1.쉬움
허혈성 뇌졸중의 위험을 가장 크게 높이는 부정맥은?
- A운동선수의 동성 서맥
- B심방세동
- C운동 중 동성 빈맥
- D동성 부정맥
2.쉬움
What is the main cause of COPD in high-income countries?
- AA viral infection
- BChildhood asthma
- CEating too much salt
- DCigarette smoking
3.쉬움
Which group of symptoms suggests obstructive sleep apnoea?
- AFever, cough and rust-coloured sputum
- BLoud snoring, pauses in breathing and daytime sleepiness
- CNight sweats, weight loss and a cough lasting several weeks
- DWheeze, cough and itchy eyes that come on after exercise
4.보통
A patient with heart failure takes furosemide once a day. When is the best time to take it?
- AIn the morning, to avoid needing the toilet at night
- BWhenever the ankles look swollen, on those days only
- CAt bedtime, so the effect lasts through the night
- DJust before the evening meal, with a large drink
5.보통
미리 채워진 주사기의 enoxaparin 피하주사는 어떻게 투여합니까?
- A먼저 공기 방울을 빼낸 뒤 어깨세모근에
- B복부에, 공기 방울을 남긴 채, 문지르지 않고
- C매일 같은 복부 부위에 주사한 뒤 마사지한다
- D캐뉼라를 통해 빠른 정맥 주입으로
6.보통
Which exercise advice is recommended for intermittent claudication?
- AStopping walking at the very first twinge of pain each time
- BSupervised walking until pain is near maximal, then rest and repeat
- CComplete bed rest until the leg pain has gone for at least a month
- DWalking only on days when the legs feel warm and painless
7.어려움
심근경색 3주 후 환자에게 열, 앞으로 기울이면 완화되는 흉막성 흉통, 심낭 마찰음이 있습니다. 가장 가능성 높은 질환은?
- A심근경색 후(Dressler) 증후군
- B다른 동맥의 새로운 STEMI
- C급성 좌심실부전
- D급성 대동맥 박리
8.어려움
A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?
- AGive a sedative to help the patient tolerate the mask
- BContinue NIV unchanged and repeat the blood gas tomorrow morning
- CEscalate urgently for review of intubation or a ceiling of care
- DRemove the mask and give nebulised bronchodilators only from now on
정답표
- 1. B · 심방세동
- 2. D · Cigarette smoking
- 3. B · Loud snoring, pauses in breathing and daytime sleepiness
- 4. A · In the morning, to avoid needing the toilet at night
- 5. B · 복부에, 공기 방울을 남긴 채, 문지르지 않고
- 6. B · Supervised walking until pain is near maximal, then rest and repeat
- 7. A · 심근경색 후(Dressler) 증후군
- 8. C · Escalate urgently for review of intubation or a ceiling of care
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