1.やさしい
How does montelukast work in asthma?
- AIt stimulates beta-2 receptors in the airways
- BIt thins mucus by breaking down DNA
- CIt kills bacteria in the bronchi
- DIt blocks leukotriene receptors in the airways
2.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血小板どうしがくっつくのを止めること
- B既存の血栓を数分で完全に溶かすこと
- C手術や出血の後に血小板数を増やすこと
- D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
3.やさしい
Which organism causes tuberculosis?
- AStaphylococcus aureus
- BCorynebacterium diphtheriae
- CMycobacterium tuberculosis
- DPseudomonas aeruginosa
4.ふつう
How is the jugular venous pressure usually assessed?
- APatient lying completely flat with the head turned to the right
- BPatient standing with the neck flexed forward
- CPatient sitting upright with the arms raised above the head
- DPatient reclined at 45° with the head turned slightly to the left
5.ふつう
A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?
- AApply tight jewellery to the left wrist
- BKeep the left arm hanging down and as still as possible all day
- CAvoid BP cuffs and injections on the left arm where possible
- DUse only the left arm for heavy lifting to build up its muscles
6.ふつう
ワルファリンを服用している患者が、ほうれん草とケールの大盛りサラダを毎日食べ始めました。主な懸念は何ですか?
- Aワルファリン服用中は緑の野菜が肝臓を傷める
- B余分なビタミンKがINRを上昇させる可能性
- C食べ物とワルファリンの間に相互作用はない
- D余分なビタミンKがINRを低下させる可能性
7.むずかしい
A nurse has four cardiac patients. Which one should be seen first?
- AA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
- BA patient after a radial angiogram asking when they can eat
- CA patient with angina whose chest pain has not eased with rest and who is sweating
- DA patient with heart failure whose weight is 0.3 kg up on yesterday's morning weight
8.むずかしい
A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?
- AThe valve will humidify the air too much
- BThe patient cannot breathe out and may suffocate
- CThe patient will speak too loudly
- DThere is no danger, as the valve works with any cuff
解答
- 1. D · It blocks leukotriene receptors in the airways
- 2. D · 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
- 3. C · Mycobacterium tuberculosis
- 4. D · Patient reclined at 45° with the head turned slightly to the left
- 5. C · Avoid BP cuffs and injections on the left arm where possible
- 6. D · 余分なビタミンKがINRを低下させる可能性
- 7. C · A patient with angina whose chest pain has not eased with rest and who is sweating
- 8. B · The patient cannot breathe out and may suffocate
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