Study questions platform-wide or filter by specific tests with correct answers revealed.
Sharks belong to which class of vertebrates?
Class Chondrichthyes includes cartilaginous fish (sharks, rays). Osteichthyes are bony fish. Echinodermata are starfish etc.; Urochordata are tunicates.
\(5(1)^2 - 4(1) - 1 = 5 - 4 - 1 = 0\)
Remainder \(= 0\).
Cardiac Tamponade: Beck's Triad
- Hypotension — reduced cardiac output due to compression
- Muffled (distant) heart sounds — fluid surrounding the heart dampens sounds
- Jugular venous distension (JVD) — elevated venous pressure as blood cannot enter compressed heart
- Pulsus paradoxus \(> 10 \text{ mmHg}\): Exaggerated fall in systolic BP during inspiration
- Tachycardia (compensatory)
- Electrical alternans on ECG (alternating QRS amplitude)
- Enlarged cardiac silhouette on CXR ('water bottle' heart)
This is a classic presentation of Neonatal Respiratory Distress Syndrome (RDS), also called Hyaline Membrane Disease:
- Prematurity (36 weeks — late preterm)
- Grunting, retractions, nasal flaring, tachypnea
- Ground glass appearance + air bronchograms on CXR = pathognomonic of RDS
Pathophysiology: Deficiency of surfactant (produced by Type II pneumocytes from ~24 weeks, mature by ~35 weeks). Surfactant reduces alveolar surface tension. Without it:
\[\text{Surface tension} \uparrow \Rightarrow \text{Alveolar collapse} \Rightarrow \text{V/Q mismatch} \Rightarrow \text{Hypoxia}\]
- Treatment: Exogenous surfactant (beractant, poractant alfa) via endotracheal tube + respiratory support (CPAP/mechanical ventilation)
- Prevention: Antenatal corticosteroids (betamethasone 12 mg IM × 2 doses, 24 hrs apart) if delivery expected before 34 weeks — accelerates fetal lung maturity
SWOT Analysis is a strategic planning tool:
- S — Strengths (internal positive factors)
- W — Weaknesses (internal negative factors)
- O — Opportunities (external positive factors)
- T — Threats (external negative factors)
In nursing management, a Head Nurse uses SWOT analysis to assess the unit's capabilities, identify resource gaps, recognize opportunities for improvement, and anticipate external challenges such as budget cuts, staff shortages, or policy changes. This is frequently tested in Charge/Head Nurse examinations.
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