1.やさしい
What is the normal pH range of arterial blood?
- A7.35–7.45
- B6.85–6.95
- C7.55–7.65
- D7.00–7.10
2.やさしい
寝たきりの患者の褥瘡を防ぐ最も重要な対策は?
- A圧迫を除くための定期的な体位変換
- B水分を制限すること
- C一日中同じ体位を保つこと
- D赤くなった部分を強くマッサージすること
3.やさしい
Which of these drugs is an antiplatelet agent?
- AFurosemide
- BClopidogrel
- CWarfarin
- DAtorvastatin
4.ふつう
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids can raise the blood glucose
- BSteroids destroy the pancreas
- CSteroids always cause hypoglycaemia
- DSteroids make glucose meters inaccurate
5.ふつう
Which advice is correct for a patient taking levothyroxine?
- ATake it with a large meal to avoid nausea and stomach upset
- BTake it on an empty stomach, usually before breakfast
- CTake it only on days when feeling tired
- DStop taking it once the symptoms improve
6.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AIncreased urine output, less breathlessness and a falling weight
- BFalling urine output, new ankle swelling and a rise in weight
- CA rise in blood pressure and a new cough
- DA rise in weight and more lung crackles
7.むずかしい
体表面積 30% の熱傷患者が入院しました。最初の 24 時間で最も懸念される早期合併症は?
- A便秘
- B長期の不動による褥瘡
- C瘢痕と拘縮
- D体液喪失による循環血液量減少性ショック
8.むずかしい
A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?
- AEncourage the patient to eat iron-rich foods
- BDocument the result and take no further action
- CEscalate urgently, as the patient may be bleeding
- DRecheck the haemoglobin next week
解答
- 1. A · 7.35–7.45
- 2. A · 圧迫を除くための定期的な体位変換
- 3. B · Clopidogrel
- 4. A · Steroids can raise the blood glucose
- 5. B · Take it on an empty stomach, usually before breakfast
- 6. A · Increased urine output, less breathlessness and a falling weight
- 7. D · 体液喪失による循環血液量減少性ショック
- 8. C · Escalate urgently, as the patient may be bleeding
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