1.やさしい
What does the term "dyspnoea" mean?
- AThe feeling of difficult or uncomfortable breathing
- BBreathing that is deeper than normal
- CA complete stop in breathing lasting over 10 seconds
- DA breathing rate above 20 breaths per minute at rest
2.やさしい
Which group of symptoms suggests obstructive sleep apnoea?
- AFever, cough and rust-coloured sputum
- BNight sweats, weight loss and a cough lasting several weeks
- CLoud snoring, pauses in breathing and daytime sleepiness
- DWheeze, cough and itchy eyes that come on after exercise
3.やさしい
On spirometry, what is the forced vital capacity (FVC)?
- AThe volume of air that is left in the lungs after breathing out
- BThe volume of air blown out in the first second of the test only
- CThe volume of one normal resting breath
- DThe total volume blown out forcefully after a full breath in
4.ふつう
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins are given after an ACS mainly to lower the blood pressure
- BStatins work as painkillers for chest pain
- CStatins reduce further events whatever the starting cholesterol
- DStatins are needed only if the cholesterol level is very high
5.ふつう
A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?
- AIron-deficiency anaemia
- BPrimary hyperaldosteronism
- CHypothyroidism
- DEssential hypertension of ageing
6.ふつう
Why is aspirin chewed rather than swallowed whole in a suspected acute coronary syndrome?
- AChewing stops the aspirin from irritating the lining of the stomach
- BWhole aspirin tablets cannot be absorbed at all from the gut
- CChewing changes aspirin into an anticoagulant
- DChewing speeds absorption, giving a faster antiplatelet effect
7.むずかしい
Why is the cuff pressure of an endotracheal or tracheostomy tube checked regularly?
- AThe cuff must be kept fully deflated in every ventilated patient
- BThe cuff pressure directly controls the patient's oxygen saturation
- CToo high a pressure damages the trachea; too low allows aspiration
- DThe cuff pressure sets the ventilator's breathing rate
8.むずかしい
心臓手術の1時間後、縦隔ドレーンから鮮紅色の血液が350 mL排液され、心拍数が上昇しています。看護師はどうすべきですか?
- A量を記録し、1時間ごとの確認を続ける
- Bさらなる出血を止めるため、ドレーンをクランプする
- C5分ごとにチューブを強くしごく
- D直ちに外科チームに報告する
解答
- 1. A · The feeling of difficult or uncomfortable breathing
- 2. C · Loud snoring, pauses in breathing and daytime sleepiness
- 3. D · The total volume blown out forcefully after a full breath in
- 4. C · Statins reduce further events whatever the starting cholesterol
- 5. B · Primary hyperaldosteronism
- 6. D · Chewing speeds absorption, giving a faster antiplatelet effect
- 7. C · Too high a pressure damages the trachea; too low allows aspiration
- 8. D · 直ちに外科チームに報告する
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