1.やさしい
What is the main cause of COPD in high-income countries?
- AEating too much salt
- BChildhood asthma
- CA viral infection
- DCigarette smoking
2.やさしい
二酸化炭素の貯留(高二酸化炭素血症)を示唆する徴候の組み合わせはどれですか?
- A速い呼吸が続いた後の指先と唇のしびれ
- B傾眠、頭痛、顔面紅潮、跳ねるような脈
- C蒼白で冷たく湿った皮膚と、弱く糸のように細い脈
- D針先のような縮瞳とごく遅い心拍
3.やさしい
What does the term "apnoea" mean?
- AA pause or stop in breathing
- BBreathlessness on lying flat
- CCoughing up blood
- DA breathing rate above normal
4.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey reduce cholesterol in the blood
- BThey lower the heart's oxygen demand and reduce arrhythmias
- CThey raise the heart rate to improve blood flow to the muscle
- DThey dissolve the clot that is blocking the coronary artery
5.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass III
- BClass IV
- CClass II
- DClass I
6.ふつう
高血圧の患者がアムロジピンを服用しています。看護師が最も観察しやすい副作用はどれですか?
- A乾いた、むずむずする咳
- B足首の腫れ
- C高カリウム血症
- D喘鳴
7.むずかしい
A patient on three blood pressure drugs still has high readings at every visit. What should the nurse check first?
- AWhether a fourth drug can be added at today's appointment
- BWhether the patient needs surgery on the renal arteries
- CWhether the patient is taking the medicines as prescribed
- DWhether the readings should be ignored
8.むずかしい
A patient with squamous cell lung cancer becomes confused, thirsty and constipated, with abdominal pain. Which electrolyte disturbance is most likely?
- AHypercalcaemia
- BHypomagnesaemia
- CHypokalaemia
- DHyponatraemia
解答
- 1. D · Cigarette smoking
- 2. B · 傾眠、頭痛、顔面紅潮、跳ねるような脈
- 3. A · A pause or stop in breathing
- 4. B · They lower the heart's oxygen demand and reduce arrhythmias
- 5. A · Class III
- 6. B · 足首の腫れ
- 7. C · Whether the patient is taking the medicines as prescribed
- 8. A · Hypercalcaemia
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