1.やさしい
What does "pleuritic" chest pain mean?
- ABurning pain behind the breastbone after meals
- BSharp pain that worsens on breathing in or coughing
- CDull pressure that spreads to the jaw on exertion
- DAching that is worse when the arm is moved
2.やさしい
What does the term "afterload" describe?
- AThe stretch of the ventricle before it contracts
- BThe volume of blood returning to the right atrium each minute
- CThe resistance the ventricle must overcome to eject blood
- DThe time the heart takes to relax after each beat
3.やさしい
Which three symptoms are classic in severe aortic stenosis?
- AWheeze, cough and clear sputum
- BFever, painful swollen joints and a spreading skin rash
- CCalf pain, leg swelling and redness of one leg
- DExertional chest pain, fainting and breathlessness
4.ふつう
Which side effect is particularly common with verapamil?
- AHair loss
- BDry cough
- CConstipation
- DDiarrhoea
5.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緊急の再灌流療法。望ましくは一次PCI
- Bβ遮断薬を内服し、痛みが治まれば帰宅させる
- C入院して翌朝に心電図を再検査する
- D治療を決める前に、トロポニンの結果を待つ
6.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey raise the heart rate to improve blood flow to the muscle
- BThey reduce cholesterol in the blood
- CThey lower the heart's oxygen demand and reduce arrhythmias
- DThey dissolve the clot that is blocking the coronary artery
7.むずかしい
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- ASuperior vena cava obstruction
- BAn allergic reaction to chemotherapy
- CA deep vein thrombosis in the leg
- DRight-sided heart failure
8.むずかしい
A patient is going home after a spontaneous pneumothorax treated with a chest drain. Which advice is correct?
- AFly home as soon as possible so they can recover in comfort there
- BStop smoking and do not fly until a doctor confirms full resolution
- CExpect it never to happen again, so no follow-up is needed
- DTake up scuba diving to strengthen the lungs
解答
- 1. B · Sharp pain that worsens on breathing in or coughing
- 2. C · The resistance the ventricle must overcome to eject blood
- 3. D · Exertional chest pain, fainting and breathlessness
- 4. C · Constipation
- 5. A · 緊急の再灌流療法。望ましくは一次PCI
- 6. C · They lower the heart's oxygen demand and reduce arrhythmias
- 7. A · Superior vena cava obstruction
- 8. B · Stop smoking and do not fly until a doctor confirms full resolution
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