1.やさしい
手足にギプスを巻いた後、定期的に行うべき観察は?
- Aギプスより末梢の神経・血管の観察
- B聴力検査
- Cピークフローの測定
- D視力検査
2.やさしい
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- AInfluenza vaccine
- BRabies vaccine
- CYellow fever vaccine
- DTyphoid vaccine
3.やさしい
グラスゴー・コーマ・スケールの最低点は?
- A0
- B3
- C1
- D5
4.ふつう
Which examination findings suggest a large pleural effusion on one side?
- AWheeze heard over both lungs
- BA hyper-resonant chest with the trachea pulled towards that side
- CNormal breath sounds and normal percussion
- DDull percussion and reduced breath sounds over the lung base
5.ふつう
脚の骨折でギプスを巻いたあと、コンパートメント症候群を最もよく見つける評価は?
- A足の強い脈
- B温かいピンク色の足
- Cギプスの下の軽いかゆみ
- Dけがに見合わない痛み、特に他動的に伸ばしたときの痛み
6.ふつう
Which features suggest Cushing's syndrome?
- ADark skin, low blood pressure, salt craving and a low blood sodium level
- BCoarse facial features and very large hands and feet
- CWeight loss, heat intolerance, tremor and protruding eyes
- DWeight gain around the trunk, a rounded face and thin, easily bruised skin
7.むずかしい
A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?
- ACushing's syndrome, managed with potassium
- BDehydration, managed with an IV fluid bolus
- CDiabetes insipidus, managed with extra fluids
- DSIADH, often managed first with fluid restriction
8.むずかしい
A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?
- AThe respiratory rate rises and new lung crackles appear
- BThe heart rate rises further and the patient becomes more confused
- CThe capillary refill time becomes longer
- DThe heart rate falls, blood pressure rises and urine output improves
解答
- 1. A · ギプスより末梢の神経・血管の観察
- 2. A · Influenza vaccine
- 3. B · 3
- 4. D · Dull percussion and reduced breath sounds over the lung base
- 5. D · けがに見合わない痛み、特に他動的に伸ばしたときの痛み
- 6. D · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 7. D · SIADH, often managed first with fluid restriction
- 8. D · The heart rate falls, blood pressure rises and urine output improves
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。