1.やさしい
Where are AED pads usually placed on an adult?
- ABoth pads on the back, side by side between the shoulder blades
- BOn each upper arm
- CBelow the right collarbone and on the left side below the armpit
- DBoth pads on the abdomen, just below the ribs on either side
2.やさしい
What is the pleura?
- AA double membrane lining the lungs and the inner chest wall
- BThe tiny air sacs at the ends of the airways where gas exchange happens
- CThe dome-shaped muscle that separates the chest from the abdomen
- DThe cartilage rings of the trachea
3.やさしい
What does central cyanosis of the lips and tongue indicate?
- ACold hands caused by the room, with normal oxygen levels
- BNormal findings in older adults
- CLow oxygen saturation of the arterial blood
- DA high haemoglobin level only
4.ふつう
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins are given after an ACS mainly to lower the blood pressure
- BStatins work as painkillers for chest pain
- CStatins reduce further events whatever the starting cholesterol
- DStatins are needed only if the cholesterol level is very high
5.ふつう
Why are patients with mitral stenosis at high risk of atrial fibrillation?
- AThe narrow valve presses on the sinus node and slows it down directly
- BThe coronary arteries become blocked by the valve
- CThe right ventricle shrinks and stops contracting properly over time
- DThe left atrium enlarges as it pushes blood through the narrow valve
6.ふつう
A patient has exercise-induced asthma. Which advice is most appropriate?
- AAvoid all forms of exercise permanently to prevent attacks
- BTake a beta-blocker before exercise
- CExercise only in cold, dry air to toughen the airways
- DUse the reliever inhaler shortly before exercise and warm up
7.むずかしい
A patient with severe COPD has increasing ankle oedema and a raised JVP, but no crackles and a normal left ventricle on echocardiography. Which condition is most likely?
- ADeep vein thrombosis
- BAortic stenosis
- CCor pulmonale
- DLeft ventricular failure
8.むずかしい
股関節手術の後、患者が突然息苦しくなって不安を訴え、心拍数124/分、室内気でSpO₂ 86%、呼吸時に鋭い痛みがあります。胸部の呼吸音は清明です。看護師が最初にすべきことは何ですか?
- A呼吸を楽にするため、病棟内を歩かせる
- B不安に対して鎮静薬を与え、1時間後に再評価する
- C患者を仰向けに寝かせ、両脚を枕の上に上げる
- D酸素を投与し、座位にして、緊急の診察を依頼し、そばに付き添う
解答
- 1. C · Below the right collarbone and on the left side below the armpit
- 2. A · A double membrane lining the lungs and the inner chest wall
- 3. C · Low oxygen saturation of the arterial blood
- 4. C · Statins reduce further events whatever the starting cholesterol
- 5. D · The left atrium enlarges as it pushes blood through the narrow valve
- 6. D · Use the reliever inhaler shortly before exercise and warm up
- 7. C · Cor pulmonale
- 8. D · 酸素を投与し、座位にして、緊急の診察を依頼し、そばに付き添う
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。