1.やさしい
Which of these is a modifiable risk factor for coronary heart disease?
- AMale sex
- BAge
- CFamily history
- DSmoking
2.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- ABehind the left knee
- BThe left lower abdomen, usually after drinking water
- CThe lower back on the left, when walking
- DThe right upper abdomen, often after a fatty meal
3.やさしい
Moisture-associated skin damage is mainly caused by:
- APressure over a bony area for a long time
- BA deep tissue infection
- CAn allergy to the bed sheets
- DProlonged contact with urine, faeces or sweat
4.ふつう
2 型糖尿病の患者が急に具合が悪くなり、強い脱水があり、血糖は 40 mmol/L ですが、ケトンはほとんどありません。最も考えられる診断は?
- A低血糖
- B高浸透圧高血糖状態
- C尿崩症
- D脱水を伴う糖尿病性ケトアシドーシス
5.ふつう
During a red cell transfusion, when are serious acute reactions most likely to start?
- AIn the first 15 minutes
- BAbout 24 hours later
- COnly after the unit has finished
- DAfter the third unit only
6.ふつう
When is a rapid-acting insulin such as insulin aspart usually given?
- ATwo hours after finishing a meal
- BOnce a week
- COnly at bedtime
- DJust before or with a meal
7.むずかしい
A nurse teaches a patient with diabetes about foot care. Which statement shows a need for further teaching?
- A"I will wear well-fitting shoes."
- B"I will see the podiatrist about hard skin."
- C"I will walk barefoot at home to toughen my feet."
- D"I will check my feet every day for cuts or blisters."
8.むずかしい
A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?
- AThyroid storm
- BHypoglycaemia
- CMyxoedema coma
- DAddisonian crisis
解答
- 1. D · Smoking
- 2. D · The right upper abdomen, often after a fatty meal
- 3. D · Prolonged contact with urine, faeces or sweat
- 4. B · 高浸透圧高血糖状態
- 5. A · In the first 15 minutes
- 6. D · Just before or with a meal
- 7. C · "I will walk barefoot at home to toughen my feet."
- 8. A · Thyroid storm
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