1.やさしい
心房細動でワルファリンを服用している患者の、通常のINR目標範囲はどれですか?
- A1.0~1.5
- B0.5~1.0
- C2.0~3.0
- D4.0~5.0
2.やさしい
What does an SpO₂ reading measure?
- AThe total haemoglobin level
- BThe amount of carbon dioxide dissolved in the blood
- CThe oxygen level in the brain
- DThe percentage of haemoglobin carrying oxygen
3.やさしい
胸腔ドレナージユニットはどこに置きますか?
- A立てた状態で、患者の肩の高さに
- B場所をとらないよう、ベッドの下に横倒しにして
- Cベッドの上に吊るして、吸引で排液されるようにして
- D立てた状態で、胸より低い位置に
4.ふつう
Why is a higher level of HDL cholesterol considered protective?
- AHDL thins the blood in the same way as an anticoagulant
- BHDL carries cholesterol from the tissues back to the liver
- CHDL lowers the blood pressure directly
- DHDL is converted into vitamin D in the walls of the arteries
5.ふつう
Why is pyridoxine (vitamin B6) often given with isoniazid?
- ATo prevent orange discolouration of urine
- BTo prevent gout attacks
- CTo prevent peripheral neuropathy
- DTo prevent loss of colour vision
6.ふつう
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
- AReduced peripheral perfusion
- BA high haemoglobin level
- CAn unusually strong cardiac output
- DNormal peripheral perfusion
7.むずかしい
A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?
- ACranial diabetes insipidus from brain metastases
- BExcess salt in the diet over several weeks
- CSevere dehydration from poor oral intake
- DSyndrome of inappropriate ADH secretion
8.むずかしい
COPDの患者が、長期酸素療法を続けて退院します。安全のために最も重要な指導のポイントはどれですか?
- A息苦しいときは、必要なだけ流量を上げる
- B予備のボンベをコンロの隣に保管する
- C酸素の近くでは決して喫煙せず、裸火も近づけない
- D鼻の乾燥を和らげるためにワセリンを使う
解答
- 1. C · 2.0~3.0
- 2. D · The percentage of haemoglobin carrying oxygen
- 3. D · 立てた状態で、胸より低い位置に
- 4. B · HDL carries cholesterol from the tissues back to the liver
- 5. C · To prevent peripheral neuropathy
- 6. A · Reduced peripheral perfusion
- 7. D · Syndrome of inappropriate ADH secretion
- 8. C · 酸素の近くでは決して喫煙せず、裸火も近づけない
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