1.やさしい
What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
- A95–105 mmol/L
- B2.2–2.6 mmol/L
- C135–145 mmol/L
- D3.5–5.0 mmol/L
2.やさしい
What is the normal pH range of arterial blood?
- A7.00–7.10
- B7.55–7.65
- C7.35–7.45
- D6.85–6.95
3.やさしい
In the chain of infection, hand hygiene mainly breaks which link?
- AThe infectious agent's ability to grow
- BThe reservoir of infection
- CThe mode of transmission
- DThe susceptibility of the host
4.ふつう
A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?
- AMyocardial infarction
- BPericarditis
- CInfective endocarditis
- DRheumatic fever
5.ふつう
Modern wound care generally aims to keep a healing wound bed:
- ASoaked in antiseptic solution every day
- BTightly packed with dry gauze
- CMoist but not wet
- DCompletely dry and open to the air
6.ふつう
A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?
- ANight-time hypoglycaemia
- BHyperthyroidism
- CA urinary tract infection
- DRaised intracranial pressure
7.むずかしい
Why must blood samples for a cross-match be labelled at the bedside immediately after they are taken?
- ATo prevent "wrong blood in tube" errors that can cause fatal reactions
- BTo let the patient sign the label
- CTo speed up the laboratory's computer system and reduce the waiting time
- DTo keep the sample warm so the cells do not break down in transit
8.むずかしい
A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?
- AAscending cholangitis
- BAcute appendicitis
- CGastro-oesophageal reflux disease
- DSimple biliary colic
解答
- 1. C · 135–145 mmol/L
- 2. C · 7.35–7.45
- 3. C · The mode of transmission
- 4. C · Infective endocarditis
- 5. C · Moist but not wet
- 6. A · Night-time hypoglycaemia
- 7. A · To prevent "wrong blood in tube" errors that can cause fatal reactions
- 8. A · Ascending cholangitis
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