1.やさしい
What does the term "hypoxaemia" mean?
- AA high level of carbon dioxide in the blood
- BA low level of haemoglobin in the blood
- CA fast breathing rate with normal oxygen
- DA low level of oxygen in the arterial blood
2.やさしい
Which pain description is typical of an acute aortic dissection?
- ABurning pain after meals that eases with antacids
- BCramping calf pain that eases with a short rest
- CSudden, severe tearing pain that spreads to the back
- DDull ache that slowly builds over several days
3.やさしい
Where does the trachea divide into the right and left main bronchi?
- AAt the carina
- BAt the epiglottis
- CAt the alveoli
- DAt the larynx
4.ふつう
A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?
- ATake an extra dose if the ankles swell
- BKeep the genital area clean, as fungal infections are more common
- CAvoid drinking any fluids at all for the first week of treatment
- DExpect the urine to turn bright orange and stain underwear and clothes
5.ふつう
虚血性心疾患の患者で、β遮断薬を急に中止してはいけないのはなぜですか?
- A急に中止すると、重度で長引く低血糖を起こすから
- Bその後、心拍数が恒久的に遅くなるから
- C薬が数か月間組織にたまったままになるから
- Dリバウンドの頻脈と高血圧が、狭心症や心筋梗塞の引き金になりうるから
6.ふつう
After thrombolysis for a myocardial infarction, which complication is the nurse most concerned to detect?
- AA skin rash appearing at the sites of the ECG electrodes
- BBleeding, including a sudden change in neurological status
- CConstipation from bed rest
- DA high blood glucose caused by the thrombolytic drug itself
7.むずかしい
A 25-year-old non-smoker has wheeze and cough that come and go, worse at night and after exercise. Spirometry improves markedly after a bronchodilator. Which diagnosis is most likely?
- AAsthma
- BIdiopathic pulmonary fibrosis
- CCOPD
- DHeart failure
8.むずかしい
On the first day after abdominal surgery, a patient has a temperature of 37.8 °C, SpO₂ 93% on air and reduced breath sounds at both bases. They have stayed in bed because of pain. What is the most likely cause and response?
- ANormal recovery; no action is needed
- BPulmonary oedema: restrict all oral fluids and give a diuretic
- CWound infection: open the wound fully and swab it for culture
- DAtelectasis: give analgesia, deep breathing and mobilisation
解答
- 1. D · A low level of oxygen in the arterial blood
- 2. C · Sudden, severe tearing pain that spreads to the back
- 3. A · At the carina
- 4. B · Keep the genital area clean, as fungal infections are more common
- 5. D · リバウンドの頻脈と高血圧が、狭心症や心筋梗塞の引き金になりうるから
- 6. B · Bleeding, including a sudden change in neurological status
- 7. A · Asthma
- 8. D · Atelectasis: give analgesia, deep breathing and mobilisation
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