1.やさしい
Which examination findings are typical of a large pleural effusion?
- ADullness to percussion and reduced breath sounds
- BHyper-resonance and a loud wheeze over the affected side
- CNormal percussion and bronchial breathing
- DCoarse crackles that clear on coughing
2.やさしい
What should patients starting rifampicin (rifampin) be told about their urine, sweat and tears?
- AThey may turn black, which means bleeding
- BThey will become completely colourless
- CThey may turn orange-red, which is harmless
- DThey may turn green, which means infection
3.やさしい
Which side effect of ethambutol should patients report straight away?
- ABlurred vision or changes in colour vision
- BOrange-red colouring of the urine and tears
- CA painful, red and swollen big toe joint
- DNumbness and tingling of the feet and hands
4.ふつう
Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?
- ATo prevent dehydration and keep secretions thinner
- BTo make the cough completely stop
- CTo flush the bacteria out through the urine
- DTo lower the temperature by diluting the blood plasma
5.ふつう
Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?
- ARapid high doses can damage hearing
- BSlow injection makes the urine output larger
- CRapid doses cause severe constipation
- DRapid doses cause the potassium level to rise
6.ふつう
Which position is usually best for the legs of a patient with chronic venous insufficiency and ankle swelling?
- AKept still in a standing position for long periods
- BHanging down over the side of the bed
- CCrossed at the knees while sitting
- DRaised above the level of the heart when resting
7.むずかしい
A nurse is reviewing four telemetry patients. Which rhythm needs attention first?
- ARate-controlled atrial fibrillation at 82/min
- BFirst-degree heart block with a stable blood pressure and no symptoms
- CRepeated runs of ventricular tachycardia in a patient who feels dizzy
- DSinus bradycardia of 54/min in a patient who is asleep and comfortable
8.むずかしい
A nurse has four cardiac patients. Which one should be seen first?
- AA patient with angina whose chest pain has not eased with rest and who is sweating
- BA patient with heart failure whose weight is 0.3 kg up on yesterday's morning weight
- CA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
- DA patient after a radial angiogram asking when they can eat
解答
- 1. A · Dullness to percussion and reduced breath sounds
- 2. C · They may turn orange-red, which is harmless
- 3. A · Blurred vision or changes in colour vision
- 4. A · To prevent dehydration and keep secretions thinner
- 5. A · Rapid high doses can damage hearing
- 6. D · Raised above the level of the heart when resting
- 7. C · Repeated runs of ventricular tachycardia in a patient who feels dizzy
- 8. A · A patient with angina whose chest pain has not eased with rest and who is sweating
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