1.やさしい
What is the approximate tidal volume of a resting adult?
- AAbout 500 mL
- BAbout 5 litres
- CAbout 50 mL
- DAbout 1.5 litres
2.やさしい
What does "myocardial infarction" mean?
- ATemporary chest pain with no muscle damage
- BDeath of heart muscle caused by a blocked blood supply
- CInflammation of the membrane that surrounds the heart
- DInfection of the heart valves
3.やさしい
Which type of leg ulcer is most common?
- AUlcers from spider bites
- BArterial ulcers
- CVenous ulcers
- DMalignant ulcers
4.ふつう
A patient taking isosorbide mononitrate asks about sildenafil for erectile dysfunction. What is the main danger?
- ASevere hypotension
- BA very high potassium level
- CSevere hypertension
- DBleeding from the gums
5.ふつう
Why is pyridoxine (vitamin B6) often given with isoniazid?
- ATo prevent orange discolouration of urine
- BTo prevent loss of colour vision
- CTo prevent peripheral neuropathy
- DTo prevent gout attacks
6.ふつう
静脈性下腿潰瘍に圧迫療法を行う前に、不可欠なアセスメントはどれですか?
- A胸部X線と心電図
- B足関節上腕血圧比(ABPI)
- C全血球計算とCRP
- D培養と感受性検査のための創部スワブ
7.むずかしい
Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?
- AReassure the patient that iron tablets cause black stools
- BStop both antiplatelet drugs permanently on the nurse's own decision
- CCheck vital signs, report urgently and anticipate a blood count
- DGive a laxative and repeat the observations tomorrow
8.むずかしい
Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?
- ARestart the infusion at a slower rate
- BGive a nebulised salbutamol dose only
- CGive an oral antihistamine tablet and observe for an hour
- DGive intramuscular adrenaline (epinephrine)
解答
- 1. A · About 500 mL
- 2. B · Death of heart muscle caused by a blocked blood supply
- 3. C · Venous ulcers
- 4. A · Severe hypotension
- 5. C · To prevent peripheral neuropathy
- 6. B · 足関節上腕血圧比(ABPI)
- 7. C · Check vital signs, report urgently and anticipate a blood count
- 8. D · Give intramuscular adrenaline (epinephrine)
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