1.やさしい
看護師は、心房細動における脈拍欠損をどのように確認しますか?
- Aパルスオキシメーターの表示から心拍数を読む
- B2人で心尖拍動と橈骨動脈の脈拍を同時に1分間数える
- C1人で橈骨動脈の脈拍を15秒数えて4倍する
- D1人で左右の頸動脈を同時に触れる
2.やさしい
What does stridor usually indicate?
- AFluid in the alveoli
- BInflammation of the pleura
- CNarrowing of the upper airway
- DNarrowing of the small airways
3.やさしい
Which test is classically used to diagnose cystic fibrosis?
- AD-dimer test
- BSweat chloride test
- CPeak flow test
- DTuberculin skin test
4.ふつう
A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?
- AOral digoxin
- BIntravenous potassium chloride as a bolus
- CIntravenous adenosine
- DIntravenous magnesium sulfate
5.ふつう
左室駆出率の低下した心不全(HFrEF)で、生存を改善する薬剤クラスの組み合わせはどれですか?
- AACE阻害薬またはARNI、β遮断薬、MRA、SGLT2阻害薬
- Bループ利尿薬を最大耐用量で単独使用
- Cループ利尿薬、ジゴキシン、硝酸薬、カルシウム拮抗薬
- DNSAID、アスピリン、スタチン、チアジド系利尿薬
6.ふつう
A woman with hypertension who takes lisinopril says she is planning a pregnancy. What should the nurse advise?
- ADouble the dose to protect the baby from high blood pressure
- BDiscuss switching medicine with the prescriber before trying to conceive
- CStop all blood pressure treatment straight away without telling anyone
- DContinue lisinopril, as it is the safest blood pressure drug in pregnancy
7.むずかしい
A patient on three blood pressure drugs still has high readings at every visit. What should the nurse check first?
- AWhether the patient needs surgery on the renal arteries
- BWhether a fourth drug can be added at today's appointment
- CWhether the readings should be ignored
- DWhether the patient is taking the medicines as prescribed
8.むずかしい
A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?
- ANon-ST-elevation myocardial infarction
- BST-elevation myocardial infarction (STEMI)
- CStable angina
- DAcute pericarditis
解答
- 1. B · 2人で心尖拍動と橈骨動脈の脈拍を同時に1分間数える
- 2. C · Narrowing of the upper airway
- 3. B · Sweat chloride test
- 4. D · Intravenous magnesium sulfate
- 5. A · ACE阻害薬またはARNI、β遮断薬、MRA、SGLT2阻害薬
- 6. B · Discuss switching medicine with the prescriber before trying to conceive
- 7. D · Whether the patient is taking the medicines as prescribed
- 8. A · Non-ST-elevation myocardial infarction
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