1.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酸素が胸の痛みを悪化させるから
- B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
- 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
2.やさしい
The term "epistaxis" means:
- ABleeding gums
- BCoughing up blood
- CA nosebleed
- DBlood in the urine
3.やさしい
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A10 mmol/L
- B7 mmol/L
- C4 mmol/L
- D1 mmol/L
4.ふつう
患者の NEWS2 スコアが 7 に上がりました。適切な対応は?
- Aスコアを記録し、観察を増やして、朝の回診を待つ
- B集中治療の技能を持つ臨床チームによる緊急評価
- C鎮静薬を与えて後で再確認する
- D12 時間ごとの観察を続ける
5.ふつう
Which of these is a non-drug measure that can help relieve pain?
- ATelling the patient that the pain is not real
- BKeeping the patient awake all night
- CRestricting visitors completely
- DRepositioning and distraction
6.ふつう
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AHair loss and weight gain
- BKidney damage and hearing loss
- CHyperglycaemia and tremor
- DConstipation and urinary retention
7.むずかしい
A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?
- AThe analgesia has started working
- BThe appendicitis has resolved without treatment
- CThe appendix has perforated, causing peritonitis
- DThe patient has developed gastroenteritis
8.むずかしい
A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?
- AAcute angle-closure glaucoma
- BA stye
- CDry eye syndrome
- DSimple conjunctivitis from a viral infection
解答
- 1. B · 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
- 2. C · A nosebleed
- 3. C · 4 mmol/L
- 4. B · 集中治療の技能を持つ臨床チームによる緊急評価
- 5. D · Repositioning and distraction
- 6. B · Kidney damage and hearing loss
- 7. C · The appendix has perforated, causing peritonitis
- 8. A · Acute angle-closure glaucoma
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