1.やさしい
尿比重から、看護師は何が分かりますか?
- A尿に細菌が含まれているか
- B血液中にどのくらいグルコースがあるか
- C尿にどのくらいタンパク質が含まれているか
- D尿がどのくらい濃縮されているか
2.やさしい
What causes myasthenia gravis?
- ACompression of a nerve root in the lower back
- BAntibodies against acetylcholine receptors on muscle
- CDamage to myelin in the brain and spinal cord
- DLoss of dopamine-producing cells in the midbrain
3.やさしい
Why should insulin injection sites be rotated?
- ATo stop the insulin from spreading to other organs
- BTo prevent fatty lumps that absorb insulin unevenly
- CTo avoid building up an immune response to the insulin
- DTo make the insulin work faster each time
4.ふつう
Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?
- AIt contains a strong antibiotic that must be kept
- BIt contains concentrated anticoagulant
- CIt contains the patient's urine
- DIt contains air that keeps the line open
5.ふつう
A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?
- AGlucose
- BAmylase
- CPotassium
- DCalcium
6.ふつう
C6の急性脊髄損傷のある患者で、神経原性ショックを示唆する状態はどれですか?
- A正常な血圧、速い脈、高熱
- B高血圧、遅い脈、ズキズキする頭痛
- C低血圧、速い脈、冷たく湿った皮膚
- D低血圧、遅い脈、温かく乾いた皮膚
7.むずかしい
A patient with CKD has a high phosphate, a low calcium and a high PTH. What does this show?
- ASecondary hyperparathyroidism from CKD
- BToo much vitamin D from supplements
- CPrimary hyperparathyroidism from a tumour
- DHypoparathyroidism after neck surgery
8.むずかしい
During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?
- AAn allergic reaction to the catheter
- BHypoglycaemia from fasting for many hours before surgery
- CA normal reaction to the spinal anaesthetic
- DTURP syndrome from absorbed irrigation fluid
解答
- 1. D · 尿がどのくらい濃縮されているか
- 2. B · Antibodies against acetylcholine receptors on muscle
- 3. B · To prevent fatty lumps that absorb insulin unevenly
- 4. B · It contains concentrated anticoagulant
- 5. C · Potassium
- 6. D · 低血圧、遅い脈、温かく乾いた皮膚
- 7. A · Secondary hyperparathyroidism from CKD
- 8. D · TURP syndrome from absorbed irrigation fluid
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