1.やさしい
血便(ヘマトケジア)とは何ですか?
- A新鮮な赤い血液の嘔吐
- B鮮紅色の血痰を咳とともに出すこと
- C直腸から出る新鮮な赤い血液
- D黒くタール状で悪臭のある便
2.やさしい
How is parenteral nutrition given?
- AThrough a nasogastric tube into the stomach
- BInto the muscle of the thigh
- CInto a vein, usually through a central line
- DBy mouth as a thick supplement drink
3.やさしい
What is the first aid for a dry chemical powder on the skin?
- ABrush off the powder, then irrigate with plenty of water
- BRub it in with a wet cloth to spread it thinly over the skin
- CAdd vinegar to neutralise it at once
- DCover it with a tight dressing and wait
4.ふつう
Why is a pregnancy test often done before surgery in women who could be pregnant?
- AIt is needed to calculate the anaesthetic drug dose
- BAnaesthesia, drugs and some tests may harm a fetus
- CPregnancy always makes surgery impossible
- DPregnant women cannot sign consent forms
5.ふつう
Which lifestyle change most improves the course of Crohn's disease?
- ADrinking more coffee
- BEating more red meat
- CStopping smoking
- DAvoiding all exercise
6.ふつう
After a percutaneous liver biopsy, how is the patient usually positioned at first?
- ASitting upright, with the legs over the edge of the bed
- BProne, with the head lower than the feet
- COn the right side, to press on the puncture site
- DOn the left side, to drain the liver
7.むずかしい
A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?
- AMassage around the wound every hour to stimulate blood flow to the skin
- BLeave it uncovered and dry it with a hair dryer
- CSit the patient upright in a chair for most of the day
- DOffload the area, manage moisture, support nutrition and dress it
8.むずかしい
An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?
- A4800 mL
- B9600 mL
- C2400 mL
- D3200 mL
解答
- 1. C · 直腸から出る新鮮な赤い血液
- 2. C · Into a vein, usually through a central line
- 3. A · Brush off the powder, then irrigate with plenty of water
- 4. B · Anaesthesia, drugs and some tests may harm a fetus
- 5. C · Stopping smoking
- 6. C · On the right side, to press on the puncture site
- 7. D · Offload the area, manage moisture, support nutrition and dress it
- 8. A · 4800 mL
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。