1.やさしい
Which vaccine is used to protect against tuberculosis?
- ABCG
- BDTaP
- CMMR
- DHPV
2.やさしい
What causes the first heart sound (S1)?
- ABlood flowing quickly into the atria
- BThe heart muscle stretching in diastole
- CClosure of the mitral and tricuspid valves
- DClosure of the aortic and pulmonary valves
3.やさしい
深部静脈血栓症の最も重篤な合併症はどれですか?
- A血栓後の脚の腫れ
- B肺塞栓症
- C表在性血栓性静脈炎
- D下肢静脈瘤
4.ふつう
A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?
- AKeep the genital area clean, as fungal infections are more common
- BTake an extra dose if the ankles swell
- CAvoid drinking any fluids at all for the first week of treatment
- DExpect the urine to turn bright orange and stain underwear and clothes
5.ふつう
COPDにおける呼吸リハビリテーションとは何ですか?
- A息切れを和らげる、監督下の運動と教育
- B6か月ごとに繰り返す肺機能検査
- C肺の最も障害された部分を切除する手術
- D毎年冬に自宅で行う、経口ステロイドと抗菌薬の投与
6.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass I
- BClass III
- CClass II
- DClass IV
7.むずかしい
心房細動の患者の心拍数が165/分、血圧が78/45 mmHg、胸痛と新たな錯乱があります。看護師が予測すべき治療は何ですか?
- A心停止と同様の非同期の除細動
- Bビソプロロールの内服と、朝の再評価
- C緊急の同期電気的カルディオバージョン
- D血圧を上げるためのアトロピンの静注
8.むずかしい
A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?
- AGTN raises the blood pressure dangerously in aortic stenosis
- BGTN makes the narrowed aortic valve tighten further within a few minutes
- CThere is no reason for caution, because GTN acts only on the coronary arteries
- DVasodilators can cause a severe fall in BP with a fixed outflow obstruction
解答
- 1. A · BCG
- 2. C · Closure of the mitral and tricuspid valves
- 3. B · 肺塞栓症
- 4. A · Keep the genital area clean, as fungal infections are more common
- 5. A · 息切れを和らげる、監督下の運動と教育
- 6. B · Class III
- 7. C · 緊急の同期電気的カルディオバージョン
- 8. D · Vasodilators can cause a severe fall in BP with a fixed outflow obstruction
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