1.やさしい
患者の尿量を観察しています。成人で目標としてよく使われる 1 時間あたりの最低尿量は?
- A1 日に少しでも尿が出ていれば何 mL でもよい
- B体重 1 kg あたり 1 時間に約 0.5 mL
- C1 kg あたり 1 時間に約 5 mL
- D1 kg あたり 1 時間に約 0.05 mL
2.やさしい
グラスゴー・コーマ・スケール(GCS)は何を評価しますか?
- A瞳孔の大きさと反応、血圧、脈拍
- B反射、筋緊張、感覚
- C痛み、吐き気、不安
- D開眼、言語反応、運動反応
3.やさしい
What is the immediate first aid after a needlestick injury?
- ASuck the wound to remove the blood, then cover it with a plaster
- BIgnore it if the needle looked clean
- CScrub the wound hard with a brush
- DWash the wound with soap and running water without scrubbing
4.ふつう
A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?
- AGlucose, because both drugs cause hyperglycaemia
- BPotassium, because both drugs can raise it
- CCalcium, because both drugs lower it
- DSodium, because both drugs raise it sharply
5.ふつう
A very anxious patient breathes rapidly for a long period. Which change is expected?
- ARespiratory acidosis from a high PaCO2
- BRespiratory alkalosis from a low PaCO2
- CMetabolic acidosis from a low bicarbonate
- DMetabolic alkalosis from vomiting
6.ふつう
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- APatients can be seriously injured climbing over or becoming trapped in rails
- BBed rails always make patients more confused, but only during the day
- CBed rails stop staff from taking observations
- DBed rails are illegal in all hospitals and must never be used at all
7.むずかしい
Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?
- ASubcutaneous injection into the upper arm
- BIntravenous bolus given by the nurse without monitoring
- CIntramuscular injection into the anterolateral thigh
- DOral tablet dissolved under the tongue
8.むずかしい
Which drug group is first-line for a prolonged convulsive seizure?
- AAntihistamines, such as chlorphenamine
- BOpioids, such as morphine or diamorphine, given intravenously
- CBeta-blockers, such as bisoprolol or atenolol
- DBenzodiazepines, such as buccal midazolam or IV lorazepam
解答
- 1. B · 体重 1 kg あたり 1 時間に約 0.5 mL
- 2. D · 開眼、言語反応、運動反応
- 3. D · Wash the wound with soap and running water without scrubbing
- 4. B · Potassium, because both drugs can raise it
- 5. B · Respiratory alkalosis from a low PaCO2
- 6. A · Patients can be seriously injured climbing over or becoming trapped in rails
- 7. C · Intramuscular injection into the anterolateral thigh
- 8. D · Benzodiazepines, such as buccal midazolam or IV lorazepam
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