1.やさしい
What defines type 2 respiratory failure?
- ANormal PaO₂ with a low PaCO₂
- BLow PaO₂ with a normal or low PaCO₂
- CLow PaO₂ with a raised PaCO₂
- DHigh PaO₂ with a high bicarbonate
2.やさしい
Rust-coloured sputum is classically linked with which infection?
- AAllergic rhinitis
- BA viral common cold
- CPneumococcal pneumonia
- DOral thrush
3.やさしい
Which examination findings are typical of a large pleural effusion?
- ADullness to percussion and reduced breath sounds
- BNormal percussion and bronchial breathing
- CHyper-resonance and a loud wheeze over the affected side
- DCoarse crackles that clear on coughing
4.ふつう
胸痛のある患者がニトログリセリンを求めました。看護師が投与を保留して指示者に連絡すべきなのは、どの情報があるときですか?
- A患者の血圧が150/90 mmHgである
- B患者が先週頭痛を起こした
- C患者が今日の早い時間にシルデナフィルを服用した
- D患者が毎日スタチンを服用している
5.ふつう
胸腔ドレーンの液面が、動かなくなりました。何が考えられますか?
- Aドレナージユニットが腹部の排液を始めた
- B反対側に新たな気胸が起きた
- C肺が再膨張したか、チューブが折れ曲がっているか閉塞している
- D室内の水位が高すぎて動けなくなった
6.ふつう
Which side effect is particularly common with verapamil?
- AHair loss
- BDry cough
- CConstipation
- DDiarrhoea
7.むずかしい
The stump of a recent below-knee amputation suddenly bleeds heavily through the dressing. What should the nurse do first?
- AApply firm direct pressure and call for urgent surgical help
- BApply a warm compress to the stump
- CEncourage the patient to walk on crutches to ease the pressure
- DRemove all the dressings and wait for the bleeding to stop by itself
8.むずかしい
A patient with severe sepsis becomes increasingly breathless over 24 hours. SpO₂ stays low despite high-flow oxygen, and the chest X-ray shows bilateral infiltrates. The heart function is normal. Which condition is most likely?
- ASpontaneous pneumothorax
- BAcute respiratory distress syndrome
- CAcute left ventricular failure after an MI
- DAn acute asthma attack
解答
- 1. C · Low PaO₂ with a raised PaCO₂
- 2. C · Pneumococcal pneumonia
- 3. A · Dullness to percussion and reduced breath sounds
- 4. C · 患者が今日の早い時間にシルデナフィルを服用した
- 5. C · 肺が再膨張したか、チューブが折れ曲がっているか閉塞している
- 6. C · Constipation
- 7. A · Apply firm direct pressure and call for urgent surgical help
- 8. B · Acute respiratory distress syndrome
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。