1.やさしい
In an adult over 40, an added third heart sound (S3) most often suggests which problem?
- AHeart failure with fluid overload
- BA narrowed aortic valve
- CA normal finding of good fitness
- DInflammation of the pericardium
2.やさしい
What does a positive tuberculin skin test or interferon-gamma release assay show?
- AThat the patient has never met TB
- BActive, infectious TB of the lungs that needs isolation now
- CComplete, lifelong immunity to TB after a previous vaccine
- DInfection with TB at some time, not necessarily active disease
3.やさしい
What does "myocardial infarction" mean?
- ADeath of heart muscle caused by a blocked blood supply
- BInfection of the heart valves
- CTemporary chest pain with no muscle damage
- DInflammation of the membrane that surrounds the heart
4.ふつう
末梢動脈疾患の患者が夜間に脚の痛みを訴えています。楽になる可能性のある体位はどれですか?
- Aベッドの端から脚を下に垂らす
- B脚を枕の上で心臓より高く上げる
- C湯たんぽを足に直接当てる
- D脚を圧迫包帯で巻く
5.ふつう
During airway suctioning, when should suction be applied?
- AOnly while inserting the catheter
- BBefore the catheter enters the airway
- COnly while withdrawing the catheter
- DContinuously for at least 30 seconds
6.ふつう
Which history is a contraindication to thrombolysis for a STEMI?
- AA previous haemorrhagic stroke
- BMild asthma controlled with inhalers
- CTreated high blood pressure
- DA previous appendicectomy many years ago
7.むずかしい
ふくらはぎのDVTが確認され、治療量の抗凝固療法を開始した患者が、安静にしていなければならないのかと尋ねました。最も正確な答えはどれですか?
- A歩く前に毎回、脚をマッサージすべきである
- B少なくとも2週間の厳格な安静が必要である
- C治療を開始した後は、通常、耐えられる範囲での歩行が勧められる
- D血栓が完全に溶けるまで歩いてはいけない
8.むずかしい
Two days after coronary artery bypass surgery, a patient feels palpitations. The pulse is irregularly irregular at 140/min and BP is 112/70 mmHg. Which rhythm is most likely?
- AComplete heart block
- BVentricular fibrillation
- CSinus tachycardia
- DAtrial fibrillation
解答
- 1. A · Heart failure with fluid overload
- 2. D · Infection with TB at some time, not necessarily active disease
- 3. A · Death of heart muscle caused by a blocked blood supply
- 4. A · ベッドの端から脚を下に垂らす
- 5. C · Only while withdrawing the catheter
- 6. A · A previous haemorrhagic stroke
- 7. C · 治療を開始した後は、通常、耐えられる範囲での歩行が勧められる
- 8. D · Atrial fibrillation
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