1.やさしい
What is the main function of the epiglottis?
- AIt covers the entrance to the larynx during swallowing
- BIt vibrates to produce the sound of the voice when speaking
- CIt divides the trachea into two bronchi
- DIt warms and moistens the air on its way into the lungs
2.やさしい
Which symptom lasting more than three weeks is a classic warning sign of laryngeal cancer?
- AItching of the eyes
- BMild sneezing and a runny nose in the morning
- COccasional hiccups
- DPersistent hoarseness of the voice
3.やさしい
What is the normal resting heart rate range for an adult?
- A40–60 beats per minute
- B30–50 beats per minute
- C100–140 beats per minute
- D60–100 beats per minute
4.ふつう
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- AAsthma
- BPhaeochromocytoma
- CAortic stenosis
- DStable angina
5.ふつう
Which skin changes around the ankles are typical of chronic venous insufficiency?
- AA sharply defined red patch with fever
- BPale, shiny, hairless skin with weak pulses
- CBrown staining, swelling and dry, itchy skin
- DA cold, white foot with no pulse
6.ふつう
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins are needed only if the cholesterol level is very high
- BStatins are given after an ACS mainly to lower the blood pressure
- CStatins work as painkillers for chest pain
- DStatins reduce further events whatever the starting cholesterol
7.むずかしい
CO₂を貯留するCOPDの急性増悪の患者に、ネブライザーによる気管支拡張薬が処方されました。通常、ネブライザーは何で駆動しますか?
- A6~8 L/分の酸素で、飽和度のモニタリングはしない
- B圧縮空気で駆動し、鼻カニューラによる管理された酸素を併用する
- C15 L/分の酸素で、できるだけ長く
- Dガスを流さず、患者に深呼吸してもらう
8.むずかしい
心臓手術の1時間後、縦隔ドレーンから鮮紅色の血液が350 mL排液され、心拍数が上昇しています。看護師はどうすべきですか?
- A量を記録し、1時間ごとの確認を続ける
- B5分ごとにチューブを強くしごく
- C直ちに外科チームに報告する
- Dさらなる出血を止めるため、ドレーンをクランプする
解答
- 1. A · It covers the entrance to the larynx during swallowing
- 2. D · Persistent hoarseness of the voice
- 3. D · 60–100 beats per minute
- 4. B · Phaeochromocytoma
- 5. C · Brown staining, swelling and dry, itchy skin
- 6. D · Statins reduce further events whatever the starting cholesterol
- 7. B · 圧縮空気で駆動し、鼻カニューラによる管理された酸素を併用する
- 8. C · 直ちに外科チームに報告する
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