1.やさしい
Which of these drugs is an antiplatelet agent?
- AClopidogrel
- BFurosemide
- CWarfarin
- DAtorvastatin
2.やさしい
The term "hypovolaemia" means:
- AA low volume of blood or fluid in the circulation
- BA low level of oxygen in the blood
- CA high level of potassium in the circulating blood
- DToo much fluid in the circulation
3.やさしい
重症 COPD の患者で、より低い酸素飽和度の目標(88~92%)がよく使われるのはなぜですか?
- Aこうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから
- B酸素が胸の痛みを悪化させるから
- C肺がまったく酸素を吸収できないから
- D酸素は COPD のときだけ燃えやすいから
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
- BThe needle must be sent for culture
- CPost-exposure prophylaxis works best when started as soon as possible
- DThe nurse must be tested for HIV the same day to confirm infection
5.ふつう
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
- ALow sodium and high potassium
- BHigh sodium and low potassium
- CHigh glucose and high calcium
- DLow haemoglobin and high platelets
6.ふつう
Which ECG change is typical of hypokalaemia?
- ATall, peaked T waves
- BA very short PR interval with a delta wave
- CST elevation in leads II, III and aVF
- DFlattened T waves and prominent U waves
7.むずかしい
Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?
- ABeta-blockers stop the liver from responding to insulin
- BBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
- CBeta-blockers make the patient sleep through the night
- DBeta-blockers can mask warning signs such as tremor and a fast heart rate
8.むずかしい
A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?
- ATo treat hidden diabetes; HbA1c must be checked daily
- BTo protect the heart muscle directly; the patient must be kept nil by mouth
- CTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
- DTo remove potassium from the body; urine output must be stopped for a time
解答
- 1. A · Clopidogrel
- 2. A · A low volume of blood or fluid in the circulation
- 3. A · こうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから
- 4. C · Post-exposure prophylaxis works best when started as soon as possible
- 5. A · Low sodium and high potassium
- 6. D · Flattened T waves and prominent U waves
- 7. D · Beta-blockers can mask warning signs such as tremor and a fast heart rate
- 8. C · To shift potassium into cells; blood glucose must be monitored for hypoglycaemia
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