III #7- 63 year-old female with chest tightness 18 hours ago Kremmalt www MMMMMMM FM- chchak WEEK44) orttitmrrrtt

4.    This is not and will not be graded

Mr Rupinder Patel is a 70 year old retired businessman. He has a past medical history of Congestive Cardiac Failure (CCF). This developed after he experienced a two myocardial infarctions 8 years ago. Both ventricles were affected. The death of his wife 2 years ago has led to Rupinder experiencing several episodes of depression which has been exacerbated by his sons both moving to Western Australia for work. The loneliness and sadness makes it difficult for him to be concordant with his CCF  management and sustain the necessary lifestyle adjustments required to prevent exacerbations.  This has resulted in several admissions to hospital for management and review of his CCF. For this current admission, Mr Patel was referred to hospital by his Nurse Practitioner, after recently rapidly gaining weight (currently 110kg), since his previous visit. The time now is 0800 and you have just come on for your morning shift. Mr Patel has been on the ward for only two hours after spending…

40. The period of ejection:   A. begins with closure of the AV-valves and ends with opening of the AV-valves B. begins with opening of the aortic valve and ends with closure of the aortic valve C. begins with the P-wave and ends with the QRS-complex D. begins with the QRS-complex and ends with the T-wave