1.やさしい
Mesothelioma of the pleura is strongly linked with exposure to which substance?
- AWood smoke
- BPollen
- CCoal dust
- DAsbestos
2.やさしい
How is cystic fibrosis inherited?
- AIt is not inherited
- BAutosomal dominant
- CX-linked recessive
- DAutosomal recessive
3.やさしい
Which chamber of the heart receives blood from the superior and inferior venae cavae?
- AThe right atrium
- BThe left ventricle
- CThe right ventricle
- DThe left atrium
4.ふつう
A patient with a mechanical heart valve asks to switch from warfarin to apixaban. What is the correct response?
- ADirect oral anticoagulants are not used for mechanical valves
- BMechanical valves do not need anticoagulation after the first month
- CAny anticoagulant works equally well once the valve is in place
- DAspirin alone can replace warfarin once the valve has healed
5.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?
- A6週間はシャワーも洗身もしない
- B6か月以上、三角巾で腕を完全に動かさない
- C1日2回、創をしっかりマッサージする
- Dその側の腕を肩の高さより上に上げない
6.ふつう
心筋梗塞の2日後に、患者が突然の息切れ、ラ音、新たな大きな収縮期雑音を起こしました。どの合併症を疑うべきですか?
- A乳頭筋断裂による急性僧帽弁閉鎖不全
- B心膜摩擦音を伴う梗塞後心膜炎
- C長期臥床による肺塞栓症
- Dストレスで誘発された安定狭心症の新たな発作
7.むずかしい
A patient on spironolactone and an ACE inhibitor has a potassium of 6.8 mmol/L (6.8 mEq/L) with peaked T waves. What is usually given first to protect the heart?
- AAn IV furosemide bolus as the only treatment
- BOral potassium supplements
- CA dose of digoxin
- DIntravenous calcium gluconate or chloride
8.むずかしい
An 84-year-old with heart failure becomes breathless with new crackles and a rising blood pressure during a blood transfusion. What should the nurse suspect?
- ATransfusion-associated circulatory overload
- BA mild febrile reaction
- CAn acute haemolytic reaction from wrong blood
- DNormal effects of the transfusion
解答
- 1. D · Asbestos
- 2. D · Autosomal recessive
- 3. A · The right atrium
- 4. A · Direct oral anticoagulants are not used for mechanical valves
- 5. D · その側の腕を肩の高さより上に上げない
- 6. A · 乳頭筋断裂による急性僧帽弁閉鎖不全
- 7. D · Intravenous calcium gluconate or chloride
- 8. A · Transfusion-associated circulatory overload
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