1.やさしい
In a tension pneumothorax, which way does the trachea usually shift?
- AAway from the affected side
- BTowards the affected side
- CUpwards towards the chin
- DIt never moves in a pneumothorax
2.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症状がないまま臓器を傷めることが多いから
- C患者が無視するようになる頭痛を必ず起こすから
- D主に夜間の睡眠中に起こるから
3.やさしい
Which of these is a modifiable risk factor for coronary heart disease?
- AMale sex
- BSmoking
- CFamily history
- DOlder age
4.ふつう
Why is active tuberculosis treated with several drugs for at least six months?
- ATo reduce the number of side effects compared with one drug
- BTo kill slow-growing bacteria and prevent drug resistance
- CBecause each drug works on a different organ only
- DBecause the bacteria are resistant to all drugs at first
5.ふつう
How does ezetimibe lower cholesterol?
- AIt blocks cholesterol production by enzymes in the liver
- BIt reduces absorption of cholesterol from the gut
- CIt increases cholesterol loss in the urine
- DIt dissolves plaques already in the arteries
6.ふつう
患者のB型ナトリウム利尿ペプチド(BNPまたはNT-proBNP)が上昇しています。これは主に何を反映していますか?
- Aうっ血による肝臓の炎症
- B心室の伸展と圧負荷
- C心筋の虚血性障害
- D転倒後の骨格筋の損傷
7.むずかしい
Three days after an MI, a patient faints on the commode while straining hard to open the bowels. The heart rate was 42/min at the time. What is the most likely mechanism?
- ALow blood glucose from fasting
- BA vagal response to straining
- CAn allergic reaction to the commode
- DA new pulmonary embolism
8.むずかしい
A ventilated patient is coughing, and the high-pressure alarm sounds. Coarse sounds are heard over the trachea. What should the nurse do first?
- AIncrease the tidal volume on the ventilator to overcome it
- BAssess the patient and suction if secretions are present
- CDeflate the endotracheal tube cuff fully
- DTurn the alarm off and reassess the patient in an hour
解答
- 1. A · Away from the affected side
- 2. B · 症状がないまま臓器を傷めることが多いから
- 3. B · Smoking
- 4. B · To kill slow-growing bacteria and prevent drug resistance
- 5. B · It reduces absorption of cholesterol from the gut
- 6. B · 心室の伸展と圧負荷
- 7. B · A vagal response to straining
- 8. B · Assess the patient and suction if secretions are present
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