1.やさしい
What is the main function of the epiglottis?
- AIt warms and moistens the air on its way into the lungs
- BIt covers the entrance to the larynx during swallowing
- CIt vibrates to produce the sound of the voice when speaking
- DIt divides the trachea into two bronchi
2.やさしい
高流量鼻カニュラ酸素療法とは何ですか?
- A標準的な鼻カニューラから1~4 L/分で送る、乾燥した酸素
- Bリザーバーバッグ付きマスクによる15 L/分の酸素
- C鼻カニューラから最大約60 L/分で送る、加温加湿した酸素
- D人工呼吸器につないだ、密着型のフルフェイスマスクによる酸素
3.やさしい
Which muscle does most of the work of quiet breathing?
- AThe diaphragm
- BThe abdominal muscles
- CThe sternocleidomastoid
- DThe trapezius
4.ふつう
What is the main problem in heart failure with preserved ejection fraction?
- AA blocked pulmonary artery
- BA leaking aortic valve
- CA stiff ventricle that fills poorly in diastole
- DA dilated ventricle that cannot contract strongly
5.ふつう
A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?
- ATake the first dose at bedtime, as dizziness and fainting can occur
- BAvoid all potassium-containing foods
- CStop it suddenly if the heart rate rises after the first few doses
- DTake it with a large glass of grapefruit juice to improve absorption
6.ふつう
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
- AReduced peripheral perfusion
- BNormal peripheral perfusion
- CA high haemoglobin level
- DAn unusually strong cardiac output
7.むずかしい
A patient with life-threatening asthma has not responded to repeated nebulised salbutamol (albuterol), ipratropium and steroids. Which drug is commonly given intravenously next?
- AMetoprolol
- BIntravenous furosemide
- CMorphine
- DMagnesium sulfate
8.むずかしい
ヘパリン持続注入の6日目に、血小板数が半分以上減少し、患者の腕に新たな腫れが出ました。看護師は何を予測すべきですか?
- Aすべてのヘパリンを中止し、ヘパリン以外の抗凝固薬を開始すること
- B別の薬なので、低分子ヘパリンに切り替えること
- Cヘパリンを続け、血小板輸血を行うこと
- D2週間、抗凝固療法をすべて中止すること
解答
- 1. B · It covers the entrance to the larynx during swallowing
- 2. C · 鼻カニューラから最大約60 L/分で送る、加温加湿した酸素
- 3. A · The diaphragm
- 4. C · A stiff ventricle that fills poorly in diastole
- 5. A · Take the first dose at bedtime, as dizziness and fainting can occur
- 6. A · Reduced peripheral perfusion
- 7. D · Magnesium sulfate
- 8. A · すべてのヘパリンを中止し、ヘパリン以外の抗凝固薬を開始すること
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