1.やさしい
What does the term "afterload" describe?
- AThe resistance the ventricle must overcome to eject blood
- BThe volume of blood returning to the right atrium each minute
- CThe stretch of the ventricle before it contracts
- DThe time the heart takes to relax after each beat
2.やさしい
What is the role of cilia in the airways?
- AThey exchange oxygen and carbon dioxide with the blood
- BThey make surfactant to keep the small alveoli open
- CThey contract to narrow the airways and keep out particles of dust
- DThey move mucus and trapped particles up towards the throat
3.やさしい
Which procedure relieves cardiac tamponade?
- ACardioversion
- BPericardiocentesis
- CThoracentesis (pleural tap)
- DBronchoscopy
4.ふつう
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
- AAn unusually strong cardiac output
- BReduced peripheral perfusion
- CA high haemoglobin level
- DNormal peripheral perfusion
5.ふつう
After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?
- AAvoid walking until the stitches are removed
- BSleep only on the stomach to protect the wound
- CLift the arms above the head often to stretch the chest
- DAvoid heavy lifting and pushing up with the arms
6.ふつう
How should a patient with asthma record their peak flow at home?
- ATake the average of ten blows after exercise
- BTake one gentle blow once a week, at any time of day
- CTake the best of three blows, ideally morning and evening
- DBlow only during an asthma attack, never when well
7.むずかしい
A patient with pneumonia has a heart rate of 118/min, BP 86/50 mmHg, RR 28/min and a high lactate. Sepsis is recognised. Which action should not be delayed?
- AWait for the sputum culture result before choosing an antibiotic
- BTake blood cultures and give IV antibiotics within the first hour
- CGive oral antibiotics and reassess the next day
- DDelay fluids until a chest X-ray has been reported
8.むずかしい
心房細動でワルファリンを服用している患者のINRが8.5ですが、出血はありません。最も考えられる管理はどれですか?
- Aワルファリンを保留し、指示者に連絡して、早めにINRを再検査する
- B通常量を続け、1か月後にINRを再確認する
- C拮抗のために、直ちに硫酸プロタミンを静注する
- Dプロトロンビン複合体濃縮製剤と輸血を行う
解答
- 1. A · The resistance the ventricle must overcome to eject blood
- 2. D · They move mucus and trapped particles up towards the throat
- 3. B · Pericardiocentesis
- 4. B · Reduced peripheral perfusion
- 5. D · Avoid heavy lifting and pushing up with the arms
- 6. C · Take the best of three blows, ideally morning and evening
- 7. B · Take blood cultures and give IV antibiotics within the first hour
- 8. A · ワルファリンを保留し、指示者に連絡して、早めにINRを再検査する
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