal stones?
Варианты ответов
- Ultrasound
- Doppler ultrasound
- Isotope renography
- CT scanning
Вопрос 5
Safe therapies for tachyarrhythmias during pregnancy include
Варианты ответов
- nifidipine
- diltiazem
- azathioprine
- hydrolazin
Вопрос 6
Level 1 of hospital care for pregnant women according to New York Heart Association (NYHA) functional classification
Варианты ответов
- Symptomatic at rest
- Symptomatic with light exercise or ordinary activities
- Symptomatic with moderate exercise
- Good tolerance of exercise without symptoms
Вопрос 7
Left-sided obstructive lesions
Варианты ответов
- pulmonary & mitral
- aortic & mitral
- aortic & pulmonary
- none
Вопрос 8
Clinical signs that should prompt more investigations are:
Варианты ответов
- Fixed split 2nd heart sound
- Systolic murmur grade 2/6
- 3rd heart sound
- 4th heart sound
- Diastolic murmur grade
Вопрос 9
Regarding hypertensive disorders in pregnancy, which of the following is false?
A
B .
C
D
Варианты ответов
- When blood pressure is >140/90 mmHg prior to 20 weeks, pregnancy-induced hypertension is the most common diagnosis.
- ‘Significant’ proteinuria is ≥0.3 g/24 h.
- Eclampsia may present in the absence of hypertension.
- A urinary protein: creatinine ratio >10 mg/nmol is considered significant.
Вопрос 10
Suspicion for mild renal disease should be based on
Варианты ответов
- recognition of the primary pathologic mechanism responsible for renal injury.
- patient physical examination
- clinical signs and symptoms.
- the presence of proteinuria.
Вопрос 11
By the 20th week of gestation, cardiac output increases by
Варианты ответов
- 40%
- 50%
- 60%
- 70%
Вопрос 12
A 26-year-old woman has been diagnosed with early systemic lupus erythematosus (SLE) involving her joints. In teaching the patient about the disease, the nurse includes the information that SLE is a(n):
Варианты ответов
- Hereditary disorder of women but usually does not show clinical symptoms unless a woman becomes pregnant.
- Autoimmune disease of women in which antibodies are formed that destroy all nucleated cells in the body.
- Disorder of immune function, but it is extremely variable in its course, and there is no way to predict its progression.
- Disease that causes production of antibodies that bind with cellular estrogen receptors, causing an inflammatory response.
Вопрос 13
The nurse monitors a patient to have Systemic Lupus Erythematosus. Which of the following symptoms is characteristic of this diagnosis?
Варианты ответов
- Increased T-cell count
- Scaley, inflamed rash on shoulders, neck, and face
- Swelling of the extremities
- Decreased erythrocyte sedimentation rate (ESR)
Вопрос 14
A patient with an acute exacerbation of systemic lupus erythematosus (SLE) is hospitalized with incapacitating fatigue, acute hand and wrist pain, and proteinuria. The health care provider prescribes prednisone (Deltasone) 40 mg twice daily. Which nursing action should be included in the plan of care?
Варианты ответов
- Institute seizure precautions.
- Reorient to time and place PRN.
- Monitor intake and output.
- Place on cardiac monitor.
Вопрос 15
A 19-year-old patient who is taking azathioprine (Imuran) for systemic lupus erythematosus has a check-up before leaving home for college. The health care provider writes all of these orders. Which one should the nurse question?
Варианты ответов
- Naproxen (Aleve) 200 mg BID
- Give measles-mumps-rubella (MMR) immunization
- Draw anti-DNA titer
- Famotidine (Pepcid) 20 mg daily
Вопрос 16
In teaching a patient with SLE about the disorder, the nurse knows that the pathophysiology of SLE includes:
Варианты ответов
- Circulating immune complexes formed from IgG autoantibodies reacting with IgG
- An autoimmune T-cell reaction that results in destruction of the deep dermal skin layer
- Immunologic dysfunction leading to chronic inflammation in the cartilage and muscles
- The production of a variety of autoantibodies directed against components of the cell nucleus
Вопрос 17
The pathophysiology of systemic lupus erthematosus (SLE) is characterized by:
Варианты ответов
- Increased activity of T-suppressor cells with B-cell hypoactivity, resulting in an immunodeficiency
- Formation of abnormal IgG that attaches to cellular antigens, activating complement
- Overproduction of collagen that disrupts the functioning of internal organs
- Destruction of nucleic acids and other self-proteins by autoantibodies
Вопрос 18
The nurse monitors a patient to have Systemic Lupus Erythematosus. Which of the following symptoms is characteristic of this diagnosis?
Варианты ответов
- Increased T-cell count
- Scaley, inflamed rash on shoulders, neck, and face
- Swelling of the extremities
- Decreased erythrocyte sedimentation rate (ESR)
Вопрос 19
The majority of women with arrhythmias during pregnancy have a benign ______rate of atrial or ventricular premature beats
a. b. c. d.
Варианты ответов
- increased
- same
- decreased
- no change
Вопрос 20
Risk factors for cardiac events in pregnancy are:
Варианты ответов
- Left ventricular dysfunction
- NYHA class 2 symptoms
- Previous corrective cardiac surgery
- Cyanotic heart disease
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