1.やさしい
What is the role of cilia in the airways?
- AThey contract to narrow the airways and keep out particles of dust
- BThey move mucus and trapped particles up towards the throat
- CThey exchange oxygen and carbon dioxide with the blood
- DThey make surfactant to keep the small alveoli open
2.やさしい
What is the main function of the epiglottis?
- AIt warms and moistens the air on its way into the lungs
- BIt covers the entrance to the larynx during swallowing
- CIt divides the trachea into two bronchi
- DIt vibrates to produce the sound of the voice when speaking
3.やさしい
Which serious complication is strongly linked with untreated hypertension?
- AStroke
- BAsthma
- CCataract
- DPneumonia
4.ふつう
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- ANicotine replacement is much safer than smoking and is recommended
- BNicotine replacement only works if smoking continues
- CPeople with angina must stop smoking without any help
- DNicotine patches are much more harmful to the heart than cigarettes
5.ふつう
Dダイマーが上昇していることは何を意味しますか?
- Aフィブリンの分解があるが、血栓があることの証明にはならない
- B抗凝固薬の用量が少なすぎるため、増やす必要がある
- C肺塞栓症またはDVTが確定した
- D深部静脈血栓症が安全に除外された
6.ふつう
Which feature of a COPD exacerbation most suggests that antibiotics are needed?
- AAn increase in purulent (green or yellow) sputum
- BA clear runny nose
- CA mild sore throat that lasted for one day only
- DA dry, tickly cough with no sputum at all for a day
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 readings should be ignored
- DWhether the patient is taking the medicines as prescribed
8.むずかしい
A patient with severe chronic kidney disease needs therapeutic anticoagulation for a DVT. Why might unfractionated heparin be chosen instead of a low-molecular-weight heparin?
- ALMWH is cleared by the kidneys and can accumulate
- BUnfractionated heparin has no bleeding risk at all
- CUnfractionated heparin is taken by mouth
- DLMWH cannot be given to anyone over 60
解答
- 1. B · They move mucus and trapped particles up towards the throat
- 2. B · It covers the entrance to the larynx during swallowing
- 3. A · Stroke
- 4. A · Nicotine replacement is much safer than smoking and is recommended
- 5. A · フィブリンの分解があるが、血栓があることの証明にはならない
- 6. A · An increase in purulent (green or yellow) sputum
- 7. D · Whether the patient is taking the medicines as prescribed
- 8. A · LMWH is cleared by the kidneys and can accumulate
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