1.やさしい
「メレナ(黒色便)」という用語が表すのは?
- A灰白色の粘土色の便
- B濃い黄色の尿
- C吐物や痰に混じる鮮紅色の血液
- D黒くてタール状の、悪臭のある便
2.やさしい
Why must patients and visitors never smoke or use naked flames near oxygen therapy?
- ASmoke blocks the oxygen tubing and stops the flow
- BFlames make the oxygen less effective
- COxygen makes things burn much more easily and fiercely
- DOxygen turns cigarette smoke into a poisonous gas
3.やさしい
What is the aim of aseptic non-touch technique (ANTT)?
- ATo avoid needing to wash hands
- BTo make every procedure completely sterile
- CTo protect key parts and key sites from contamination
- DTo allow procedures to be done without gloves in all cases
4.ふつう
Which features suggest pyelonephritis rather than simple cystitis?
- AFrequency without any pain
- BMild burning on passing urine only
- CCloudy urine with no other symptoms
- DFever, rigors and loin pain
5.ふつう
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AHair loss and weight gain
- BHyperglycaemia and tremor
- CKidney damage and hearing loss
- DConstipation and urinary retention
6.ふつう
Compared with a colostomy, a patient with an ileostomy is at greater risk of:
- AUrinary retention
- BDehydration and electrolyte loss from liquid output
- CHard stools, straining and constipation from slow transit
- DLow blood glucose after meals
7.むずかしい
A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?
- ASimple gastroenteritis with no further concern
- BHyperosmolar hyperglycaemic state
- CEuglycaemic diabetic ketoacidosis
- DHypoglycaemia
8.むずかしい
Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?
- ATumour lysis syndrome
- BRefeeding syndrome
- CAdrenal insufficiency
- DSyndrome of inappropriate ADH secretion
解答
- 1. D · 黒くてタール状の、悪臭のある便
- 2. C · Oxygen makes things burn much more easily and fiercely
- 3. C · To protect key parts and key sites from contamination
- 4. D · Fever, rigors and loin pain
- 5. C · Kidney damage and hearing loss
- 6. B · Dehydration and electrolyte loss from liquid output
- 7. C · Euglycaemic diabetic ketoacidosis
- 8. A · Tumour lysis syndrome
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