1.やさしい
What is the main purpose of a surgical wound drain?
- ATo remove blood or fluid so it does not collect in the wound
- BTo give antibiotics directly into the wound bed
- CTo keep the wound open permanently so that it can be cleaned
- DTo measure the patient's temperature
2.やさしい
What does "orthopnoea" mean?
- ABreathlessness when lying flat
- BBreathlessness only during exercise
- CA pause in breathing during sleep
- DBreathing that is abnormally slow
3.やさしい
Who is responsible for obtaining a patient's informed consent for surgery?
- AThe theatre porter
- BThe patient's closest relative or the person named as next of kin
- CThe ward nurse who admits the patient on the day of surgery
- DThe clinician doing the procedure, or a suitably trained delegate
4.ふつう
インスリン注射について正しいものは?
- A使う前にインスリンを強く振る
- B速効型インスリンは寝る前だけ使う
- C脂肪肥大を防ぐため注射部位をローテーションする
- D吸収を一定にするため毎回同じ場所に打つ
5.ふつう
What is the most common cause of hypernatraemia in frail older inpatients?
- ATaking too many vitamins
- BToo much exercise
- CEating too much salt in one meal
- DNot drinking enough water
6.ふつう
術後の患者で、心拍数 125/分、血圧 88/50 mmHg、ガーゼが血で染みています。何が起きていますか?
- A不安だけ
- B尿路感染による敗血症性ショック
- C出血による循環血液量減少性ショック
- D正常な痛みの反応
7.むずかしい
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"I am calling about Mr Smith, who is breathless."
- B"His blood pressure is 85/50 and he is confused."
- C"Please review him within the next 15 minutes."
- D"He was admitted three days ago with pneumonia."
8.むずかしい
A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?
- AA superficial bruise
- BAn allergic reaction to the dressing
- CSimple cellulitis that will settle with oral antibiotics
- DNecrotising fasciitis
解答
- 1. A · To remove blood or fluid so it does not collect in the wound
- 2. A · Breathlessness when lying flat
- 3. D · The clinician doing the procedure, or a suitably trained delegate
- 4. C · 脂肪肥大を防ぐため注射部位をローテーションする
- 5. D · Not drinking enough water
- 6. C · 出血による循環血液量減少性ショック
- 7. C · "Please review him within the next 15 minutes."
- 8. D · Necrotising fasciitis
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