1.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe right upper abdomen, often after a fatty meal
- BBehind the left knee
- CThe left lower abdomen, usually after drinking water
- DThe lower back on the left, when walking
2.やさしい
Which of these intravenous fluids is isotonic?
- A3% sodium chloride
- B10% glucose
- C0.9% sodium chloride
- D8.4% sodium bicarbonate
3.やさしい
Which of these drugs is an antiplatelet agent?
- AClopidogrel
- BAtorvastatin
- CFurosemide
- DWarfarin
4.ふつう
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AThe stent will dissolve if the drugs are stopped before the course ends
- BStopping causes severe low blood pressure
- CStopping causes immediate kidney failure
- DStopping early greatly increases the risk of a clot forming in the stent
5.ふつう
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- ANon-steroidal anti-inflammatory drugs such as ibuprofen
- BHot packs applied to a painful joint
- CLocal anaesthetic creams
- DParacetamol (acetaminophen), given in a carefully reduced and monitored dose
6.ふつう
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AMagnesium
- BSodium
- CPhosphate
- DChloride
7.むずかしい
A nurse notices that a wrong dose of a drug was prepared but was caught before it was given. What should be done?
- ADiscipline the nurse who prepared it on the spot in front of colleagues
- BReport it as a near miss through the incident reporting system
- CSay nothing, because no harm reached the patient
- DTell only the patient's family
8.むずかしい
腹部手術後の患者が 8 時間排尿しておらず、下腹部に不快感があり、膀胱を触れます。最も考えられる問題は?
- A脱水のみ
- B急性尿閉
- C尿が作られない急性腎障害
- D尿閉を伴わない尿路感染症
解答
- 1. A · The right upper abdomen, often after a fatty meal
- 2. C · 0.9% sodium chloride
- 3. A · Clopidogrel
- 4. D · Stopping early greatly increases the risk of a clot forming in the stent
- 5. A · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 6. A · Magnesium
- 7. B · Report it as a near miss through the incident reporting system
- 8. B · 急性尿閉
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