1.やさしい
Why is a platelet transfusion given?
- ATo raise the haemoglobin level in a patient with anaemia
- BTo provide extra protein
- CTo treat a high white cell count in a patient with infection or leukaemia
- DTo prevent or treat bleeding in a patient with low or poorly working platelets
2.やさしい
What is a blood culture used to detect?
- AThe patient's blood group
- BThe level of glucose in the blood
- CBacteria or fungi in the bloodstream
- DThe number of red cells
3.やさしい
The term "tinnitus" means:
- ARinging or buzzing in the ears
- BBlurred vision
- CA blocked nose
- DLoss of balance and dizziness
4.ふつう
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AHair loss and weight gain
- BConstipation and urinary retention
- CHyperglycaemia and tremor
- DKidney damage and hearing loss
5.ふつう
For a patient in skin traction on the leg, which is correct?
- AThe weights are removed whenever the patient feels uncomfortable
- BThe weights hang freely and do not rest on the bed or floor
- CThe weights rest on the floor overnight
- DThe rope is tied to the bed frame to keep it still
6.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AA rise in blood pressure and a new cough
- BFalling urine output, new ankle swelling and a rise in weight
- CA rise in weight and more lung crackles
- DIncreased urine output, less breathlessness and a falling weight
7.むずかしい
抗凝固薬を使用中の患者が転倒して頭を打ちましたが、元気そうに見えます。正しい対応は?
- A元気そうなので何もしない
- B観察なしで眠るよう勧める
- C医師の診察と、おそらく CT 検査を手配し、神経学的観察を行う
- D抗凝固薬を追加で投与する
8.むずかしい
A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?
- AA stroke
- BVasovagal syncope
- CA hypoglycaemic coma
- DAnaphylaxis
解答
- 1. D · To prevent or treat bleeding in a patient with low or poorly working platelets
- 2. C · Bacteria or fungi in the bloodstream
- 3. A · Ringing or buzzing in the ears
- 4. D · Kidney damage and hearing loss
- 5. B · The weights hang freely and do not rest on the bed or floor
- 6. D · Increased urine output, less breathlessness and a falling weight
- 7. C · 医師の診察と、おそらく CT 検査を手配し、神経学的観察を行う
- 8. B · Vasovagal syncope
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