1.やさしい
Which coronary artery mainly supplies the front (anterior) wall of the left ventricle?
- AThe pulmonary artery
- BThe circumflex artery only
- CThe left anterior descending artery
- DThe right coronary artery and its marginal branch
2.やさしい
Which three symptoms are classic in severe aortic stenosis?
- AExertional chest pain, fainting and breathlessness
- BWheeze, cough and clear sputum
- CCalf pain, leg swelling and redness of one leg
- DFever, painful swollen joints and a spreading skin rash
3.やさしい
狭心症に対するニトログリセリンのスプレーまたは錠剤は、どのように投与しますか?
- Aコップ1杯の水とともに丸ごと飲み込む
- B患者を背筋を伸ばして立たせて、舌下に
- C食後にかんで飲み込む
- D患者を座らせて、舌下に
4.ふつう
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ALow blood pressure
- BRaised blood glucose
- CSlow heart rate
- DLow blood sodium
5.ふつう
現在のガイダンスによると、急性冠症候群の患者に酸素を投与するのはいつですか?
- A酸素は心筋を傷めるので、決して投与しない
- B飽和度にかかわらず、常に15 L/分で
- Cトロポニンの結果が出てからだけ
- DSpO₂が目標範囲を下回るときだけ
6.ふつう
A patient has just started an ACE inhibitor. Which blood tests are usually checked within the first one to two weeks?
- APotassium and creatinine
- BLiver enzymes and amylase
- CINR and platelet count
- DTroponin and creatine kinase
7.むずかしい
During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?
- ALie the patient flat until the drainage is complete
- BSpeed up the drainage to finish quickly
- CStop or clamp the drainage and inform the doctor
- DAsk the patient to cough harder to help the flow
8.むずかしい
Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?
- APericarditis from the catheter
- BAcute stent thrombosis
- CNormal pain from the procedure site
- DIndigestion from the hospital meal
解答
- 1. C · The left anterior descending artery
- 2. A · Exertional chest pain, fainting and breathlessness
- 3. D · 患者を座らせて、舌下に
- 4. B · Raised blood glucose
- 5. D · SpO₂が目標範囲を下回るときだけ
- 6. A · Potassium and creatinine
- 7. C · Stop or clamp the drainage and inform the doctor
- 8. B · Acute stent thrombosis
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