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A 58-year-old man comes to the emergency department with 40 minutes of crushing central chest pain. His ECG shows ST elevation in leads II, III and aVF. Which artery is most likely blocked?

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Gulf Prometric exam practice for you.

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3,000+ questions, with the reason behind every option.

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For nurses · Electrolytes

A patient after thyroid surgery has stable breathing but develops perioral tingling and sustained carpal spasm. What is the nurse's PRIORITY action?

  1. A. Administer monitored IV calcium gluconateSevere symptomatic hypocalcaemia is treated with prescribed IV calcium gluconate given slowly with cardiac monitoring.
  2. B. Give oral calcium with vitamin DThe trap. Oral calcium and vitamin D fit mild or asymptomatic hypocalcaemia, but they are inadequate for tetany.
  3. C. Institute seizure and fall precautionsSeizure and fall precautions are appropriate, but they do not correct the severe symptomatic deficit.
  4. D. Assess swallowing and mental statusSwallowing and mental status should be assessed, but sustained carpal spasm requires emergency replacement.

Pearl After thyroid or neck surgery, tingling or carpal spasm should trigger concern for hypocalcaemia.

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It depends on where you will work. In the UAE, DHA covers Dubai, DOH covers Abu Dhabi and MOH UAE (MOHAP) covers the Northern Emirates. Outside the UAE, SCFHS covers Saudi Arabia, OMSB covers Oman, QCHP / DHP covers Qatar, NHRA covers Bahrain and Kuwait MOH covers Kuwait. Each is a separate exam run by a separate authority. Each exam's page explains who needs it and how the process works.

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