1.やさしい
Which organism causes tuberculosis?
- AStaphylococcus aureus
- BPseudomonas aeruginosa
- CCorynebacterium diphtheriae
- DMycobacterium tuberculosis
2.やさしい
ピークフローメーターは何を測定しますか?
- A肺が保持できる空気の総量
- B人が息を吹き出せる最も速い空気の流量
- C血液の酸素飽和度
- D1分間の呼吸回数
3.やさしい
What does "hypovolaemia" mean?
- AA reduced volume of blood in the circulation
- BA low level of sodium in the blood
- CA low level of haemoglobin with a normal blood volume
- DA high level of fluid in the tissues
4.ふつう
A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?
- AApply tight jewellery to the left wrist
- BUse only the left arm for heavy lifting to build up its muscles
- CKeep the left arm hanging down and as still as possible all day
- DAvoid BP cuffs and injections on the left arm where possible
5.ふつう
COPDにおける呼吸リハビリテーションとは何ですか?
- A毎年冬に自宅で行う、経口ステロイドと抗菌薬の投与
- B息切れを和らげる、監督下の運動と教育
- C6か月ごとに繰り返す肺機能検査
- D肺の最も障害された部分を切除する手術
6.ふつう
Why must inspired air be humidified for a patient with a tracheostomy?
- AHumidification prevents the cuff from deflating
- BThe nose and upper airway, which warm and moisten air, are bypassed
- CHumidified air contains more oxygen than dry air at the same flow
- DDry air is needed to stop secretions forming in the trachea
7.むずかしい
A patient being treated for pulmonary TB repeatedly misses doses and stops when they feel better. Which strategy is most effective?
- ADirectly observed therapy with support for barriers to adherence
- BStopping treatment, as it is clearly not working for this patient
- CDoubling the dose on the days the patient remembers to take it
- DSwitching to a single drug to make it easier
8.むずかしい
A ventilated patient suddenly desaturates to 82%. The cause is not obvious and the ventilator alarms are sounding. What should the nurse do first?
- ADisconnect and hand-ventilate with 100% oxygen while calling for help
- BIncrease the sedation and watch the monitor for the next half hour
- CChange the ventilator settings to a higher rate
- DSilence the alarm and wait for the result of the next routine blood gas
解答
- 1. D · Mycobacterium tuberculosis
- 2. B · 人が息を吹き出せる最も速い空気の流量
- 3. A · A reduced volume of blood in the circulation
- 4. D · Avoid BP cuffs and injections on the left arm where possible
- 5. B · 息切れを和らげる、監督下の運動と教育
- 6. B · The nose and upper airway, which warm and moisten air, are bypassed
- 7. A · Directly observed therapy with support for barriers to adherence
- 8. A · Disconnect and hand-ventilate with 100% oxygen while calling for help
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