1.やさしい
Which electrolyte do ACE inhibitors commonly raise?
- ACalcium
- BMagnesium
- CSodium
- DPotassium
2.やさしい
What is the normal resting heart rate range for an adult?
- A40–60 beats per minute
- B30–50 beats per minute
- C60–100 beats per minute
- D100–140 beats per minute
3.やさしい
Which side effect of ethambutol should patients report straight away?
- AOrange-red colouring of the urine and tears
- BNumbness and tingling of the feet and hands
- CBlurred vision or changes in colour vision
- DA painful, red and swollen big toe joint
4.ふつう
恒久型ペースメーカーの植込み後、最初の数週間に一般的に与えられる指示はどれですか?
- Aその側の腕を肩の高さより上に上げない
- B6週間はシャワーも洗身もしない
- C1日2回、創をしっかりマッサージする
- D6か月以上、三角巾で腕を完全に動かさない
5.ふつう
A patient has a prosthetic heart valve. Which teaching best reduces the risk of infective endocarditis?
- AKeep teeth and gums healthy with regular dental check-ups
- BAvoid eating dairy products and raw vegetables
- CAvoid all physical exercise for the rest of their life
- DTake a daily antibiotic tablet indefinitely
6.ふつう
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- AExactly the same diameter as the tube, for a tight fit
- BNo more than half the internal diameter of the tube
- CLarger than the tube, so that it clears it completely
- DAny size, as the diameter does not matter
7.むずかしい
A patient with asthma needs their reliever every three hours and their peak flow is falling well below their personal best. What does their action plan most likely advise?
- AFollow the worsening-asthma steps and get a same-day review
- BStop the preventer inhaler for a few days to rest the lungs
- CWait two weeks to see whether it improves without any change
- DDo extra exercise to open the airways
8.むずかしい
A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?
- ACompression stockings and bed rest
- BAn inhaled bronchodilator
- COral apixaban only, started next week
- DSystemic thrombolysis
解答
- 1. D · Potassium
- 2. C · 60–100 beats per minute
- 3. C · Blurred vision or changes in colour vision
- 4. A · その側の腕を肩の高さより上に上げない
- 5. A · Keep teeth and gums healthy with regular dental check-ups
- 6. B · No more than half the internal diameter of the tube
- 7. A · Follow the worsening-asthma steps and get a same-day review
- 8. D · Systemic thrombolysis
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