1.やさしい
Which electrolyte do ACE inhibitors commonly raise?
- AMagnesium
- BPotassium
- CCalcium
- DSodium
2.やさしい
心房細動で心拍数を遅くするためによく使われる薬はどれですか?
- Aビソプロロール(β遮断薬)
- Bフロセミド(ループ利尿薬)
- Cアトルバスタチン(スタチン)
- Dアムロジピン(ジヒドロピリジン系カルシウム拮抗薬)
3.やさしい
喘息で細い気道が狭くなったときに典型的な呼吸音はどれですか?
- A咳をすると消える粗い断続性ラ音
- B深呼吸で聞こえる胸膜摩擦音
- C喘鳴。通常は呼気で大きくなる
- D主に吸気で聞こえる喘鳴(ストライダー)
4.ふつう
Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?
- AIt thickens airway mucus by drying the airways
- BIt makes inhaled corticosteroids work too strongly
- CIt can cause bronchospasm by blocking beta-2 receptors
- DIt raises the heart rate sharply during an acute asthma attack
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 left atrium enlarges as it pushes blood through the narrow valve
- CThe right ventricle shrinks and stops contracting properly over time
- DThe coronary arteries become blocked by the valve
6.ふつう
A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?
- AExplain that phantom limb pain is real and arrange treatment
- BTell the patient the pain must be imaginary as the foot has gone
- CAdvise that it will be ignored until it stops
- DExplain that burning pain in the missing foot shows wound infection
7.むずかしい
A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will have regular INR blood tests."
- B"I will tell my dentist that I take warfarin."
- C"I will check before taking any new medicines or herbal remedies."
- D"If I miss a dose, I will take two the next day."
8.むずかしい
A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?
- ASeal it completely with tape on all four sides and leave it alone
- BCover it with a vented chest seal or a dressing taped on three sides
- CLeave it open and give a nebuliser
- DPack the wound tightly with gauze pushed deep into the chest
解答
- 1. B · Potassium
- 2. A · ビソプロロール(β遮断薬)
- 3. C · 喘鳴。通常は呼気で大きくなる
- 4. C · It can cause bronchospasm by blocking beta-2 receptors
- 5. B · The left atrium enlarges as it pushes blood through the narrow valve
- 6. A · Explain that phantom limb pain is real and arrange treatment
- 7. D · "If I miss a dose, I will take two the next day."
- 8. B · Cover it with a vented chest seal or a dressing taped on three sides
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