Q:1-A patient was planning to undergo Mitral valve replacement surgery. He was on warfarin therapy for Atrial Fibrillation. What modification should the nurse do with the anticoagulant medication?
Mark one answer:
Stop warfarin on the day of surgery
Stop warfarin 4-5 days before surgery
Stop warfarin 4-5 days prior to surgery; admit and start on IV heparin; stop IV heparin 2-3 hours pre-op
Continue warfarin therapy

Q:6-Which systemic complications are associated with peripheral thromobolectomy?
Mark one answer:
Vessel vasospasm, hematoma formation, compartment syndrome
Renal failure, rhabdomyolysis, vessel vasospasm, hemorrhage
Edema, hyperkalemia, cardiac arrhythmia, renal failure, rhabdomyolysis
All of the above

Q:7-A male smoker presents with pain in his extremities after exercise. He also complains of color changes in his digits when exposed to cold. Which of the following diseases need to be ruled out before considering a diagnosis of Buerger’s disease?
Mark one answer:
Systemic lupus erythematosus, diabetes, hypercoagulable conditions, scleroderma
Bleeding disorders, dyslipidemia, systemic lupus erythematosus
Bleeding disorders, diabetes, hypertension, vasculitis
Hypercoagulable states, disorders of lipid metabolism, polyarteritis nodosa

Q:8-A patient is being released from hospital after improving from familial congestive heart failure. His son was anxious to know if the disease can be prevented by lifestyle modification or prophylactic medications. What advice should the attending nurse give him?
Mark one answer:
Avoid alcohol and smoking, maintain proper blood pressure, reduce salt and fluid intake, and maintain an active lifestyle
Treatment of co-morbidities is sufficient to prevent progression of disease
Avoiding alcohol and smoking and diet containing low sodium and fat are enough
Nothing needs to be done except for maintaining an active lifestyle

Q:9-An adolescent boy presents with complaints of chest pain which increases on coughing and deep breathing. During auscultation, the nurse finds that heart sounds are muffled. What is the most likely cause of his condition?
Mark one answer:
Dressler syndrome
Aortic dissection
Myocardial infarction
Viral infection

Q:10-Which of the following set of diseases is associated with valvular heart disease?
Mark one answer:
Systemic lupus erythematosus, syphilis, Marfan syndrome, carcinoid syndrome
Amyloidosis, Tuberculosis, Sjogren syndrome
Ankylosing spondylitis, Leprosy
Rheumatic fever, collagen vascular disease