1.やさしい
Which side effects are common after inhaled salbutamol (albuterol)?
- AConstipation and dry eyes
- BWeight gain and ankle swelling
- CFine tremor and a fast heart rate
- DDrowsiness and a slow heart rate
2.やさしい
Rust-coloured sputum is classically linked with which infection?
- AOral thrush
- BAllergic rhinitis
- CPneumococcal pneumonia
- DA viral common cold
3.やさしい
Which definition best describes heart failure?
- AA coronary artery is suddenly blocked by a clot
- BThe heart has completely stopped beating and there is no pulse
- CThe heart beats faster than 150 beats per minute for over an hour
- DThe heart cannot pump enough blood to meet the body's needs
4.ふつう
A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?
- AAvoid all potassium-containing foods
- BStop it suddenly if the heart rate rises after the first few doses
- CTake the first dose at bedtime, as dizziness and fainting can occur
- DTake it with a large glass of grapefruit juice to improve absorption
5.ふつう
Which history is a contraindication to thrombolysis for a STEMI?
- AA previous appendicectomy many years ago
- BTreated high blood pressure
- CA previous haemorrhagic stroke
- DMild asthma controlled with inhalers
6.ふつう
Which exercise advice is recommended for intermittent claudication?
- ASupervised walking until pain is near maximal, then rest and repeat
- BWalking only on days when the legs feel warm and painless
- CComplete bed rest until the leg pain has gone for at least a month
- DStopping walking at the very first twinge of pain each time
7.むずかしい
Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?
- AReassure the patient that iron tablets cause black stools
- BCheck vital signs, report urgently and anticipate a blood count
- CStop both antiplatelet drugs permanently on the nurse's own decision
- DGive a laxative and repeat the observations tomorrow
8.むずかしい
高血圧が分かっている患者の血圧が186/112 mmHgですが、症状も臓器障害の徴候もありません。最も適切な対応はどれですか?
- A心停止チームを呼び、挿管の準備をする
- B15分以内に120/80 mmHgに到達させる静注の降圧薬をボーラス投与する
- C患者が元気で症状もないので、何もしない
- D再測定して報告し、数時間から数日かけた経口治療を見込む
解答
- 1. C · Fine tremor and a fast heart rate
- 2. C · Pneumococcal pneumonia
- 3. D · The heart cannot pump enough blood to meet the body's needs
- 4. C · Take the first dose at bedtime, as dizziness and fainting can occur
- 5. C · A previous haemorrhagic stroke
- 6. A · Supervised walking until pain is near maximal, then rest and repeat
- 7. B · Check vital signs, report urgently and anticipate a blood count
- 8. D · 再測定して報告し、数時間から数日かけた経口治療を見込む
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