1.やさしい
Which group of symptoms suggests obstructive sleep apnoea?
- AFever, cough and rust-coloured sputum
- BNight sweats, weight loss and a cough lasting several weeks
- CLoud snoring, pauses in breathing and daytime sleepiness
- DWheeze, cough and itchy eyes that come on after exercise
2.やさしい
What does the term "apnoea" mean?
- ACoughing up blood
- BA pause or stop in breathing
- CA breathing rate above normal
- DBreathlessness on lying flat
3.やさしい
ヘパリンやアピキサバンなどの抗凝固薬の主な役割は何ですか?
- A既存の血栓を数分で完全に溶かすこと
- B新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- C手術や出血の後に血小板数を増やすこと
- D血小板どうしがくっつくのを止めること
4.ふつう
How do clopidogrel and ticagrelor work?
- AThey dissolve fibrin in existing clots
- BThey directly inhibit thrombin in the plasma
- CThey block the platelet ADP (P2Y12) receptor
- DThey inhibit the vitamin K-dependent clotting factors in the liver
5.ふつう
A 70 kg patient has passed 20 mL of urine per hour for the last three hours. How should this be interpreted?
- ABelow 0.5 mL/kg/h, suggesting poor kidney perfusion
- BNormal, because any measurable urine output is reassuring
- CHigh, suggesting fluid overload that needs a diuretic
- DNormal, because the target is 0.1 mL/kg/h
6.ふつう
After an above-knee amputation, which measure helps prevent a hip flexion contracture?
- AKeeping a pillow under the stump at all times, day and night
- BLying prone for periods and avoiding pillows under the stump
- CSitting in a chair for most of the day with the hips bent
- DKeeping the hip bent to reduce stump swelling
7.むずかしい
A patient has new chest pain at rest. The ECG shows ST depression, but serial troponins remain normal. Which diagnosis fits best?
- AST-elevation myocardial infarction
- BUnstable angina
- CStable angina
- DNon-ST-elevation myocardial infarction
8.むずかしい
A patient has been on continuous NIV via a full-face mask for two days. Which nursing measure helps prevent the most common complication?
- ACheck mask fit and protect the bridge of the nose
- BRemove the mask for an hour each time the alarm sounds
- CTighten the straps as far as they will go to stop any leak
- DUse the same mask size for every patient
解答
- 1. C · Loud snoring, pauses in breathing and daytime sleepiness
- 2. B · A pause or stop in breathing
- 3. B · 新しい血栓を予防し、既存の血栓が大きくなるのを止めること
- 4. C · They block the platelet ADP (P2Y12) receptor
- 5. A · Below 0.5 mL/kg/h, suggesting poor kidney perfusion
- 6. B · Lying prone for periods and avoiding pillows under the stump
- 7. B · Unstable angina
- 8. A · Check mask fit and protect the bridge of the nose
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