1.やさしい
脳卒中のよくある早期サインは?
- A数年かけてゆっくり進む記憶の低下
- B両腕の皮膚のかゆみ
- C突然の片側の顔のゆがみや片腕の脱力
- D痰の出る咳を伴う発熱
2.やさしい
What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
- A135–145 mmol/L
- B95–105 mmol/L
- C3.5–5.0 mmol/L
- D2.2–2.6 mmol/L
3.やさしい
高二酸化炭素血症のリスクがない急性期の成人の多くで、酸素飽和度(SpO2)の通常の目標値は?
- A全員 88~92%
- B80~84%
- C常に 100%
- D94~98%
4.ふつう
Which oxygen device delivers a precise, fixed concentration of oxygen?
- ANasal cannula
- BVenturi mask
- CNon-rebreathe mask
- DSimple face mask
5.ふつう
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
- AGas used during the operation irritating the diaphragm
- BA broken collarbone from being moved onto the table
- CAn allergic reaction to the dressing
- DA heart attack caused by the stress of surgery
6.ふつう
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- AVenturi mask set to 24%
- BSimple face mask at 5 L/min with the patient sitting up
- CNon-rebreathe mask with reservoir bag at 15 L/min
- DNasal cannula at 2 L/min
7.むずかしい
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"His blood pressure is 85/50 and he is confused."
- B"He was admitted three days ago with pneumonia."
- C"I am calling about Mr Smith, who is breathless."
- D"Please review him within the next 15 minutes."
8.むずかしい
A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?
- A"If I forget a dose, I'll take two the next day to catch up."
- B"I will take it at the same time each day."
- C"I will report any blood in my urine."
- D"I will tell other doctors and my dentist I take an anticoagulant."
解答
- 1. C · 突然の片側の顔のゆがみや片腕の脱力
- 2. A · 135–145 mmol/L
- 3. D · 94~98%
- 4. B · Venturi mask
- 5. A · Gas used during the operation irritating the diaphragm
- 6. C · Non-rebreathe mask with reservoir bag at 15 L/min
- 7. D · "Please review him within the next 15 minutes."
- 8. A · "If I forget a dose, I'll take two the next day to catch up."
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