1.やさしい
The term "pyrexia" means:
- AA fast breathing rate
- BA slow heart rate
- CA raised body temperature
- DA low body temperature
2.やさしい
狭心症に典型的な症状は?
- A何日も続き、活動に左右されない痛み
- B労作時に起こり、安静で治まる胸の痛み
- C胸壁を押したときだけの鋭い痛み
- D歩くと起こり、安静で治まるふくらはぎの痛み
3.やさしい
When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:
- A100 mL of retained fluid
- B10 mL of retained fluid
- C1 litre of retained fluid
- D5 litres of retained fluid
4.ふつう
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- APatients can be seriously injured climbing over or becoming trapped in rails
- BBed rails always make patients more confused, but only during the day
- CBed rails are illegal in all hospitals and must never be used at all
- DBed rails stop staff from taking observations
5.ふつう
What is the best way to protect the heels of a bed-bound patient from pressure damage?
- AMassage the heels firmly several times a day to help circulation
- BApply a tight bandage to the heels
- CRest the heels on a rolled-up towel
- DOffload the heels so they do not touch the mattress
6.ふつう
Which features suggest Cushing's syndrome?
- AWeight loss, heat intolerance, tremor and protruding eyes
- BDark skin, low blood pressure, salt craving and a low blood sodium level
- CCoarse facial features and very large hands and feet
- DWeight gain around the trunk, a rounded face and thin, easily bruised skin
7.むずかしい
A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?
- ATo check for rheumatoid arthritis antibodies in the joint fluid
- BTo prevent osteoporosis
- CTo measure the patient's cholesterol
- DTo rule out septic arthritis, which can rapidly destroy the joint
8.むずかしい
濃縮塩化カリウムを急速静注してはいけないのはなぜですか?
- A致死的な不整脈を起こし得るから
- B速く入れると効かないから
- Cすぐに腎不全を起こすから
- D静脈内で結晶化して、カニューレを詰まらせるから
解答
- 1. C · A raised body temperature
- 2. B · 労作時に起こり、安静で治まる胸の痛み
- 3. C · 1 litre of retained fluid
- 4. A · Patients can be seriously injured climbing over or becoming trapped in rails
- 5. D · Offload the heels so they do not touch the mattress
- 6. D · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 7. D · To rule out septic arthritis, which can rapidly destroy the joint
- 8. A · 致死的な不整脈を起こし得るから
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