Nokea
All of the following reduces intensity of first heart sound (S1) except
- A. Mechanical ventilation
- B. Calcific mitral stenosis
- C. Short PR interval
- D. LV dysfunction
Correct Answer: B
Rationale: Calcific mitral stenosis typically increases the intensity of the first heart sound (S1).
You may also like to solve these questions
Childhood autism:
- A. Is commoner in boys
- B. Is characterised by extreme delay of social milestones
- C. Repetitive tasks are commonly performed
- D. Is characterised by extremely chaotic routines
Correct Answer: A
Rationale: Autism spectrum disorder is more commonly diagnosed in boys than girls, with a male-to-female ratio of approximately 4:1.
Which should the nurse consider when preparing a school-age child and the family for heart surgery?
- A. Unfamiliar equipment should not be shown.
- B. Let the child hear the sounds of an ECG monitor.
- C. Avoid mentioning postoperative discomfort and interventions.
- D. Explain that an endotracheal tube will not be needed if the surgery goes well.
Correct Answer: B
Rationale: The child and family should be exposed to the sights and sounds of the intensive care unit (ICU). All positive, nonfrightening aspects of the environment are emphasized. The child should be shown unfamiliar equipment and its use demonstrated on a doll. Carefully prepare the child for the postoperative experience, including intravenous (IV) lines, incision, and endotracheal tube.
Depending on the frequency and severity of hypercyanotic attacks in tetralogy of Fallot, all the following procedures are true EXCEPT
- A. placement of the infant in the knee-chest position
- B. administration of oxygen
- C. injection of morphine subcutaneously
- D. rapid correction with intravenous sodium bicarbonate
Correct Answer: D
Rationale: Intravenous sodium bicarbonate is not typically used for hypercyanotic attacks.
What are THREE classes of medication used to treat giant coronary artery aneurysms in Kawasaki Disease?
- A. ACE inhibitor
- B. Beta blocker
- C. Statin
- D. All of the above
Correct Answer: D
Rationale: These medications are typically used in the management of giant coronary artery aneurysms to manage cardiovascular risks.
Diagnostic signs of child abuse are:
- A. Sub-hyaloid bleeding
- B. Spiral fracture of a long bone
- C. Lacerated tongue
- D. Posterior rib fractures
Correct Answer: D
Rationale: Posterior rib fractures are highly suggestive of child abuse, as they are often caused by forceful squeezing or shaking.