1.やさしい
喫煙者のCOPDの進行を最も効果的に遅らせる介入はどれですか?
- A毎日の副腎皮質ステロイドの内服
- B長期の抗菌薬の内服
- C長期の在宅酸素
- D禁煙
2.やさしい
What does a "reliever" inhaler do in asthma?
- AIt kills bacteria in the airways
- BIt relaxes the airway muscles quickly to ease symptoms
- CIt thins the mucus over several days
- DIt reduces the airway inflammation steadily over several weeks
3.やさしい
During cardiac arrest, how is adrenaline (epinephrine) usually given?
- ABy subcutaneous injection into the abdomen
- BIntravenously or by the intraosseous route
- CBy inhalation through a nebuliser mask
- DBy mouth, crushed and given with water
4.ふつう
After varicose vein surgery, which advice is usually given?
- AAvoid all walking until the bruising has gone
- BStand still for long periods to help the veins heal
- CWear the compression stockings as advised and walk regularly
- DStay in bed for two weeks with the legs hanging down
5.ふつう
A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?
- AThe reading will be falsely low
- BThe reading will be falsely high
- COnly the pulse rate will be affected
- DThe reading will be accurate but slower
6.ふつう
Why must anti-embolism stockings be measured and fitted correctly?
- ACorrect fit is needed only to improve the appearance
- BPoorly fitting stockings can cause pressure damage
- CLoose stockings make the patient's legs too warm at night
- DTight stockings work better, so the smallest size is always best
7.むずかしい
A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?
- AVia a mask or humidified device over the neck stoma
- BVia a non-rebreather mask over the mouth only
- CVia nasal cannula at 2 L/min
- DVia a standard face mask over the nose and mouth
8.むずかしい
A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?
- AA low-dose opioid with a hand-held fan and calm positioning
- BStopping all medicines, including inhalers
- CEncouraging long walks to build fitness
- DHigh-flow oxygen at 15 L/min whatever the oxygen saturation is
解答
- 1. D · 禁煙
- 2. B · It relaxes the airway muscles quickly to ease symptoms
- 3. B · Intravenously or by the intraosseous route
- 4. C · Wear the compression stockings as advised and walk regularly
- 5. B · The reading will be falsely high
- 6. B · Poorly fitting stockings can cause pressure damage
- 7. A · Via a mask or humidified device over the neck stoma
- 8. A · A low-dose opioid with a hand-held fan and calm positioning
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