1.やさしい
ピークフローメーターは何を測定しますか?
- A血液の酸素飽和度
- B肺が保持できる空気の総量
- C1分間の呼吸回数
- D人が息を吹き出せる最も速い空気の流量
2.やさしい
What is haemoptysis?
- AVomiting blood that comes from the stomach
- BCoughing up blood from the lungs or airways
- CBleeding from the nose that runs into the throat
- DBlood in the urine
3.やさしい
During manual blood pressure measurement, what does the first clear tapping sound (Korotkoff phase 1) mark?
- AThe diastolic pressure
- BThe systolic pressure
- CThe mean arterial pressure
- DThe pulse pressure
4.ふつう
After repair of an abdominal aortic aneurysm, which regular assessment helps detect a blocked graft or clots in the legs?
- AMeasuring the blood glucose every hour through the night
- BTesting the gag reflex every four hours after surgery
- CChecking the pupils' response to light
- DChecking leg pulses, colour, warmth and sensation
5.ふつう
A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?
- AStable exertional angina from a fixed plaque
- BVasospastic (Prinzmetal) angina
- CAortic stenosis
- DAcute pericarditis
6.ふつう
末梢動脈疾患の患者が夜間に脚の痛みを訴えています。楽になる可能性のある体位はどれですか?
- Aベッドの端から脚を下に垂らす
- B脚を枕の上で心臓より高く上げる
- C湯たんぽを足に直接当てる
- D脚を圧迫包帯で巻く
7.むずかしい
心不全の患者の体重が3日間で2.5 kg増え、両側の肺底部に新たなラ音があり、今は枕4つで眠っています。血圧138/84 mmHg、室内気でSpO₂ 93%です。優先すべきことは何ですか?
- A患者を座位にし、十分にアセスメントして、体液過剰を報告する
- B腎臓を守るため、経口の水分を余分に摂るよう勧める
- C心臓を休ませて負担を減らすため、患者を仰向けに寝かせる
- D体重を記録し、来週末にもう一度確認する
8.むずかしい
After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?
- AA chest X-ray to confirm the diagnosis before any treatment
- BInsertion of a urinary catheter to monitor output
- CLying the patient flat with the legs raised
- DUrgent needle or finger decompression of the right chest
解答
- 1. D · 人が息を吹き出せる最も速い空気の流量
- 2. B · Coughing up blood from the lungs or airways
- 3. B · The systolic pressure
- 4. D · Checking leg pulses, colour, warmth and sensation
- 5. B · Vasospastic (Prinzmetal) angina
- 6. A · ベッドの端から脚を下に垂らす
- 7. A · 患者を座位にし、十分にアセスメントして、体液過剰を報告する
- 8. D · Urgent needle or finger decompression of the right chest
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