1.やさしい
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A7 mmol/L
- B10 mmol/L
- C4 mmol/L
- D1 mmol/L
2.やさしい
「コーヒー残渣様」の嘔吐が示唆するのは?
- A上部消化管の出血
- B出血を伴わない、嘔吐のある食中毒
- C腎不全
- D大腸の下部の腸閉塞
3.やさしい
How does omeprazole work?
- AIt kills bacteria in the bowel
- BIt reduces the production of stomach acid
- CIt speeds up the emptying of the stomach
- DIt neutralises acid already in the stomach
4.ふつう
点滴中、カニューレ周囲が腫れて冷たく青白くなり、点滴の速度が遅くなりました。考えられることは?
- A循環の体液過剰
- B静脈壁の細菌感染による静脈炎
- C周囲の組織への輸液の浸潤(漏れ)
- D空気塞栓
5.ふつう
A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?
- AInserting a nasogastric tube for fluids
- BStarting a fast intravenous infusion to correct the dryness
- CLeaving the mouth alone to avoid disturbing them
- DFrequent mouth care that keeps the lips and mouth moist
6.ふつう
Which statement about storing insulin is correct?
- AUnopened insulin is kept in the fridge and must not be frozen
- BAll insulin should be stored in the freezer to keep it fresh
- CInsulin never expires once opened
- DInsulin should be kept in direct sunlight
7.むずかしい
A patient with a central venous catheter develops fever and rigors shortly after the line is flushed, with no other obvious source. What should be suspected?
- AAn allergic reaction to the saline flush
- BNormal response to line use
- CA pulmonary embolism
- DA catheter-related bloodstream infection
8.むずかしい
A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?
- ADehydration, managed with an IV fluid bolus
- BDiabetes insipidus, managed with extra fluids
- CSIADH, often managed first with fluid restriction
- DCushing's syndrome, managed with potassium
解答
- 1. C · 4 mmol/L
- 2. A · 上部消化管の出血
- 3. B · It reduces the production of stomach acid
- 4. C · 周囲の組織への輸液の浸潤(漏れ)
- 5. D · Frequent mouth care that keeps the lips and mouth moist
- 6. A · Unopened insulin is kept in the fridge and must not be frozen
- 7. D · A catheter-related bloodstream infection
- 8. C · SIADH, often managed first with fluid restriction
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