1.やさしい
喫煙者のCOPDの進行を最も効果的に遅らせる介入はどれですか?
- A長期の在宅酸素
- B長期の抗菌薬の内服
- C毎日の副腎皮質ステロイドの内服
- D禁煙
2.やさしい
胸腔ドレーンの水封室で「スイング」(呼吸性移動)とは何ですか?
- A呼吸に合わせて水面が上下に動くこと
- B患者が歩くときにドレナージユニットが揺れること
- C患者が呼吸するかどうかにかかわらず続く泡立ち
- D血栓がドレナージチューブに沿って動くこと
3.やさしい
Together with fever, which finding should raise suspicion of infective endocarditis?
- AA dry, tickly cough
- BA slow heart rate
- CPain in one calf
- DA new heart murmur
4.ふつう
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
- APeople with angina must stop smoking without any help
- BNicotine replacement is much safer than smoking and is recommended
- CNicotine replacement only works if smoking continues
- DNicotine patches are much more harmful to the heart than cigarettes
5.ふつう
患者の心房細動は48時間を超えて続いており、待機的カルディオバージョンの予定です。事前に抗凝固療法が必要なのはなぜですか?
- A洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- B抗凝固薬が電気ショックの痛みを和らげるから
- C抗凝固薬が心房細動を洞調律に戻すから
- D抗凝固薬が電気ショックに必要なエネルギーを減らすから
6.ふつう
A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?
- AOral digoxin
- BIntravenous adenosine
- CIntravenous magnesium sulfate
- DIntravenous potassium chloride as a bolus
7.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?
- ANormal pain from the procedure site
- BPericarditis from the catheter
- CAcute stent thrombosis
- DIndigestion from the hospital meal
8.むずかしい
Three hours after femoral cardiac catheterisation, a patient has new lower back and flank pain, a heart rate of 112/min and BP 92/60 mmHg. The groin looks normal. What should the nurse suspect?
- ARetroperitoneal bleeding
- BA urinary tract infection
- CAn allergic reaction to the contrast
- DNormal back ache from lying flat
解答
- 1. D · 禁煙
- 2. A · 呼吸に合わせて水面が上下に動くこと
- 3. D · A new heart murmur
- 4. B · Nicotine replacement is much safer than smoking and is recommended
- 5. A · 洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- 6. C · Intravenous magnesium sulfate
- 7. C · Acute stent thrombosis
- 8. A · Retroperitoneal bleeding
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