1.やさしい
仙骨部の皮膚が損傷なく、指で押しても消えない発赤がある場合、褥瘡のどのカテゴリーに分類されますか?
- Aカテゴリー 4
- Bカテゴリー 3
- Cカテゴリー 2
- Dカテゴリー 1
2.やさしい
What is the main purpose of an early warning score such as NEWS2?
- ATo calculate a patient's medicine doses from their observations
- BTo measure how satisfied the patient is
- CTo decide the patient's diet
- DTo help detect clinical deterioration early and trigger a response
3.やさしい
Which structure is the heart's natural pacemaker?
- AThe left ventricle
- BThe sinoatrial (SA) node
- CThe aorta
- DThe mitral valve in the left side of the heart
4.ふつう
Which measure helps reduce the risk of surgical site infection?
- ARemoving hair, if needed, with clippers rather than a razor
- BLeaving the patient cool during surgery to slow bacterial growth
- CChanging the wound dressing every hour
- DShaving the area with a razor the night before surgery
5.ふつう
A patient is receiving IV fluids for several days. Which monitoring is essential?
- AFluid balance, regular weights and urea, creatinine and electrolytes
- BMonthly HbA1c
- CWeekly temperature and a single blood glucose reading
- DPeak flow readings
6.ふつう
Which examination findings suggest a large pleural effusion on one side?
- ANormal breath sounds and normal percussion
- BA hyper-resonant chest with the trachea pulled towards that side
- CDull percussion and reduced breath sounds over the lung base
- DWheeze heard over both lungs
7.むずかしい
人工股関節全置換術後の患者に、突然強い股関節の痛みが起こり、脚が短くなって回旋しています。最も考えられる合併症は?
- A尿閉
- B人工関節の脱臼
- C創感染
- Dふくらはぎの深部静脈血栓症
8.むずかしい
A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?
- A"If I get a temperature, I'll take paracetamol and wait until my next clinic."
- B"I will check my temperature if I feel unwell or shivery at home."
- C"I will wash my hands well before eating and after using the toilet."
- D"I will phone the helpline if I have a fever or shivering."
解答
- 1. D · カテゴリー 1
- 2. D · To help detect clinical deterioration early and trigger a response
- 3. B · The sinoatrial (SA) node
- 4. A · Removing hair, if needed, with clippers rather than a razor
- 5. A · Fluid balance, regular weights and urea, creatinine and electrolytes
- 6. C · Dull percussion and reduced breath sounds over the lung base
- 7. B · 人工関節の脱臼
- 8. A · "If I get a temperature, I'll take paracetamol and wait until my next clinic."
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