1.やさしい
In which situation can a pulse oximeter show a falsely normal reading?
- AA warm hand at rest
- BBreathing room air
- CCarbon monoxide poisoning
- DA regular pulse of 80/min
2.やさしい
What is the usual SpO₂ of a healthy adult at rest breathing room air?
- AAbout 70–75%
- BAbout 80–85%
- CAbout 60–65%
- DAbout 95–100%
3.やさしい
フロセミドなどのループ利尿薬で、よく低下する電解質はどれですか?
- Aリン酸
- B鉄
- Cカリウム
- D重炭酸
4.ふつう
Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?
- AA nasogastric tube and a feeding pump
- BSpare tubes (same size and one smaller), suction and oxygen
- COnly a spare oxygen mask, since the tube rarely causes problems
- DA urinary catheter set, a blood glucose meter and a thermometer
5.ふつう
A patient with a mechanical heart valve asks to switch from warfarin to apixaban. What is the correct response?
- AAny anticoagulant works equally well once the valve is in place
- BAspirin alone can replace warfarin once the valve has healed
- CMechanical valves do not need anticoagulation after the first month
- DDirect oral anticoagulants are not used for mechanical valves
6.ふつう
During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?
- AA normal finding during pain
- BMyocardial ischaemia
- CPericarditis
- DHyperkalaemia
7.むずかしい
A patient with squamous cell lung cancer becomes confused, thirsty and constipated, with abdominal pain. Which electrolyte disturbance is most likely?
- AHypercalcaemia
- BHypokalaemia
- CHypomagnesaemia
- DHyponatraemia
8.むずかしい
Which method best confirms that an endotracheal tube is in the trachea?
- AMisting inside the tube
- BThe patient's skin colour improving
- CThe chest rising on one side only
- DA sustained waveform on capnography
解答
- 1. C · Carbon monoxide poisoning
- 2. D · About 95–100%
- 3. C · カリウム
- 4. B · Spare tubes (same size and one smaller), suction and oxygen
- 5. D · Direct oral anticoagulants are not used for mechanical valves
- 6. B · Myocardial ischaemia
- 7. A · Hypercalcaemia
- 8. D · A sustained waveform on capnography
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