1.やさしい
The term "pallor" means:
- AYellowing of the skin and eyes
- BBluish fingertips
- CA red, raised rash
- DAbnormal paleness of the skin
2.やさしい
Hepatitis A is mainly spread by:
- AThe faecal–oral route
- BMosquito bites
- CBlood transfusion
- DSexual contact only
3.やさしい
Anaemia means:
- AA raised blood glucose level
- BA higher than normal white cell count
- CA lower than normal haemoglobin level
- DA low platelet count
4.ふつう
Why is oxygen often humidified for a patient with a tracheostomy?
- AHumidification lowers the oxygen concentration to a safer level
- BHumidity is needed for the oxygen to work as a drug
- CDry oxygen causes high blood glucose
- DThe tube bypasses the nose, which normally warms and moistens air
5.ふつう
Modern wound care generally aims to keep a healing wound bed:
- AMoist but not wet
- BCompletely dry and open to the air
- CSoaked in antiseptic solution every day
- DTightly packed with dry gauze
6.ふつう
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ATake it with a large glass of milk to protect the stomach lining
- BSwallow the spray rather than leaving it under the tongue
- CUse it only after the pain has lasted over an hour, with the patient lying flat
- DSit down before using it, as it can cause dizziness and low blood pressure
7.むずかしい
内科病棟の患者が 3 日間下痢をしています。最も適切な感染管理の対応は?
- A資源を節約するため、アルコール手指消毒薬だけを使い手袋は使わない
- B下痢が 1 週間続くまで何もしない
- C個室を空けておくため、患者を大部屋に移す
- D速やかに隔離し、接触予防策をとり、便検体を提出する
8.むずかしい
ステロイドを長期使用している患者が、嘔吐して服用を飛ばした後に急に具合が悪くなり、低血圧と混乱があります。考慮すべき緊急事態は?
- A甲状腺クリーゼ
- B尿崩症
- C副腎クリーゼ
- D高カルシウム血症
解答
- 1. D · Abnormal paleness of the skin
- 2. A · The faecal–oral route
- 3. C · A lower than normal haemoglobin level
- 4. D · The tube bypasses the nose, which normally warms and moistens air
- 5. A · Moist but not wet
- 6. D · Sit down before using it, as it can cause dizziness and low blood pressure
- 7. D · 速やかに隔離し、接触予防策をとり、便検体を提出する
- 8. C · 副腎クリーゼ
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。