1.やさしい
What is the approximate tidal volume of a resting adult?
- AAbout 50 mL
- BAbout 500 mL
- CAbout 5 litres
- DAbout 1.5 litres
2.やさしい
Which chamber of the heart receives blood from the superior and inferior venae cavae?
- AThe left atrium
- BThe right atrium
- CThe left ventricle
- DThe right ventricle
3.やさしい
Which valve lies between the left atrium and the left ventricle?
- AThe pulmonary valve
- BThe tricuspid valve
- CThe mitral valve
- DThe aortic valve
4.ふつう
A young patient with hypertrophic cardiomyopathy asks why they are told to avoid dehydration. What is the best explanation?
- ALow blood volume can worsen obstruction of blood leaving the heart
- BFluids dissolve the extra muscle in the heart wall
- CDehydration is the cause of the inherited condition
- DDehydration makes the heart muscle grow thicker within a few hours
5.ふつう
A patient has just started an ACE inhibitor. Which blood tests are usually checked within the first one to two weeks?
- AINR and platelet count
- BLiver enzymes and amylase
- CTroponin and creatine kinase
- DPotassium and creatinine
6.ふつう
A patient with heart failure takes furosemide once a day. When is the best time to take it?
- AWhenever the ankles look swollen, on those days only
- BIn the morning, to avoid needing the toilet at night
- CAt bedtime, so the effect lasts through the night
- DJust before the evening meal, with a large drink
7.むずかしい
橈骨動脈経由の心臓カテーテル検査の後、最も重要なアセスメントはどれですか?
- A4時間ごとの尿比重
- B15分ごとの瞳孔の大きさと対光反応
- C手の循環、感覚、動きと、穿刺部位
- D検査後1時間ごとの腸蠕動音と腹囲
8.むずかしい
A patient with severe sepsis becomes increasingly breathless over 24 hours. SpO₂ stays low despite high-flow oxygen, and the chest X-ray shows bilateral infiltrates. The heart function is normal. Which condition is most likely?
- AAcute left ventricular failure after an MI
- BSpontaneous pneumothorax
- CAcute respiratory distress syndrome
- DAn acute asthma attack
解答
- 1. B · About 500 mL
- 2. B · The right atrium
- 3. C · The mitral valve
- 4. A · Low blood volume can worsen obstruction of blood leaving the heart
- 5. D · Potassium and creatinine
- 6. B · In the morning, to avoid needing the toilet at night
- 7. C · 手の循環、感覚、動きと、穿刺部位
- 8. C · Acute respiratory distress syndrome
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