1.やさしい
胸腔ドレーンの水封室で「スイング」(呼吸性移動)とは何ですか?
- A患者が歩くときにドレナージユニットが揺れること
- B血栓がドレナージチューブに沿って動くこと
- C呼吸に合わせて水面が上下に動くこと
- D患者が呼吸するかどうかにかかわらず続く泡立ち
2.やさしい
Amlodipine belongs to which drug class?
- ALoop diuretics
- BCalcium channel blockers
- CCardioselective beta-blockers
- DAngiotensin-converting enzyme inhibitors
3.やさしい
What is the pleura?
- AA double membrane lining the lungs and the inner chest wall
- BThe dome-shaped muscle that separates the chest from the abdomen
- CThe cartilage rings of the trachea
- DThe tiny air sacs at the ends of the airways where gas exchange happens
4.ふつう
A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?
- AThe reading will be accurate but slower
- BThe reading will be falsely low
- CThe reading will be falsely high
- DOnly the pulse rate will be affected
5.ふつう
A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?
- AA single repeat reading in the same clinic visit
- BStarting two antihypertensive drugs at once at full dose
- CAmbulatory or structured home blood pressure monitoring
- DA chest X-ray
6.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?
- ANEWS2
- BCURB-65
- CWellsスコア
- DCHA₂DS₂-VASc
7.むずかしい
An older patient's varicose vein bursts at the ankle and bleeds heavily. What is the most effective first aid?
- AKeep the leg hanging down over the bed
- BApply a hot compress to the leg to help the vein close up
- CStand the patient up so the blood flows away and clots faster
- DLie the patient down, raise the leg and press firmly on the site
8.むずかしい
A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will check before taking any new medicines or herbal remedies."
- B"I will have regular INR blood tests."
- C"If I miss a dose, I will take two the next day."
- D"I will tell my dentist that I take warfarin."
解答
- 1. C · 呼吸に合わせて水面が上下に動くこと
- 2. B · Calcium channel blockers
- 3. A · A double membrane lining the lungs and the inner chest wall
- 4. C · The reading will be falsely high
- 5. C · Ambulatory or structured home blood pressure monitoring
- 6. B · CURB-65
- 7. D · Lie the patient down, raise the leg and press firmly on the site
- 8. C · "If I miss a dose, I will take two the next day."
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