1.やさしい
Which description fits stable angina?
- ASharp chest pain that worsens with each breath
- BChest pain at rest that lasts longer than an hour and keeps returning
- CChest pain that appears only after heavy meals
- DChest pain on exertion that eases with rest or nitrates
2.やさしい
What is atelectasis?
- ANarrowing of the airways caused by spasm of smooth muscle
- BInfection of the lung tissue causing the alveoli to fill with pus
- CFluid in the space around the lung
- DCollapse of part of the lung so the alveoli contain no air
3.やさしい
高血圧がしばしば「サイレントキラー」と呼ばれるのはなぜですか?
- A患者が無視するようになる頭痛を必ず起こすから
- B症状がないまま臓器を傷めることが多いから
- C血液検査でしか見つけられないから
- D主に夜間の睡眠中に起こるから
4.ふつう
What is the main problem in heart failure with preserved ejection fraction?
- AA dilated ventricle that cannot contract strongly
- BA leaking aortic valve
- CA blocked pulmonary artery
- DA stiff ventricle that fills poorly in diastole
5.ふつう
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins are needed only if the cholesterol level is very high
- BStatins are given after an ACS mainly to lower the blood pressure
- CStatins work as painkillers for chest pain
- DStatins reduce further events whatever the starting cholesterol
6.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?
- AOnly the pulse rate will be affected
- BThe reading will be accurate but slower
- CThe reading will be falsely high
- DThe reading will be falsely low
7.むずかしい
A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?
- AStop it at that site, inform the team and follow the extravasation policy
- BIncrease the rate so the drug enters the vein faster and leaks less
- CMassage the area firmly to spread the drug out into the surrounding tissue
- DContinue the infusion, as this is expected
8.むずかしい
During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?
- AAsk the patient to cough harder to help the flow
- BSpeed up the drainage to finish quickly
- CStop or clamp the drainage and inform the doctor
- DLie the patient flat until the drainage is complete
解答
- 1. D · Chest pain on exertion that eases with rest or nitrates
- 2. D · Collapse of part of the lung so the alveoli contain no air
- 3. B · 症状がないまま臓器を傷めることが多いから
- 4. D · A stiff ventricle that fills poorly in diastole
- 5. D · Statins reduce further events whatever the starting cholesterol
- 6. C · The reading will be falsely high
- 7. A · Stop it at that site, inform the team and follow the extravasation policy
- 8. C · Stop or clamp the drainage and inform the doctor
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