1.やさしい
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
- AAbout 135–145 mmol/L
- BAbout 6.5–8.0 mmol/L
- CAbout 1.5–2.5 mmol/L
- DAbout 3.5–5.0 mmol/L
2.やさしい
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy makes the skin thicker
- BChemotherapy suppresses the bone marrow and lowers the white cell count
- CChemotherapy raises the white cell count too high for it to work properly
- DChemotherapy stops the patient from sweating
3.やさしい
略語 DVT は何を意味しますか?
- A深部静脈血栓症
- B拡張期静脈緊張
- C拡張した心室路
- D直接血管治療
4.ふつう
心臓のリズムにとって最も危険な電解質異常は?
- Aナトリウムの低下
- Bリン酸の低下
- Cクロールの上昇
- Dカリウムの高すぎや低すぎ
5.ふつう
Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?
- ATo work out the patient's fluid needs
- BTo check for a urinary tract infection that could delay ulcer healing
- CTo measure how deep the ulcer is and how much exudate it produces
- DTo exclude significant arterial disease, as compression could cut off blood flow
6.ふつう
Which equipment must always be kept at the bedside of a patient with a tracheostomy?
- AA peak flow meter and a nebuliser
- BSpare tracheostomy tubes, including one a size smaller, and working suction
- CA blood pressure cuff and a spare nasal cannula and oxygen mask only
- DA blood glucose meter and a spare urinary catheter of the same size
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人工関節の脱臼
- B創感染
- Cふくらはぎの深部静脈血栓症
- D尿閉
8.むずかしい
Three days after bowel surgery, a patient has a distended abdomen, vomiting and absent bowel sounds, without colicky pain. What is most likely?
- AParalytic ileus
- BA urinary tract infection
- CNormal recovery after surgery
- DAcute cholecystitis
解答
- 1. D · About 3.5–5.0 mmol/L
- 2. B · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 3. A · 深部静脈血栓症
- 4. D · カリウムの高すぎや低すぎ
- 5. D · To exclude significant arterial disease, as compression could cut off blood flow
- 6. B · Spare tracheostomy tubes, including one a size smaller, and working suction
- 7. A · 人工関節の脱臼
- 8. A · Paralytic ileus
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