1.やさしい
Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?
- ATroponin
- BD-dimer
- CBilirubin
- DAmylase
2.やさしい
意識があり協力できる成人の低血糖に対する第一選択の対応は?
- A脂っこい食事をたっぷりとらせる
- Bブドウ糖タブレットやジュースなど、即効性の糖質を口から与える
- Cインスリンを注射する
- D静脈から 0.9% 生理食塩水だけを入れ、1 時間後に血糖を再確認する
3.やさしい
Why is a platelet transfusion given?
- ATo raise the haemoglobin level in a patient with anaemia
- BTo provide extra protein
- CTo prevent or treat bleeding in a patient with low or poorly working platelets
- DTo treat a high white cell count in a patient with infection or leukaemia
4.ふつう
A nurse gives a patient analgesia for post-operative pain. What should be done next?
- AWait until the next shift before asking the patient about the pain
- BGive a second analgesic straight away just in case
- CReassess the pain and any side effects once the drug has had time to work
- DAssume the pain has gone if the patient is quiet and has their eyes closed
5.ふつう
心不全の患者にピンク色の泡状の痰があり、両肺全体で断続性ラ音が聞こえます。何が起きていますか?
- A気胸
- B上部消化管出血
- C喘息発作
- D急性肺水腫
6.ふつう
Why are patients advised to rinse their mouth after using an inhaled corticosteroid?
- ATo make the drug work faster
- BTo reduce the risk of oral thrush
- CTo stop the drug from being absorbed in the lungs
- DTo prevent tooth decay from the sugar in it
7.むずかしい
Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?
- APharmacists cannot dispense insulin written that way
- BThe abbreviation is only allowed on prescriptions for children
- CThe letters can be misread as a zero, causing a tenfold overdose
- DIt changes the type of insulin given
8.むずかしい
Why can sepsis be missed in older adults?
- AOlder adults cannot develop sepsis because their immune system is weaker
- BOlder adults always have a very high fever
- CBlood tests are not useful in older people
- DThey may have no fever and present with confusion, falls or reduced mobility
解答
- 1. A · Troponin
- 2. B · ブドウ糖タブレットやジュースなど、即効性の糖質を口から与える
- 3. C · To prevent or treat bleeding in a patient with low or poorly working platelets
- 4. C · Reassess the pain and any side effects once the drug has had time to work
- 5. D · 急性肺水腫
- 6. B · To reduce the risk of oral thrush
- 7. C · The letters can be misread as a zero, causing a tenfold overdose
- 8. D · They may have no fever and present with confusion, falls or reduced mobility
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