1.やさしい
What is Kussmaul breathing?
- AVery slow, shallow breathing from opioids
- BBreathing that alternates between deep breaths and pauses
- CDeep, rapid breathing in response to metabolic acidosis
- DNoisy breathing caused by a blocked upper airway
2.やさしい
Which of these is a common allergic trigger of asthma?
- AHouse dust mite
- BDrinking water
- CWearing cotton clothes
- DEating rice
3.やさしい
Rust-coloured sputum is classically linked with which infection?
- AAllergic rhinitis
- BPneumococcal pneumonia
- COral thrush
- DA viral common cold
4.ふつう
Which investigation is most often used to confirm a pulmonary embolism?
- ACT pulmonary angiography
- BSputum culture
- CAbdominal ultrasound
- DPeak flow measurement
5.ふつう
Why does a large, rapidly forming pericardial effusion lower the blood pressure?
- AIt causes the aortic valve to leak backwards into the ventricle
- BIt makes the heart muscle contract too strongly and too fast
- CIt dilates the arteries throughout the body
- DIt compresses the heart and stops the ventricles filling
6.ふつう
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ASlow heart rate
- BLow blood pressure
- CRaised blood glucose
- DLow blood sodium
7.むずかしい
A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?
- AThe left anterior descending artery supplies the SA node only
- BHeart block is caused by the thrombolytic drug
- CThe right coronary artery usually supplies the AV node
- DInferior infarcts always destroy the bundle of His permanently
8.むずかしい
During CPR on an adult, a nurse notices a colleague compressing at about 140/min and leaning on the chest between compressions. Which correction is most appropriate?
- ASlow to 100–120/min and allow full chest recoil
- BStop compressions until a pulse is felt
- CSpeed up to about 160/min to improve the blood flow
- DPress more gently, to a depth of about 2 cm
解答
- 1. C · Deep, rapid breathing in response to metabolic acidosis
- 2. A · House dust mite
- 3. B · Pneumococcal pneumonia
- 4. A · CT pulmonary angiography
- 5. D · It compresses the heart and stops the ventricles filling
- 6. C · Raised blood glucose
- 7. C · The right coronary artery usually supplies the AV node
- 8. A · Slow to 100–120/min and allow full chest recoil
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