1.やさしい
A pleural effusion is:
- AA blood clot in the lung
- BAir in the pleural space after an injury
- CAn infection of the bronchi
- DA collection of fluid in the pleural space
2.やさしい
手術後に早くベッドから起きるよう勧めるのはなぜですか?
- A縫わずに創が治るようにするため
- B全身麻酔の鎮静効果を短くするため
- C血栓や肺の感染のリスクを減らすため
- D血圧をずっと上げるため
3.やさしい
Which of these is a modifiable risk factor for coronary heart disease?
- AFamily history
- BAge
- CSmoking
- DMale sex
4.ふつう
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe patient will need antibiotics
- BPost-exposure prophylaxis works best when started as soon as possible
- CThe needle must be sent for culture
- DThe nurse must be tested for HIV the same day to confirm infection
5.ふつう
Which group of symptoms suggests hypercalcaemia?
- AWeight gain, feeling cold and a slow pulse
- BThirst, constipation, confusion and abdominal pain
- CSweating, tremor and sudden hunger
- DTingling lips, muscle cramps and spasms of the hands and feet
6.ふつう
What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?
- AIt has no risk of bleeding
- BIt never interacts with other drugs
- CIt is safe in all patients with severe kidney failure
- DIt does not need routine INR monitoring
7.むずかしい
A patient with back pain develops numbness around the anus and genitals and new difficulty passing urine. Which condition should be suspected?
- ASimple muscle strain
- BConstipation
- CKidney stones
- DCauda equina syndrome
8.むずかしい
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
- AGTN makes sildenafil toxic to the liver
- BThe combination can cause a severe, dangerous fall in blood pressure
- CSildenafil stops GTN from being absorbed under the tongue at all
- DThe combination causes severe hyperkalaemia
解答
- 1. D · A collection of fluid in the pleural space
- 2. C · 血栓や肺の感染のリスクを減らすため
- 3. C · Smoking
- 4. B · Post-exposure prophylaxis works best when started as soon as possible
- 5. B · Thirst, constipation, confusion and abdominal pain
- 6. D · It does not need routine INR monitoring
- 7. D · Cauda equina syndrome
- 8. B · The combination can cause a severe, dangerous fall in blood pressure
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