1.やさしい
ヘパリンやアピキサバンなどの抗凝固薬の主な役割は何ですか?
- A新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- B手術や出血の後に血小板数を増やすこと
- C血小板どうしがくっつくのを止めること
- D既存の血栓を数分で完全に溶かすこと
2.やさしい
Which of these is a common allergic trigger of asthma?
- ADrinking water
- BWearing cotton clothes
- CEating rice
- DHouse dust mite
3.やさしい
Which side effect of ethambutol should patients report straight away?
- AOrange-red colouring of the urine and tears
- BNumbness and tingling of the feet and hands
- CBlurred vision or changes in colour vision
- DA painful, red and swollen big toe joint
4.ふつう
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ACover the site and keep using it until it blocks
- BFlush the cannula hard to clear it
- CRemove the cannula, document and monitor the site
- DLeave it in place, as this is normal after 24 hours
5.ふつう
How is a patient usually positioned for a thoracentesis?
- AProne with the arms by the sides
- BFlat on the back with the legs raised
- CSitting upright and leaning forward over a table
- DLying on the affected side with the head down
6.ふつう
Dダイマーが上昇していることは何を意味しますか?
- A抗凝固薬の用量が少なすぎるため、増やす必要がある
- B深部静脈血栓症が安全に除外された
- Cフィブリンの分解があるが、血栓があることの証明にはならない
- D肺塞栓症またはDVTが確定した
7.むずかしい
A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?
- AAn intravenous thrombolytic
- BAn intravenous beta-blocker
- CAn intravenous fluid bolus
- DOral aspirin
8.むずかしい
An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?
- AAn acute asthma attack
- BIdiopathic pulmonary fibrosis
- CCommunity-acquired pneumonia
- DSpontaneous pneumothorax
解答
- 1. A · 新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- 2. D · House dust mite
- 3. C · Blurred vision or changes in colour vision
- 4. C · Remove the cannula, document and monitor the site
- 5. C · Sitting upright and leaning forward over a table
- 6. C · フィブリンの分解があるが、血栓があることの証明にはならない
- 7. B · An intravenous beta-blocker
- 8. B · Idiopathic pulmonary fibrosis
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。