1.やさしい
What is a suprapubic catheter?
- AA catheter passed into the bladder through the urethra
- BA catheter put into the bladder through the abdomen
- CA small catheter used only once and then removed
- DA tube placed into the kidney through the back
2.やさしい
A patient with advanced CKD has a high potassium. Which foods are often limited?
- ABananas, potatoes and oranges
- BWhite rice, pasta and bread
- CApples, berries and cabbage
- DEgg whites, chicken and fish
3.やさしい
クッシング症候群に典型的な特徴はどれですか?
- A寒がり、遅い脈、乾燥した皮膚、びまん性の脱毛
- Bひどい口渇を伴う、大量の薄い尿
- C中心性の体重増加、満月様顔貌、薄い皮膚、高血糖
- D体重減少、低血圧、皮膚の黒ずみ
4.ふつう
脳卒中の静注血栓溶解療法の後、最初の24時間で最も重要な観察はどれですか?
- A1時間ごとの腸蠕動音と腹囲
- B1時間ごとのピークフローと酸素飽和度
- C頻回の神経学的チェックと血圧
- D毎日の体重と水分出納のみ
5.ふつう
Why is propranolol given to a patient with hyperthyroidism?
- ATo ease tremor and palpitations while other treatment starts
- BTo replace the hormone lost from the thyroid gland
- CTo stop the thyroid gland from making any more hormones
- DTo destroy overactive thyroid tissue over a few weeks
6.ふつう
A patient has just started haemodialysis. What usually happens to their protein needs?
- AThey stay exactly the same as they were before dialysis
- BThey increase, because dialysis removes amino acids
- CThey fall to almost zero to rest the kidneys
- DProtein must be replaced only by IV infusion
7.むずかしい
A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?
- A5% glucose (dextrose, D5W)
- B8.4% sodium bicarbonate
- C20% human albumin
- D3% saline
8.むずかしい
Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?
- AAcute rejection, needing urgent transplant team review
- BA side effect of sun exposure
- CDehydration that needs only more oral fluids and rest
- DA normal finding as the kidney settles in
解答
- 1. B · A catheter put into the bladder through the abdomen
- 2. A · Bananas, potatoes and oranges
- 3. C · 中心性の体重増加、満月様顔貌、薄い皮膚、高血糖
- 4. C · 頻回の神経学的チェックと血圧
- 5. A · To ease tremor and palpitations while other treatment starts
- 6. B · They increase, because dialysis removes amino acids
- 7. A · 5% glucose (dextrose, D5W)
- 8. A · Acute rejection, needing urgent transplant team review
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