1.やさしい
末梢動脈疾患に典型的な症状はどれですか?
- A1日のうちに悪化し、夜の間に軽くなる足首の腫れ
- B足首のまわりのかゆみのある茶色の皮膚
- C歩くとふくらはぎがつり、休むと治まる
- D片側の温かく赤く腫れたふくらはぎ
2.やさしい
Which finding on abdominal examination suggests an abdominal aortic aneurysm?
- AA tender lump in the right iliac fossa
- BA pulsating mass around the umbilicus
- CA dull area that shifts when the patient turns
- DLoud, high-pitched bowel sounds
3.やさしい
What is the normal range for arterial blood pH?
- A7.00–7.20
- B7.50–7.65
- C7.35–7.45
- D6.80–7.00
4.ふつう
Why is a higher level of HDL cholesterol considered protective?
- AHDL lowers the blood pressure directly
- BHDL carries cholesterol from the tissues back to the liver
- CHDL is converted into vitamin D in the walls of the arteries
- DHDL thins the blood in the same way as an anticoagulant
5.ふつう
最近脳卒中を起こして嚥下困難のある患者が、発熱と右下葉のラ音を起こしました。最も考えられる原因はどれですか?
- A誤嚥性肺炎
- B急性喘息
- C左心不全
- D肺塞栓症
6.ふつう
A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?
- AThe beta-blocker will prevent all episodes of hypoglycaemia
- BHypoglycaemia will always cause a very slow and weak pulse
- CSome warning signs, such as a fast heartbeat, may be masked
- DInsulin should be stopped while taking a beta-blocker
7.むずかしい
A nurse is reviewing four telemetry patients. Which rhythm needs attention first?
- AFirst-degree heart block with a stable blood pressure and no symptoms
- BRate-controlled atrial fibrillation at 82/min
- CRepeated runs of ventricular tachycardia in a patient who feels dizzy
- DSinus bradycardia of 54/min in a patient who is asleep and comfortable
8.むずかしい
During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?
- AContinue the infusion, as headache is a common side effect
- BSlow the infusion and give an antiemetic
- CGive a second dose to finish the treatment
- DStop the infusion and call for urgent medical help
解答
- 1. C · 歩くとふくらはぎがつり、休むと治まる
- 2. B · A pulsating mass around the umbilicus
- 3. C · 7.35–7.45
- 4. B · HDL carries cholesterol from the tissues back to the liver
- 5. A · 誤嚥性肺炎
- 6. C · Some warning signs, such as a fast heartbeat, may be masked
- 7. C · Repeated runs of ventricular tachycardia in a patient who feels dizzy
- 8. D · Stop the infusion and call for urgent medical help
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。