1.やさしい
In pericarditis, which structure is inflamed?
- AThe sac that surrounds the heart
- BThe coronary arteries
- CThe inner lining of the heart chambers
- DThe heart muscle itself
2.やさしい
What is Cheyne–Stokes breathing?
- AConstant deep, fast breathing that never changes in depth
- BCycles of deeper then shallower breaths followed by a pause
- CBreathing only through pursed lips
- DA harsh, high-pitched sound on breathing in through the throat
3.やさしい
Which of these is one of the reversible causes of cardiac arrest known as the "4 Hs"?
- AHypoxia
- BHyperventilation
- CHyperglycaemia
- DHypertension
4.ふつう
During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?
- APericarditis
- BMyocardial ischaemia
- CHyperkalaemia
- DA normal finding during pain
5.ふつう
A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?
- AExercise so they are a little breathless but can still talk
- BExercise until chest pain starts, then stop
- CExercise until they are too breathless to speak at all
- DExercise only until the heart rate rises even slightly
6.ふつう
Which ECG pattern is typical of acute pericarditis?
- AST elevation only in leads II, III and aVF with Q waves
- BA sawtooth baseline with a regular ventricular rate
- CWidespread saddle-shaped ST elevation with PR depression
- DTall peaked T waves with a wide QRS
7.むずかしい
患者の胸腔ドレーンのチューブが、ドレナージユニットから外れました。看護師が最初にすべきことは何ですか?
- A医師が診察に来るまで、空気に開放したままにしておく
- Bドレーンを胸部から抜き、部位を覆う
- C再接続するか、チューブの端を滅菌水に入れてから、アセスメントする
- Dチューブを数時間クランプし、後で患者を再確認する
8.むずかしい
A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?
- ABlood glucose only
- BLiver size by daily palpation and weekly abdominal ultrasound
- CDrug levels, renal function and hearing or balance changes
- DPeak flow readings and spirometry before and after each dose
解答
- 1. A · The sac that surrounds the heart
- 2. B · Cycles of deeper then shallower breaths followed by a pause
- 3. A · Hypoxia
- 4. B · Myocardial ischaemia
- 5. A · Exercise so they are a little breathless but can still talk
- 6. C · Widespread saddle-shaped ST elevation with PR depression
- 7. C · 再接続するか、チューブの端を滅菌水に入れてから、アセスメントする
- 8. C · Drug levels, renal function and hearing or balance changes
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