1.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 left ventricle
- DThe right atrium
2.やさしい
What is haemoptysis?
- AVomiting blood that comes from the stomach
- BBleeding from the nose that runs into the throat
- CBlood in the urine
- DCoughing up blood from the lungs or airways
3.やさしい
ヘパリンやアピキサバンなどの抗凝固薬の主な役割は何ですか?
- A既存の血栓を数分で完全に溶かすこと
- B血小板どうしがくっつくのを止めること
- C手術や出血の後に血小板数を増やすこと
- D新しい血栓を予防し、既存の血栓が大きくなるのを止めること
4.ふつう
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- APeople with angina must stop smoking without any help
- BNicotine replacement is much safer than smoking and is recommended
- CNicotine replacement only works if smoking continues
- DNicotine patches are much more harmful to the heart than cigarettes
5.ふつう
How does ezetimibe lower cholesterol?
- AIt dissolves plaques already in the arteries
- BIt blocks cholesterol production by enzymes in the liver
- CIt reduces absorption of cholesterol from the gut
- DIt increases cholesterol loss in the urine
6.ふつう
患者に胸の中央の痛みがあり、心電図でSTEMIが認められます。通常、何が必要ですか?
- A入院して翌朝に心電図を再検査する
- Bβ遮断薬を内服し、痛みが治まれば帰宅させる
- C緊急の再灌流療法。望ましくは一次PCI
- D治療を決める前に、トロポニンの結果を待つ
7.むずかしい
Which method best confirms that an endotracheal tube is in the trachea?
- AThe patient's skin colour improving
- BMisting inside the tube
- CA sustained waveform on capnography
- DThe chest rising on one side only
8.むずかしい
A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?
- AAn intravenous beta-blocker
- BAn intravenous thrombolytic
- CAn intravenous fluid bolus
- DOral aspirin
解答
- 1. D · The right atrium
- 2. D · Coughing up blood from the lungs or airways
- 3. D · 新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- 4. B · Nicotine replacement is much safer than smoking and is recommended
- 5. C · It reduces absorption of cholesterol from the gut
- 6. C · 緊急の再灌流療法。望ましくは一次PCI
- 7. C · A sustained waveform on capnography
- 8. A · An intravenous beta-blocker
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