1.やさしい
In a healthy person, what is the main chemical stimulus for breathing?
- AA falling level of glucose in the blood after fasting
- BA rising level of carbon dioxide in the blood
- CA rising level of oxygen in the blood
- DA falling level of potassium in the blood
2.やさしい
抗凝固薬を服用している患者に、どの助言をすべきですか?
- A今後、緑の野菜はすべて避ける
- B小さなあざができたら服用を1回飛ばす
- Cやわらかい歯ブラシを使い、普段と違う出血は報告する
- Dどんな痛みでも、パラセタモールではなくイブプロフェンを飲む
3.やさしい
Which organism causes tuberculosis?
- APseudomonas aeruginosa
- BStaphylococcus aureus
- CCorynebacterium diphtheriae
- DMycobacterium tuberculosis
4.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey raise the heart rate to improve blood flow to the muscle
- BThey dissolve the clot that is blocking the coronary artery
- CThey lower the heart's oxygen demand and reduce arrhythmias
- DThey reduce cholesterol in the blood
5.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
- BStable angina
- CPhaeochromocytoma
- DAortic stenosis
6.ふつう
心不全の患者が、ACE阻害薬に加えてスピロノラクトンを開始しました。どの血液検査結果を注意深くモニタリングする必要がありますか?
- Aヘモグロビン(どちらの薬も出血を起こしうるから)
- Bグルコース(どちらの薬も低血糖を起こしうるから)
- Cカルシウム(どちらの薬も低下させうるから)
- Dカリウム(どちらの薬も上昇させうるから)
7.むずかしい
A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?
- AVasodilators can cause a severe fall in BP with a fixed outflow obstruction
- BGTN makes the narrowed aortic valve tighten further within a few minutes
- CGTN raises the blood pressure dangerously in aortic stenosis
- DThere is no reason for caution, because GTN acts only on the coronary arteries
8.むずかしい
A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?
- AStop all contraception during TB treatment, as pregnancy cannot occur
- BUse another reliable method, as rifampicin reduces the pill's effect
- CContinue the pill as usual, because there is no interaction with TB drugs
- DTake two pills a day to make up for the drug
解答
- 1. B · A rising level of carbon dioxide in the blood
- 2. C · やわらかい歯ブラシを使い、普段と違う出血は報告する
- 3. D · Mycobacterium tuberculosis
- 4. C · They lower the heart's oxygen demand and reduce arrhythmias
- 5. C · Phaeochromocytoma
- 6. D · カリウム(どちらの薬も上昇させうるから)
- 7. A · Vasodilators can cause a severe fall in BP with a fixed outflow obstruction
- 8. B · Use another reliable method, as rifampicin reduces the pill's effect
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