1.やさしい
ニトログリセリンの副作用で最もよくみられるのはどれですか?
- A乾性咳嗽
- B足首の腫れ
- C頭痛
- D便秘
2.やさしい
吸入ステロイドを使った後に、口をすすぐのはなぜですか?
- A口腔カンジダ症と声のかすれを減らすため
- B薬を肺へ流し込むため
- C薬による振戦を予防するため
- D薬をより速く作用させるため
3.やさしい
What does a nebuliser do?
- AIt sucks secretions out of the airway
- BIt measures the level of oxygen in the blood through the skin
- CIt turns a liquid medicine into a fine mist to breathe in
- DIt warms and filters the air entering a tracheostomy tube
4.ふつう
Why must anti-embolism stockings be measured and fitted correctly?
- ACorrect fit is needed only to improve the appearance
- BTight stockings work better, so the smallest size is always best
- CPoorly fitting stockings can cause pressure damage
- DLoose stockings make the patient's legs too warm at night
5.ふつう
錯乱、尿素、呼吸数、血圧、年齢を使う肺炎の重症度スコアはどれですか?
- ACHA₂DS₂-VASc
- BNEWS2
- CCURB-65
- DWellsスコア
6.ふつう
Why does a large, rapidly forming pericardial effusion lower the blood pressure?
- AIt compresses the heart and stops the ventricles filling
- BIt causes the aortic valve to leak backwards into the ventricle
- CIt dilates the arteries throughout the body
- DIt makes the heart muscle contract too strongly and too fast
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
- BDelay fluids until a chest X-ray has been reported
- CGive oral antibiotics and reassess the next day
- DTake blood cultures and give IV antibiotics within the first hour
8.むずかしい
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- AAn allergic reaction to chemotherapy
- BRight-sided heart failure
- CSuperior vena cava obstruction
- DA deep vein thrombosis in the leg
解答
- 1. C · 頭痛
- 2. A · 口腔カンジダ症と声のかすれを減らすため
- 3. C · It turns a liquid medicine into a fine mist to breathe in
- 4. C · Poorly fitting stockings can cause pressure damage
- 5. C · CURB-65
- 6. A · It compresses the heart and stops the ventricles filling
- 7. D · Take blood cultures and give IV antibiotics within the first hour
- 8. C · Superior vena cava obstruction
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