1.やさしい
What causes the first heart sound (S1)?
- AThe heart muscle stretching in diastole
- BClosure of the aortic and pulmonary valves
- CBlood flowing quickly into the atria
- DClosure of the mitral and tricuspid valves
2.やさしい
How should glyceryl trinitrate (nitroglycerin) sublingual tablets be stored?
- ALoose in a pocket or a plastic pill box for easy access
- BIn direct sunlight on the windowsill
- CIn the fridge, mixed in one bottle with their other tablets
- DIn their original container, away from heat and light
3.やさしい
Which side effect of ethambutol should patients report straight away?
- AA painful, red and swollen big toe joint
- BNumbness and tingling of the feet and hands
- COrange-red colouring of the urine and tears
- DBlurred vision or changes in colour vision
4.ふつう
A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?
- AIntravenous atropine
- BIntravenous amiodarone
- COral bisoprolol
- DIntravenous adenosine
5.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass II
- BClass I
- CClass IV
- DClass III
6.ふつう
During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?
- APericarditis
- BMyocardial ischaemia
- CHyperkalaemia
- DA normal finding during pain
7.むずかしい
Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?
- ANormal pain from the procedure site
- BIndigestion from the hospital meal
- CPericarditis from the catheter
- DAcute stent thrombosis
8.むずかしい
A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?
- ATake a full set of observations, including temperature and blood glucose
- 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
- DLeave the patient to fetch a defibrillator before calling anyone
解答
- 1. D · Closure of the mitral and tricuspid valves
- 2. D · In their original container, away from heat and light
- 3. D · Blurred vision or changes in colour vision
- 4. A · Intravenous atropine
- 5. D · Class III
- 6. B · Myocardial ischaemia
- 7. D · Acute stent thrombosis
- 8. C · Shout for help, open the airway and check breathing for up to 10 seconds
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。