1.やさしい
Which urine output is commonly used as the minimum acceptable value for an adult after surgery?
- AAbout 0.05 mL/kg per hour
- BAbout 50 mL/kg per hour
- CAbout 5 mL/kg per hour
- DAbout 0.5 mL/kg per hour
2.やさしい
好中球減少症の患者の感染を減らすために、最も重要な予防策はどれですか?
- A一日中カーテンを閉めておくこと
- B全員による厳格な手指衛生
- C患者をベッドにとどめておくこと
- Dすべての面会者への抗菌薬
3.やさしい
In widely used guidelines, which core temperature defines perioperative hypothermia?
- ABelow 38.0 °C
- BBelow 32.0 °C
- CBelow 36.0 °C
- DBelow 37.5 °C
4.ふつう
A patient has taken oral prednisolone daily for many months. Why is this important before surgery?
- AThey may need extra steroid cover to prevent an adrenal crisis
- BSteroids must always be stopped a full week before any type of surgery
- CSteroids prevent all wound infections after surgery
- DSteroids make the anaesthetic drugs last much longer
5.ふつう
When breaking bad news, what is the first step in frameworks such as SPIKES?
- AAsk the family to decide what the patient should be told
- BSet up a private setting with enough time
- CGive the diagnosis as quickly as possible in the corridor
- DGive all treatment options before checking understanding
6.ふつう
内視鏡検査の前に、上部消化管出血のリスクを評価するために用いるスコアはどれですか?
- ADVTのWellsスコア
- Bグラスゴー・コーマ・スケール
- C褥瘡リスクのウォーターローススコア
- Dグラスゴー・ブラッチフォードスコア
7.むずかしい
An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?
- AA flare of ulcerative colitis
- BAcute infective gastroenteritis
- CFaecal impaction with overflow
- DNormal stool pattern on opioids
8.むずかしい
Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?
- AA high spinal block
- BA post-dural puncture headache
- CA normal spinal effect
- DAn anxiety attack
解答
- 1. D · About 0.5 mL/kg per hour
- 2. B · 全員による厳格な手指衛生
- 3. C · Below 36.0 °C
- 4. A · They may need extra steroid cover to prevent an adrenal crisis
- 5. B · Set up a private setting with enough time
- 6. D · グラスゴー・ブラッチフォードスコア
- 7. C · Faecal impaction with overflow
- 8. A · A high spinal block
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