1.やさしい
虚血性脳卒中のリスクを最も高める不整脈はどれですか?
- A心房細動
- B運動選手にみられる洞性徐脈
- C運動中の洞性頻脈
- D洞性不整脈
2.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下肢静脈瘤
- B肺塞栓症
- C血栓後の脚の腫れ
- D表在性血栓性静脈炎
3.やさしい
What is a "barrel chest"?
- AA sunken breastbone that has been present since birth
- BA wider front-to-back chest diameter from air trapping
- CA curved spine that bends to one side and twists the ribs
- DA chest that moves inward on breathing in
4.ふつう
How is the jugular venous pressure usually assessed?
- APatient standing with the neck flexed forward
- BPatient sitting upright with the arms raised above the head
- CPatient reclined at 45° with the head turned slightly to the left
- DPatient lying completely flat with the head turned to the right
5.ふつう
Why are IV fluids given cautiously to a patient with heart failure?
- AIV fluids lower the blood pressure dangerously
- BExtra volume can quickly cause pulmonary oedema
- CIV fluids stop diuretics from being absorbed
- DIV fluids directly damage the heart valves
6.ふつう
A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?
- AIntravenous magnesium sulfate
- BIntravenous adenosine
- CIntravenous potassium chloride as a bolus
- DOral digoxin
7.むずかしい
During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?
- ASlow the infusion and give an antiemetic
- BGive a second dose to finish the treatment
- CStop the infusion and call for urgent medical help
- DContinue the infusion, as headache is a common side effect
8.むずかしい
A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?
- AGive a beta-blocker to bring the heart rate below 100/min
- BTreat the fever, pain and possible dehydration, then reassess
- CArrange urgent electrical cardioversion to restore a normal rate
- DGive IV adenosine
解答
- 1. A · 心房細動
- 2. B · 肺塞栓症
- 3. B · A wider front-to-back chest diameter from air trapping
- 4. C · Patient reclined at 45° with the head turned slightly to the left
- 5. B · Extra volume can quickly cause pulmonary oedema
- 6. A · Intravenous magnesium sulfate
- 7. C · Stop the infusion and call for urgent medical help
- 8. B · Treat the fever, pain and possible dehydration, then reassess
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