1.やさしい
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A10 mmol/L
- B7 mmol/L
- C4 mmol/L
- D1 mmol/L
2.やさしい
Anaemia means:
- AA lower than normal haemoglobin level
- BA low platelet count
- CA higher than normal white cell count
- DA raised blood glucose level
3.やさしい
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
- ACategory 4
- BCategory 2
- CCategory 1
- DCategory 3
4.ふつう
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- ABed rails always make patients more confused, but only during the day
- BPatients can be seriously injured climbing over or becoming trapped in rails
- CBed rails are illegal in all hospitals and must never be used at all
- DBed rails stop staff from taking observations
5.ふつう
A rising serum creatinine most often indicates:
- AIncreased muscle strength
- BReduced kidney function
- CDehydration of the skin only
- DImproved liver function
6.ふつう
ジゴキシンを服用中の患者に吐き気があり、脈拍は 48 回/分で、何もかも黄色く見えると訴えています。何を疑うべきですか?
- Aジゴキシン中毒
- B甲状腺機能亢進症
- C低血糖
- D対応不要の正常な副作用
7.むずかしい
Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?
- AA slightly raised respiratory rate
- BA rise in heart rate
- CCool peripheries
- DA fall in blood pressure
8.むずかしい
A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?
- ATo check for rheumatoid arthritis antibodies in the joint fluid
- BTo measure the patient's cholesterol
- CTo prevent osteoporosis
- DTo rule out septic arthritis, which can rapidly destroy the joint
解答
- 1. C · 4 mmol/L
- 2. A · A lower than normal haemoglobin level
- 3. B · Category 2
- 4. B · Patients can be seriously injured climbing over or becoming trapped in rails
- 5. B · Reduced kidney function
- 6. A · ジゴキシン中毒
- 7. D · A fall in blood pressure
- 8. D · To rule out septic arthritis, which can rapidly destroy the joint
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