1.やさしい
Which of these is one of the WHO "5 Moments for Hand Hygiene"?
- AOnly after removing gloves at the end of a shift
- BBefore touching a patient
- COnly when the hands look visibly dirty
- DBefore entering the hospital building
2.やさしい
オピオイド鎮痛薬を使っている患者で特に観察すべきことは?
- A食欲の増加
- B下痢
- C呼吸抑制と鎮静
- D高血圧
3.やさしい
オピオイドによる呼吸抑制を拮抗する薬は?
- Aアトロピン
- Bビタミン K
- Cナロキソン
- Dフルマゼニル
4.ふつう
Which examination findings suggest a large pleural effusion on one side?
- ANormal breath sounds and normal percussion
- BA hyper-resonant chest with the trachea pulled towards that side
- CWheeze heard over both lungs
- DDull percussion and reduced breath sounds over the lung base
5.ふつう
A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?
- ASteroids always cause hypoglycaemia
- BSteroids make glucose meters inaccurate
- CSteroids can raise the blood glucose
- DSteroids destroy the pancreas
6.ふつう
Why are patients advised to rinse their mouth after using an inhaled corticosteroid?
- ATo reduce the risk of oral thrush
- BTo prevent tooth decay from the sugar in it
- CTo make the drug work faster
- DTo stop the drug from being absorbed in the lungs
7.むずかしい
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"I am calling about Mr Smith, who is breathless."
- B"Please review him within the next 15 minutes."
- C"He was admitted three days ago with pneumonia."
- D"His blood pressure is 85/50 and he is confused."
8.むずかしい
死期が迫った患者が意識を失っており、のどの分泌物によるゴロゴロした騒がしい呼吸をしています。適切な対応は?
- A分泌物を薄めて除くため、急速な静脈内輸液を始める
- B夜通し 10 分ごとに深い口腔咽頭吸引を始める
- C患者が窒息しており人工呼吸が必要だと家族に伝える
- D体位を変え、処方された分泌抑制薬を検討し、家族を支える
解答
- 1. B · Before touching a patient
- 2. C · 呼吸抑制と鎮静
- 3. C · ナロキソン
- 4. D · Dull percussion and reduced breath sounds over the lung base
- 5. C · Steroids can raise the blood glucose
- 6. A · To reduce the risk of oral thrush
- 7. B · "Please review him within the next 15 minutes."
- 8. D · 体位を変え、処方された分泌抑制薬を検討し、家族を支える
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