1.やさしい
Drug names ending in "-olol", such as bisoprolol and atenolol, belong to which class?
- AACE inhibitors
- BBeta-blockers
- CLoop diuretics
- DCalcium channel blockers
2.やさしい
抗凝固薬を服用している患者に、どの助言をすべきですか?
- A今後、緑の野菜はすべて避ける
- Bどんな痛みでも、パラセタモールではなくイブプロフェンを飲む
- C小さなあざができたら服用を1回飛ばす
- Dやわらかい歯ブラシを使い、普段と違う出血は報告する
3.やさしい
What is the main cause of varicose veins?
- ANarrowing of the leg arteries by plaque
- BFaulty valves in the superficial leg veins
- CInflammation of the lymph nodes in the groin
- DA clot blocking a deep vein in the calf
4.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey lower the heart's oxygen demand and reduce arrhythmias
- BThey raise the heart rate to improve blood flow to the muscle
- CThey reduce cholesterol in the blood
- DThey dissolve the clot that is blocking the coronary artery
5.ふつう
Which history is a contraindication to thrombolysis for a STEMI?
- ATreated high blood pressure
- BA previous haemorrhagic stroke
- CA previous appendicectomy many years ago
- DMild asthma controlled with inhalers
6.ふつう
What is the main problem in heart failure with preserved ejection fraction?
- AA stiff ventricle that fills poorly in diastole
- BA dilated ventricle that cannot contract strongly
- CA leaking aortic valve
- DA blocked pulmonary artery
7.むずかしい
Hours after surgery to restore blood flow to an ischaemic leg, the patient has severe calf pain that is worse when the toes are moved passively, and the calf feels tense. What should the nurse suspect?
- ACramp from lying still in bed
- BA superficial thrombophlebitis of the long saphenous vein
- CExpected postoperative pain from the leg wound
- DCompartment syndrome from reperfusion swelling
8.むずかしい
A patient on a morphine PCA after surgery is very drowsy, with a respiratory rate of 7/min and pinpoint pupils. SpO₂ is 89%. What should the nurse do first?
- AGive a sedative to keep the patient comfortable
- BStop the PCA, support breathing, give oxygen and get naloxone
- CLeave the patient to sleep and recheck the observations in an hour
- DEncourage the patient to keep pressing the PCA button for comfort
解答
- 1. B · Beta-blockers
- 2. D · やわらかい歯ブラシを使い、普段と違う出血は報告する
- 3. B · Faulty valves in the superficial leg veins
- 4. A · They lower the heart's oxygen demand and reduce arrhythmias
- 5. B · A previous haemorrhagic stroke
- 6. A · A stiff ventricle that fills poorly in diastole
- 7. D · Compartment syndrome from reperfusion swelling
- 8. B · Stop the PCA, support breathing, give oxygen and get naloxone
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