1. A 54-year-old male with a history of chronic obstructive pulmonary
disease (COPD) presents with acute shortness of breath. Which of the
following interventions should be prioritized?
A. Administration of high-flow oxygen
B. Initiation of chest physiotherapy
C. Prescription of oral corticosteroids
D. Performance of endotracheal intubation
Answer: A. Administration of high-flow oxygen
Rationale: Patients with COPD exacerbations benefit from controlled
oxygen therapy to prevent hypoxemia and minimize the risk of
hypercapnic respiratory failure.
2. A patient is admitted with suspected acute pancreatitis. Which
laboratory test is most indicative of this condition?
A. Serum amylase
B. Serum lipase
C. Liver function tests
D. Complete blood count
Answer: B. Serum lipase
Rationale: Serum lipase is more specific to the pancreas and remains
elevated longer than amylase, making it a more indicative marker for
acute pancreatitis.
3. A 63-year-old female presents with left-sided chest pain and dyspnea.
An ECG shows ST-segment elevation in leads V2-V4. What is the most
likely diagnosis?
A. Right ventricular infarction
B. Anterior wall myocardial infarction
C. Inferior wall myocardial infarction
D. Pericarditis
Answer: B. Anterior wall myocardial infarction
Rationale: ST-segment elevation in leads V2-V4 is indicative of an
anterior wall myocardial infarction, which is typically associated with
occlusion of the left anterior descending artery.
4. A patient with acute renal failure is undergoing treatment. Which
parameter is essential for monitoring the effectiveness of the treatment?
A. Urine output
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