1.やさしい
Why must patients and visitors never smoke or use naked flames near oxygen therapy?
- AOxygen makes things burn much more easily and fiercely
- BFlames make the oxygen less effective
- COxygen turns cigarette smoke into a poisonous gas
- DSmoke blocks the oxygen tubing and stops the flow
2.やさしい
What does "cyanosis" describe?
- AA yellow colour of the skin and eyes caused by raised bilirubin
- BA red, flushed face from fever
- CA bluish colour of the skin or lips from poorly oxygenated blood
- DPale skin caused by fear or pain
3.やさしい
The term "polypharmacy" usually means:
- AA patient taking many medicines at the same time
- BA single medicine that contains many active ingredients
- CA pharmacy that sells many different brands
- DGiving one medicine by several routes
4.ふつう
新しく造設した結腸ストーマが術後 2 日目に暗紫色から黒色に見えます。これは何を示していますか?
- A対応不要の、ストーマの術後の正常な内出血
- B便秘
- Cストーマの虚血の可能性があり、至急の評価が必要
- D正常で健康なストーマ
5.ふつう
心不全の患者が 2 日間で 2 kg 体重が増えました。最も考えられるのは?
- A治療の成功
- B脱水
- C体液の貯留
- D筋肉量の増加
6.ふつう
Which advice is important for a patient on long-term oral corticosteroids?
- ADo not stop them suddenly
- BTake them only when symptoms flare
- CDouble the dose if a dose is missed
- DTake them on an empty stomach at night
7.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?
- ADocument the result and take no further action
- BRecheck the haemoglobin next week
- CEscalate urgently, as the patient may be bleeding
- DEncourage the patient to eat iron-rich foods
8.むずかしい
A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?
- ASulfonylureas only work at night
- BThe drug causes rebound hyperglycaemia later the same day
- CThe drug makes glucose tablets and drinks ineffective
- DSulfonylureas act for a long time, so hypoglycaemia can recur
解答
- 1. A · Oxygen makes things burn much more easily and fiercely
- 2. C · A bluish colour of the skin or lips from poorly oxygenated blood
- 3. A · A patient taking many medicines at the same time
- 4. C · ストーマの虚血の可能性があり、至急の評価が必要
- 5. C · 体液の貯留
- 6. A · Do not stop them suddenly
- 7. C · Escalate urgently, as the patient may be bleeding
- 8. D · Sulfonylureas act for a long time, so hypoglycaemia can recur
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