1.やさしい
Thromboangiitis obliterans (Buerger's disease) is most strongly linked with which factor?
- AA high-salt diet
- BDrinking coffee
- CLack of sleep
- DSmoking tobacco
2.やさしい
Which examination findings are typical of a large pleural effusion?
- ACoarse crackles that clear on coughing
- BHyper-resonance and a loud wheeze over the affected side
- CNormal percussion and bronchial breathing
- DDullness to percussion and reduced breath sounds
3.やさしい
What does central cyanosis of the lips and tongue indicate?
- ALow oxygen saturation of the arterial blood
- BNormal findings in older adults
- CA high haemoglobin level only
- DCold hands caused by the room, with normal oxygen levels
4.ふつう
Which patient is most typical of a primary spontaneous pneumothorax?
- AA child with a viral sore throat
- BA middle-aged woman with high blood pressure
- CA tall, thin young man who smokes
- DAn older woman with long-standing heart failure
5.ふつう
単純なフェイスマスクで、酸素流量を約5 L/分より低くしてはいけないのはなぜですか?
- A呼気中のCO₂がマスク内にたまり、再呼吸されるから
- B低流量では伸縮性のストラップがゆるくなりすぎるから
- C低流量では酸素を加湿できないから
- D低流量ではマスクが酸素を送りすぎるから
6.ふつう
インダパミドなど、チアジド系またはチアジド類似の利尿薬に典型的な副作用の組み合わせはどれですか?
- Aカリウムとナトリウムの上昇、尿酸の低下、血糖の低下
- B乾性咳嗽、味覚障害、唇の腫れ
- Cナトリウムとマグネシウムの上昇、血糖の低下
- Dカリウムとナトリウムの低下、尿酸の上昇、血糖の上昇
7.むずかしい
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- AA deep vein thrombosis in the leg
- BAn allergic reaction to chemotherapy
- CSuperior vena cava obstruction
- DRight-sided heart failure
8.むずかしい
A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?
- A"I carry my blue reliever inhaler with me."
- B"I use my steroid inhaler when I start to wheeze."
- C"I use my steroid inhaler every day, even when I feel well."
- D"I rinse my mouth after the steroid inhaler."
解答
- 1. D · Smoking tobacco
- 2. D · Dullness to percussion and reduced breath sounds
- 3. A · Low oxygen saturation of the arterial blood
- 4. C · A tall, thin young man who smokes
- 5. A · 呼気中のCO₂がマスク内にたまり、再呼吸されるから
- 6. D · カリウムとナトリウムの低下、尿酸の上昇、血糖の上昇
- 7. C · Superior vena cava obstruction
- 8. B · "I use my steroid inhaler when I start to wheeze."
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