1.やさしい
What is the role of cilia in the airways?
- AThey make surfactant to keep the small alveoli open
- BThey exchange oxygen and carbon dioxide with the blood
- CThey contract to narrow the airways and keep out particles of dust
- DThey move mucus and trapped particles up towards the throat
2.やさしい
During manual blood pressure measurement, what does the first clear tapping sound (Korotkoff phase 1) mark?
- AThe mean arterial pressure
- BThe diastolic pressure
- CThe pulse pressure
- DThe systolic pressure
3.やさしい
When do the coronary arteries of the left ventricle mainly fill with blood?
- ADuring diastole
- BOnly during exercise
- COnly during inspiration
- DDuring systole
4.ふつう
Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?
- AAn inherited clotting disorder
- BTaking an oestrogen-containing pill
- CDamage to a vein during hip surgery
- DImmobility after major surgery
5.ふつう
A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?
- AWith the affected lobe uppermost so gravity drains it
- BSitting fully upright at all times
- CFlat on the back with the arms raised
- DWith the affected lobe lowest so it fills with mucus
6.ふつう
A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?
- ALow potassium increases the risk of digoxin toxicity
- BPotassium has no link with either medicine
- CHigh potassium is the main effect of furosemide
- DLow potassium makes digoxin stop working completely
7.むずかしい
A patient being treated for pulmonary TB repeatedly misses doses and stops when they feel better. Which strategy is most effective?
- AStopping treatment, as it is clearly not working for this patient
- BDirectly observed therapy with support for barriers to adherence
- CDoubling the dose on the days the patient remembers to take it
- DSwitching to a single drug to make it easier
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"I will tell my dentist that I take warfarin."
- D"If I miss a dose, I will take two the next day."
解答
- 1. D · They move mucus and trapped particles up towards the throat
- 2. D · The systolic pressure
- 3. A · During diastole
- 4. D · Immobility after major surgery
- 5. A · With the affected lobe uppermost so gravity drains it
- 6. A · Low potassium increases the risk of digoxin toxicity
- 7. B · Directly observed therapy with support for barriers to adherence
- 8. D · "If I miss a dose, I will take two the next day."
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