1.やさしい
意思疎通ができる成人によく使われる痛みのスケールは?
- Aアプガースコア
- B0~10 の数値評価スケール
- Cブレーデンスケール(褥瘡リスク評価)
- Dグラスゴー・コーマ・スケール
2.やさしい
What is the main purpose of an early warning score such as NEWS2?
- ATo help detect clinical deterioration early and trigger a response
- BTo decide the patient's diet
- CTo measure how satisfied the patient is
- DTo calculate a patient's medicine doses from their observations
3.やさしい
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
- ANarrowing or obstruction of the upper airway
- BFluid collecting in the bases of both lungs
- CNormal breathing during sleep
- DMild constipation
4.ふつう
Which factor is most likely to slow wound healing?
- ASmoking
- BAdequate fluid intake
- CGood blood glucose control
- DA diet rich in protein
5.ふつう
肝硬変の患者が混乱して眠そうになり、手に羽ばたき振戦があります。考えられる合併症は?
- A肝性脳症
- B脳卒中
- Cアルコール中毒のみ
- Dインスリンによる低血糖
6.ふつう
What is the most common cause of hypernatraemia in frail older inpatients?
- AEating too much salt in one meal
- BNot drinking enough water
- CTaking too many vitamins
- DToo much exercise
7.むずかしい
A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?
- ASimple mechanical back pain
- BHypokalaemia
- CA urinary tract infection spreading to the back
- DMetastatic spinal cord compression
8.むずかしい
A patient on metformin with reduced kidney function is due a CT scan with IV contrast. Why might metformin be withheld?
- AMetformin causes severe bleeding during scans
- BMetformin makes the images blurry
- CThere is a risk of lactic acidosis if kidney function worsens
- DMetformin reacts with the contrast to cause severe hyperglycaemia
解答
- 1. B · 0~10 の数値評価スケール
- 2. A · To help detect clinical deterioration early and trigger a response
- 3. A · Narrowing or obstruction of the upper airway
- 4. A · Smoking
- 5. A · 肝性脳症
- 6. B · Not drinking enough water
- 7. D · Metastatic spinal cord compression
- 8. C · There is a risk of lactic acidosis if kidney function worsens
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