1.やさしい
A "sublingual" medicine is given:
- AThrough the nose
- BUnder the tongue
- CInto the vein
- DBetween the cheek and gum
2.やさしい
What is ascites?
- AFluid in the knee joint
- BAir under the skin
- CFluid in the peritoneal cavity
- DFluid in the pericardial sac
3.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe left lower abdomen, usually after drinking water
- BThe lower back on the left, when walking
- CBehind the left knee
- DThe right upper abdomen, often after a fatty meal
4.ふつう
What is the most common cause of hypernatraemia in frail older inpatients?
- AEating too much salt in one meal
- BNot drinking enough water
- CToo much exercise
- DTaking too many vitamins
5.ふつう
Which tool is commonly used at the bedside to screen for delirium?
- AThe Confusion Assessment Method (CAM)
- BThe Malnutrition Universal Screening Tool
- CThe Braden scale
- DThe Glasgow-Blatchford score
6.ふつう
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- ANon-rebreathe mask with reservoir bag at 15 L/min
- BVenturi mask set to 24%
- CSimple face mask at 5 L/min with the patient sitting up
- DNasal cannula at 2 L/min
7.むずかしい
A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
- AGive IV insulin and glucose straight away
- BRepeat the blood test promptly, as haemolysis can falsely raise potassium
- CStart a potassium supplement
- DIgnore the result because the patient looks well and the ECG is normal
8.むずかしい
高流量酸素を投与中の COPD 患者が眠そうになり、反跳脈と皮膚の紅潮がみられます。血液ガスでは PaCO2 が上昇し pH が低下しています。最も考えられる原因は?
- A一部は過剰な酸素による高二酸化炭素性呼吸不全
- Bオピオイドアレルギー
- C低血糖
- D嘔吐による代謝性アルカローシス
解答
- 1. B · Under the tongue
- 2. C · Fluid in the peritoneal cavity
- 3. D · The right upper abdomen, often after a fatty meal
- 4. B · Not drinking enough water
- 5. A · The Confusion Assessment Method (CAM)
- 6. A · Non-rebreathe mask with reservoir bag at 15 L/min
- 7. B · Repeat the blood test promptly, as haemolysis can falsely raise potassium
- 8. A · 一部は過剰な酸素による高二酸化炭素性呼吸不全
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