1.やさしい
What is a transient ischaemic attack (TIA)?
- AA type of migraine with no risk of stroke
- BShort-lived stroke-like symptoms that resolve completely
- CA permanent stroke caused by bleeding into the brain
- DA heart attack affecting the brain
2.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AStroke, heart attack and kidney disease
- BAnaemia and osteoporosis
- CAsthma, eczema and hay fever
- DHypothyroidism, gout and hair loss
3.やさしい
肺結核が疑われる患者のケアで使うべきなのは?
- A個室での空気感染予防策
- B大部屋での標準予防策のみ
- C特別な予防策はなし
- D接触予防策のみ
4.ふつう
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe needle must be sent for culture
- BPost-exposure prophylaxis works best when started as soon as possible
- CThe nurse must be tested for HIV the same day to confirm infection
- DThe patient will need antibiotics
5.ふつう
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
- ALow haemoglobin and high platelets
- BLow sodium and high potassium
- CHigh sodium and low potassium
- DHigh glucose and high calcium
6.ふつう
What is the best way to protect the heels of a bed-bound patient from pressure damage?
- AApply a tight bandage to the heels
- BMassage the heels firmly several times a day to help circulation
- CRest the heels on a rolled-up towel
- DOffload the heels so they do not touch the mattress
7.むずかしい
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AThe kidneys normally activate morphine, so more of it becomes active
- BIts active metabolites build up because the kidneys excrete them
- CKidney failure makes the stomach absorb more morphine
- DKidney disease makes the opioid receptors disappear
8.むずかしい
A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?
- AThe heart rate rises further and the patient becomes more confused
- BThe capillary refill time becomes longer
- CThe heart rate falls, blood pressure rises and urine output improves
- DThe respiratory rate rises and new lung crackles appear
解答
- 1. B · Short-lived stroke-like symptoms that resolve completely
- 2. A · Stroke, heart attack and kidney disease
- 3. A · 個室での空気感染予防策
- 4. B · Post-exposure prophylaxis works best when started as soon as possible
- 5. B · Low sodium and high potassium
- 6. D · Offload the heels so they do not touch the mattress
- 7. B · Its active metabolites build up because the kidneys excrete them
- 8. C · The heart rate falls, blood pressure rises and urine output improves
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