1.やさしい
Which examination findings are typical of a large pleural effusion?
- AHyper-resonance and a loud wheeze over the affected side
- BDullness to percussion and reduced breath sounds
- CCoarse crackles that clear on coughing
- DNormal percussion and bronchial breathing
2.やさしい
典型的な胸痛を伴わない心筋梗塞を起こしやすい患者群はどれですか?
- A若い男性と定期的に運動をする人
- B喫煙者と、コレステロールが高い人や肥満の人
- C10代の若者と喘息のある人
- D高齢者、女性、糖尿病のある人
3.やさしい
In a healthy person, what is the main chemical stimulus for breathing?
- AA falling level of potassium in the blood
- BA falling level of glucose in the blood after fasting
- CA rising level of oxygen in the blood
- DA rising level of carbon dioxide in the blood
4.ふつう
Why are patients with mitral stenosis at high risk of atrial fibrillation?
- AThe coronary arteries become blocked by the valve
- BThe narrow valve presses on the sinus node and slows it down directly
- CThe right ventricle shrinks and stops contracting properly over time
- DThe left atrium enlarges as it pushes blood through the narrow valve
5.ふつう
A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?
- AA nitrate-free interval prevents tolerance
- BIt lowers the risk of a high potassium level
- CThe patch works only during the night
- DThe skin needs a break to absorb a larger dose
6.ふつう
A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?
- AIron-deficiency anaemia
- BEssential hypertension of ageing
- CPrimary hyperaldosteronism
- DHypothyroidism
7.むずかしい
A patient with known left-sided lung cancer starts coughing up large amounts of fresh blood. While help is called, how should the patient be positioned?
- ALying on the right side, with the bleeding lung up
- BLying on the left side, with the bleeding lung down
- CProne with the head turned to one side
- DFlat on the back with the head down
8.むずかしい
During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?
- AStop or clamp the drainage and inform the doctor
- BSpeed up the drainage to finish quickly
- CLie the patient flat until the drainage is complete
- DAsk the patient to cough harder to help the flow
解答
- 1. B · Dullness to percussion and reduced breath sounds
- 2. D · 高齢者、女性、糖尿病のある人
- 3. D · A rising level of carbon dioxide in the blood
- 4. D · The left atrium enlarges as it pushes blood through the narrow valve
- 5. A · A nitrate-free interval prevents tolerance
- 6. C · Primary hyperaldosteronism
- 7. B · Lying on the left side, with the bleeding lung down
- 8. A · Stop or clamp the drainage and inform the doctor
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