1.やさしい
低血糖に典型的な症状はどれですか?
- A温かく乾いた皮膚と遅い脈
- Bフルーツのような息のにおいを伴う深く速い呼吸
- C強いのどの渇きと多尿
- D発汗、ふるえ、混乱
2.やさしい
What is the most reliable indicator of pain in a patient who can communicate?
- AThe patient's own report
- BThe patient's blood pressure
- CThe patient's heart rate
- DThe nurse's impression of their face
3.やさしい
What is the Visual Infusion Phlebitis (VIP) score used for?
- AMeasuring the speed and volume of an infusion
- BAssessing a cannula site for signs of phlebitis
- CScoring the patient's pain
- DChecking blood glucose control
4.ふつう
WHO の除痛ラダーが勧めているのは?
- Aがんの痛みには薬以外の方法だけを使うこと
- Bすべての患者で強オピオイドから始めること
- C痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- D痛みが強くなったときだけ鎮痛薬を与えること
5.ふつう
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with a glass of milk at bedtime and then lie down straight away
- BTake it with an antacid to protect the stomach
- CTake it with plain water on an empty stomach and stay upright for 30 minutes
- DChew the tablet with breakfast and a cup of milky tea
6.ふつう
Which side effect of regular opioids usually needs preventive treatment from the start?
- AConstipation
- BDiarrhoea
- CExcessive hunger
- DHigh blood pressure
7.むずかしい
Why should chronic hypernatraemia be corrected gradually?
- AFast correction causes severe hyperkalaemia
- BLowering the sodium too fast can cause cerebral oedema
- CFast correction causes osmotic demyelination from swelling of the kidneys
- DSlow correction is only needed in children
8.むずかしい
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
- APre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
- BIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
- CPost-renal acute kidney injury from obstruction, treated with a catheter
- DChronic kidney disease, treated with long-term dialysis three times a week
解答
- 1. D · 発汗、ふるえ、混乱
- 2. A · The patient's own report
- 3. B · Assessing a cannula site for signs of phlebitis
- 4. C · 痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- 5. C · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 6. A · Constipation
- 7. B · Lowering the sodium too fast can cause cerebral oedema
- 8. A · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
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