1.やさしい
Which of these is a modifiable risk factor for coronary heart disease?
- AOlder age
- BSmoking
- CFamily history
- DMale sex
2.やさしい
What does the term "dyspnoea" mean?
- AThe feeling of difficult or uncomfortable breathing
- BA complete stop in breathing lasting over 10 seconds
- CA breathing rate above 20 breaths per minute at rest
- DBreathing that is deeper than normal
3.やさしい
手術後にインセンティブスパイロメトリーを行う目的は何ですか?
- Aネブライザーによる気管支拡張薬を投与すること
- B退院前に肺機能を検査すること
- C深呼吸を促し、無気肺を予防すること
- D患者の酸素飽和度を測定すること
4.ふつう
Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?
- AA urinary catheter set, a blood glucose meter and a thermometer
- BSpare tubes (same size and one smaller), suction and oxygen
- CA nasogastric tube and a feeding pump
- DOnly a spare oxygen mask, since the tube rarely causes problems
5.ふつう
患者のB型ナトリウム利尿ペプチド(BNPまたはNT-proBNP)が上昇しています。これは主に何を反映していますか?
- A心室の伸展と圧負荷
- B心筋の虚血性障害
- Cうっ血による肝臓の炎症
- D転倒後の骨格筋の損傷
6.ふつう
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins reduce further events whatever the starting cholesterol
- BStatins work as painkillers for chest pain
- CStatins are given after an ACS mainly to lower the blood pressure
- DStatins are needed only if the cholesterol level is very high
7.むずかしい
During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?
- AContinue suctioning until the airway is completely clear
- BGive a dose of atropine without a prescription
- CStop suctioning, give oxygen and monitor the patient
- DIncrease the suction pressure to finish faster
8.むずかしい
大腿動脈経由のPCIの4時間後、鼠径部のドレッシングが血液でぐっしょり濡れ、硬い腫れが大きくなっています。直ちに行うべきことは何ですか?
- Aドレッシングを外し、創部を空気にさらしておく
- B患者を起こして、排尿のためにトイレまで歩かせる
- C部位に血栓ができないよう、ヘパリンの注入速度を上げる
- D穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
解答
- 1. B · Smoking
- 2. A · The feeling of difficult or uncomfortable breathing
- 3. C · 深呼吸を促し、無気肺を予防すること
- 4. B · Spare tubes (same size and one smaller), suction and oxygen
- 5. A · 心室の伸展と圧負荷
- 6. A · Statins reduce further events whatever the starting cholesterol
- 7. C · Stop suctioning, give oxygen and monitor the patient
- 8. D · 穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
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