1.やさしい
What is the main cause of varicose veins?
- AFaulty valves in the superficial leg veins
- BA clot blocking a deep vein in the calf
- CNarrowing of the leg arteries by plaque
- DInflammation of the lymph nodes in the groin
2.やさしい
脚の深部静脈血栓症に典型的な所見はどれですか?
- A両足が冷たく蒼白で、脈拍を触れない
- B片側のふくらはぎの腫れ、熱感、圧痛
- C両足首まわりの茶色の皮膚着色
- D歩くとふくらはぎが痛み、休むと数分で治まる
3.やさしい
What does an SpO₂ reading measure?
- AThe amount of carbon dioxide dissolved in the blood
- BThe percentage of haemoglobin carrying oxygen
- CThe total haemoglobin level
- DThe oxygen level in the brain
4.ふつう
A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?
- AIron-deficiency anaemia
- BHypothyroidism
- CEssential hypertension of ageing
- DPrimary hyperaldosteronism
5.ふつう
Why is a shock for cardioversion synchronised with the QRS complex?
- ATo avoid delivering the shock during the T wave
- BTo make the shock less painful for the patient
- CTo keep the pads from burning the skin
- DTo allow the use of a lower battery charge
6.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 they are too breathless to speak at all
- CExercise until chest pain starts, then stop
- DExercise only until the heart rate rises even slightly
7.むずかしい
A patient with life-threatening asthma has not responded to repeated nebulised salbutamol (albuterol), ipratropium and steroids. Which drug is commonly given intravenously next?
- AMagnesium sulfate
- BMetoprolol
- CIntravenous furosemide
- DMorphine
8.むずかしい
ビソプロロールとジルチアゼムを服用している患者が、めまいを感じ、心拍数が38/分、血圧が82/50 mmHgです。最も適切な最初の対応はどれですか?
- A心拍数を安定させるため、両方の薬の次の用量を早めに投与する
- B心拍数を上げるため、病棟内を歩かせる
- C観察値を記録し、4時間後に再確認する
- D緊急の応援を呼び、ABCDEをアセスメントして、心電図モニターを装着する
解答
- 1. A · Faulty valves in the superficial leg veins
- 2. B · 片側のふくらはぎの腫れ、熱感、圧痛
- 3. B · The percentage of haemoglobin carrying oxygen
- 4. D · Primary hyperaldosteronism
- 5. A · To avoid delivering the shock during the T wave
- 6. A · Exercise so they are a little breathless but can still talk
- 7. A · Magnesium sulfate
- 8. D · 緊急の応援を呼び、ABCDEをアセスメントして、心電図モニターを装着する
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