1.やさしい
Which symptom should a patient taking a statin report promptly?
- AUnexplained muscle pain or weakness
- BA brief headache on the first day
- CMild hunger before meals
- DSlightly darker morning urine
2.やさしい
Which chamber of the heart receives blood from the superior and inferior venae cavae?
- AThe right ventricle
- BThe left atrium
- CThe right atrium
- DThe left ventricle
3.やさしい
高血圧がしばしば「サイレントキラー」と呼ばれるのはなぜですか?
- A血液検査でしか見つけられないから
- B患者が無視するようになる頭痛を必ず起こすから
- C主に夜間の睡眠中に起こるから
- D症状がないまま臓器を傷めることが多いから
4.ふつう
Which advice is most helpful for a patient with Raynaud's phenomenon?
- ATake a decongestant tablet before going outdoors
- BKeep the whole body warm, wear gloves and stop smoking
- CSoak the hands in cold water to toughen the vessels
- DRub the fingers hard with snow during an attack
5.ふつう
胸痛のある患者がニトログリセリンを求めました。看護師が投与を保留して指示者に連絡すべきなのは、どの情報があるときですか?
- A患者が先週頭痛を起こした
- B患者が毎日スタチンを服用している
- C患者の血圧が150/90 mmHgである
- D患者が今日の早い時間にシルデナフィルを服用した
6.ふつう
After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?
- AAvoid walking until the stitches are removed
- BLift the arms above the head often to stretch the chest
- CAvoid heavy lifting and pushing up with the arms
- DSleep only on the stomach to protect the wound
7.むずかしい
A patient who injects drugs has a fever, a new heart murmur and splinter haemorrhages. Before antibiotics are started, what is most important?
- ATake a single blood culture from the cannula
- BWait for an echocardiogram before taking any samples
- CTake several sets of blood cultures from separate sites
- DArrange an exercise ECG test
8.むずかしい
A patient on spironolactone and an ACE inhibitor has a potassium of 6.8 mmol/L (6.8 mEq/L) with peaked T waves. What is usually given first to protect the heart?
- AOral potassium supplements
- BIntravenous calcium gluconate or chloride
- CAn IV furosemide bolus as the only treatment
- DA dose of digoxin
解答
- 1. A · Unexplained muscle pain or weakness
- 2. C · The right atrium
- 3. D · 症状がないまま臓器を傷めることが多いから
- 4. B · Keep the whole body warm, wear gloves and stop smoking
- 5. D · 患者が今日の早い時間にシルデナフィルを服用した
- 6. C · Avoid heavy lifting and pushing up with the arms
- 7. C · Take several sets of blood cultures from separate sites
- 8. B · Intravenous calcium gluconate or chloride
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