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黒くタール状で悪臭のある便
- C鮮紅色の血痰を咳とともに出すこと
- D直腸から出る新鮮な赤い血液
2.やさしい
Which electrolyte typically falls in refeeding syndrome?
- AChloride
- BSodium
- CCalcium
- DPhosphate
3.やさしい
At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?
- ATime Out
- BHandover
- CSign Out
- DSign In
4.ふつう
Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?
- ATo stop the inner bumper becoming buried in the stomach wall
- BTo remove any feed left in the stomach
- CTo make the tube longer as the patient grows or gains weight
- DTo check that the patient is still hungry
5.ふつう
輸液蘇生のための熱傷面積を計算するとき、浅い熱傷(日焼けのような赤みだけ)を数えないのはなぜですか?
- A皮膚のバリアが保たれており、失われる水分がわずかだから
- Bほかのどの深さより多くの水分喪失を起こすから
- C常に小さすぎて、図で正確に測れないから
- D常に1日以内に完全に治るから
6.ふつう
How should pancreatic enzyme replacement capsules usually be taken?
- AOnce a day at bedtime
- BWith every meal and snack
- COne hour after meals, on an empty stomach
- DOnly on days with abdominal pain
7.むずかしい
A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?
- A"I'll keep the emergency number and call if I feel shivery."
- B"I'll wash my hands often and avoid people with infections."
- C"I'll check my temperature whenever I feel hot, shivery or unwell."
- D"If I get a fever, I'll take paracetamol and see if it settles."
8.むずかしい
A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?
- A"Some difficulty swallowing can happen in the early weeks."
- B"I'll eat soft, moist food at first and chew it well."
- C"Fizzy drinks will help me bring up wind after meals."
- D"I should eat smaller meals for a while after the operation."
解答
- 1. D · 直腸から出る新鮮な赤い血液
- 2. D · Phosphate
- 3. A · Time Out
- 4. A · To stop the inner bumper becoming buried in the stomach wall
- 5. A · 皮膚のバリアが保たれており、失われる水分がわずかだから
- 6. B · With every meal and snack
- 7. D · "If I get a fever, I'll take paracetamol and see if it settles."
- 8. C · "Fizzy drinks will help me bring up wind after meals."
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