1.やさしい
創傷治癒の過程で感染を示すサインは?
- A創が閉じるときの軽いかゆみ
- B発赤、熱感、腫脹が強まり、膿が出る
- C乾いたかさぶたができる
- D2 日目に創の縁がわずかにピンク色で温かい
2.やさしい
A pneumothorax is:
- AA blood clot in the lung arteries
- BFluid in the alveoli, usually from heart failure
- CAir in the pleural space, causing the lung to collapse
- DAn infection of the lung tissue, usually caused by bacteria
3.やさしい
C-reactive protein (CRP) is a blood marker of:
- AInflammation
- BThyroid function
- CBlood clotting time
- DKidney function
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?
- ARheumatic fever
- BPericarditis
- CInfective endocarditis
- DMyocardial infarction
5.ふつう
WHO の除痛ラダーが勧めているのは?
- Aすべての患者で強オピオイドから始めること
- B痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- C痛みが強くなったときだけ鎮痛薬を与えること
- Dがんの痛みには薬以外の方法だけを使うこと
6.ふつう
Why are older adults at higher risk of dehydration?
- ATheir kidneys hold on to too much water
- BThey always drink large amounts of tea
- CTheir sense of thirst is often reduced
- DTheir body water content increases with age
7.むずかしい
A nurse realises she has given a patient a medicine prescribed for another patient. What should she do first?
- AWait to see whether any side effects develop
- BCheck the patient's condition and inform the doctor
- CAsk a colleague not to mention it
- DGive the patient's own medicine as well to balance it
8.むずかしい
Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?
- AThe patient must stay until all allergy tests are complete
- BAntihistamines cause dangerous drowsiness for 24 hours
- CAdrenaline always causes a heart attack hours later
- DSymptoms can return later in a biphasic reaction
解答
- 1. B · 発赤、熱感、腫脹が強まり、膿が出る
- 2. C · Air in the pleural space, causing the lung to collapse
- 3. A · Inflammation
- 4. C · Infective endocarditis
- 5. B · 痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- 6. C · Their sense of thirst is often reduced
- 7. B · Check the patient's condition and inform the doctor
- 8. D · Symptoms can return later in a biphasic reaction
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