1.やさしい
How is most oxygen carried in the blood?
- ABound to albumin and other plasma proteins
- BBound to haemoglobin in red blood cells
- CCarried as bicarbonate ions in the plasma
- DDissolved freely in the plasma water
2.やさしい
In a healthy person, what is the main chemical stimulus for breathing?
- AA rising level of carbon dioxide in the blood
- BA falling level of glucose in the blood after fasting
- CA falling level of potassium in the blood
- DA rising level of oxygen in the blood
3.やさしい
What is the normal range for arterial PaCO₂?
- AAbout 8.0–9.0 kPa (60–68 mmHg)
- BAbout 4.7–6.0 kPa (35–45 mmHg)
- CAbout 10–13 kPa (75–100 mmHg)
- DAbout 1.0–2.0 kPa (8–15 mmHg)
4.ふつう
What is the main problem in heart failure with preserved ejection fraction?
- AA stiff ventricle that fills poorly in diastole
- BA dilated ventricle that cannot contract strongly
- CA blocked pulmonary artery
- DA leaking aortic valve
5.ふつう
Where is the V1 electrode placed for a 12-lead ECG?
- AThe fifth intercostal space in the mid-axillary line
- BJust below the left collarbone
- COver the left nipple
- DThe fourth intercostal space just right of the sternum
6.ふつう
未分画ヘパリンの持続注入の調整に用いる検査はどれですか?
- AINR(国際標準比)
- BaPTT(または抗Xa活性)
- C血清フィブリノゲン値
- DDダイマー値
7.むずかしい
A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?
- AIt treats infection; the risk is fever
- BIt improves oxygenation; risks are pressure injury and tube displacement
- CIt improves digestion and gut motility; the main risk is constipation
- DIt lowers the blood pressure; the main risk is rebound hypertension
8.むずかしい
After six weeks of treatment for tuberculosis, a patient has nausea, dark urine and yellow eyes. What should the nurse do?
- AAdvise taking the tablets with an alcoholic drink to settle the stomach
- BReassure the patient that the urine colour is due to rifampicin
- CWithhold the next doses and report urgently for liver tests
- DDouble the isoniazid dose to clear the infection faster
解答
- 1. B · Bound to haemoglobin in red blood cells
- 2. A · A rising level of carbon dioxide in the blood
- 3. B · About 4.7–6.0 kPa (35–45 mmHg)
- 4. A · A stiff ventricle that fills poorly in diastole
- 5. D · The fourth intercostal space just right of the sternum
- 6. B · aPTT(または抗Xa活性)
- 7. B · It improves oxygenation; risks are pressure injury and tube displacement
- 8. C · Withhold the next doses and report urgently for liver tests
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