1.やさしい
深部静脈血栓症の最も重篤な合併症はどれですか?
- A表在性血栓性静脈炎
- B下肢静脈瘤
- C肺塞栓症
- D血栓後の脚の腫れ
2.やさしい
What is the correct first aid for an adult with a nosebleed?
- ATilt the head back and pinch the bony bridge of the nose firmly
- BBlow the nose hard to clear the clots
- CLie flat on the back with the head turned to one side for an hour
- DSit forward and pinch the soft part of the nose for 10–15 minutes
3.やさしい
What is the classic clinical definition of chronic bronchitis?
- AA single episode of coughing up blood after a chest infection
- BA dry cough lasting about one week after a common cold
- CWheeze and chest tightness that occur only during exercise
- DA cough with sputum most days for 3 months in 2 years running
4.ふつう
Which ECG pattern is typical of acute pericarditis?
- AST elevation only in leads II, III and aVF with Q waves
- BA sawtooth baseline with a regular ventricular rate
- CWidespread saddle-shaped ST elevation with PR depression
- DTall peaked T waves with a wide QRS
5.ふつう
How should a patient breathe in when using a dry powder inhaler?
- AThrough the nose with the mouthpiece in the mouth
- BSlowly and gently over about ten seconds
- CQuickly and deeply, after breathing out away from the device
- DSeveral times, breathing out into the device between breaths
6.ふつう
How does digoxin help a patient with atrial fibrillation and heart failure?
- AIt dissolves clots that have formed in the left atrium
- BIt lowers potassium to stabilise the heart
- CIt speeds conduction through the AV node to the ventricles
- DIt slows AV node conduction and increases contractility
7.むずかしい
A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?
- AA sweat chloride test
- BScreening for latent tuberculosis
- CAn exercise ECG test on a treadmill
- DA peak flow diary for a month
8.むずかしい
A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?
- ALeave the patient to fetch a defibrillator before calling anyone
- BGive two rescue breaths, then check the blood glucose before calling anyone
- CShout for help, open the airway and check breathing for up to 10 seconds
- DTake a full set of observations, including temperature and blood glucose
解答
- 1. C · 肺塞栓症
- 2. D · Sit forward and pinch the soft part of the nose for 10–15 minutes
- 3. D · A cough with sputum most days for 3 months in 2 years running
- 4. C · Widespread saddle-shaped ST elevation with PR depression
- 5. C · Quickly and deeply, after breathing out away from the device
- 6. D · It slows AV node conduction and increases contractility
- 7. B · Screening for latent tuberculosis
- 8. C · Shout for help, open the airway and check breathing for up to 10 seconds
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