1.やさしい
Which group of symptoms suggests obstructive sleep apnoea?
- ANight sweats, weight loss and a cough lasting several weeks
- BFever, cough and rust-coloured sputum
- CLoud snoring, pauses in breathing and daytime sleepiness
- DWheeze, cough and itchy eyes that come on after exercise
2.やさしい
What is the "calf muscle pump"?
- AA device that inflates around the calf during surgery to warm the leg
- BCalf muscles squeezing the deep veins to push blood towards the heart
- CThe artery that supplies oxygenated blood to the muscles of the calf
- DA heart valve that pumps blood into the legs
3.やさしい
What is the main cause of varicose veins?
- AFaulty valves in the superficial leg veins
- BInflammation of the lymph nodes in the groin
- CA clot blocking a deep vein in the calf
- DNarrowing of the leg arteries by plaque
4.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey lower the heart's oxygen demand and reduce arrhythmias
- BThey reduce cholesterol in the blood
- CThey dissolve the clot that is blocking the coronary artery
- DThey raise the heart rate to improve blood flow to the muscle
5.ふつう
Shortly after a permanent pacemaker is inserted via the subclavian vein, the patient becomes breathless with reduced breath sounds on that side. What complication should be suspected?
- APericarditis
- BPneumothorax
- CPulmonary oedema
- DAsthma
6.ふつう
降圧薬を飲み始めたばかりの患者が、ベッドから出るときにめまいを感じます。正しい助言はどれですか?
- A代わりに、翌朝に2倍量を飲む
- B血流が保たれるよう、すばやく立ち上がる
- C医師や看護師に言わずに錠剤を中止する
- D立つ前に、しばらくベッドの端に座る
7.むずかしい
A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?
- AThe right coronary artery usually supplies the AV node
- BInferior infarcts always destroy the bundle of His permanently
- CThe left anterior descending artery supplies the SA node only
- DHeart block is caused by the thrombolytic drug
8.むずかしい
During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?
- AContinue the infusion, as headache is a common side effect
- BStop the infusion and call for urgent medical help
- CSlow the infusion and give an antiemetic
- DGive a second dose to finish the treatment
解答
- 1. C · Loud snoring, pauses in breathing and daytime sleepiness
- 2. B · Calf muscles squeezing the deep veins to push blood towards the heart
- 3. A · Faulty valves in the superficial leg veins
- 4. A · They lower the heart's oxygen demand and reduce arrhythmias
- 5. B · Pneumothorax
- 6. D · 立つ前に、しばらくベッドの端に座る
- 7. A · The right coronary artery usually supplies the AV node
- 8. B · Stop the infusion and call for urgent medical help
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