1.やさしい
What is the main cause of varicose veins?
- ANarrowing of the leg arteries by plaque
- BA clot blocking a deep vein in the calf
- CFaulty valves in the superficial leg veins
- DInflammation of the lymph nodes in the groin
2.やさしい
What is the main role of the delay at the atrioventricular (AV) node?
- AIt closes the aortic valve
- BIt starts each heartbeat by firing faster than the SA node
- CIt speeds the impulse to the ventricles so they beat sooner
- DIt gives the ventricles time to fill before they contract
3.やさしい
What is the main cause of COPD in high-income countries?
- AChildhood asthma
- BEating too much salt
- CCigarette smoking
- DA viral infection
4.ふつう
Septic shock belongs to which category of shock?
- AHypovolaemic shock
- BObstructive shock
- CDistributive shock
- DCardiogenic shock
5.ふつう
How does varenicline help people stop smoking?
- AIt makes cigarettes taste of metal so smoking feels unpleasant
- BIt speeds the clearance of nicotine by the liver
- CIt replaces nicotine through the skin, like a nicotine patch
- DIt partly stimulates and partly blocks nicotine receptors
6.ふつう
A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?
- AExercise until they are too breathless to speak at all
- BExercise so they are a little breathless but can still talk
- CExercise only until the heart rate rises even slightly
- DExercise until chest pain starts, then stop
7.むずかしい
A patient with heart failure wakes extremely breathless, coughing pink frothy sputum. BP is 168/96 mmHg and SpO₂ 86%. Help has been called. What is the best initial nursing action?
- ASit the patient upright with the legs down and give oxygen
- BLie the patient flat with the legs raised on pillows
- CGive a large IV fluid bolus to support the circulation
- DEncourage the patient to walk to ease the breathing
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?
- AStop the infusion and call for urgent medical help
- BGive a second dose to finish the treatment
- CSlow the infusion and give an antiemetic
- DContinue the infusion, as headache is a common side effect
解答
- 1. C · Faulty valves in the superficial leg veins
- 2. D · It gives the ventricles time to fill before they contract
- 3. C · Cigarette smoking
- 4. C · Distributive shock
- 5. D · It partly stimulates and partly blocks nicotine receptors
- 6. B · Exercise so they are a little breathless but can still talk
- 7. A · Sit the patient upright with the legs down and give oxygen
- 8. A · Stop the infusion and call for urgent medical help
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