1.やさしい
成人で脱水を示唆するサインは?
- A足首のむくみ、肺の断続性ラ音、頸静脈圧の上昇
- B口の潤い、薄い尿、正常な脈拍
- C2 日間での体重増加
- D口の乾き、濃く濃縮された尿、頻脈
2.やさしい
A patient's care plan says "nil by mouth". What does this mean?
- AFood is allowed, but drinks must be stopped until the next day
- BNo food or drink by mouth unless specific exceptions are prescribed
- CThe patient may eat if they feel hungry
- DOnly clear fluids such as water and black tea are allowed
3.やさしい
How is body mass index (BMI) calculated?
- AWeight in kilograms multiplied by height in metres
- BHeight in metres divided by weight in kilograms, then squared
- CWeight in kilograms divided by height in metres squared
- DWaist size divided by hip size
4.ふつう
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ALying face down
- BStanding up and walking around
- CSitting upright with the legs dangling
- DLying flat, with the legs raised
5.ふつう
Which is a major risk factor for Clostridioides difficile infection?
- ARegular exercise
- BTaking regular paracetamol
- CA diet high in fibre and fresh fruit
- DRecent broad-spectrum antibiotic use
6.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ストーマの虚血の可能性があり、至急の評価が必要
- B便秘
- C正常で健康なストーマ
- D対応不要の、ストーマの術後の正常な内出血
7.むずかしい
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AEnteral syringes measure doses less accurately
- BIV syringes cannot hold liquid medicines
- CEnteral syringes keep the medicine sterile
- DTo prevent accidental intravenous administration
8.むずかしい
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
- AChronic kidney disease, treated with long-term dialysis three times a week
- BPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
- CPost-renal acute kidney injury from obstruction, treated with a catheter
- DIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
解答
- 1. D · 口の乾き、濃く濃縮された尿、頻脈
- 2. B · No food or drink by mouth unless specific exceptions are prescribed
- 3. C · Weight in kilograms divided by height in metres squared
- 4. D · Lying flat, with the legs raised
- 5. D · Recent broad-spectrum antibiotic use
- 6. A · ストーマの虚血の可能性があり、至急の評価が必要
- 7. D · To prevent accidental intravenous administration
- 8. B · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
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