1.やさしい
急性腎障害(AKI)とは何を意味しますか?
- A腎組織の細菌感染症
- B数年かけてゆっくり進む、恒久的な腎機能の喪失
- C機能に変化のない腎結石
- D数時間から数日で急に腎機能が低下すること
2.やさしい
The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?
- AHypoglossal nerve (XII)
- BFacial nerve (VII)
- CTrigeminal nerve (V)
- DAccessory nerve (XI)
3.やさしい
What is the most common cause of intrinsic (renal) acute kidney injury in hospital?
- AAcute tubular necrosis
- BPolycystic kidney disease
- CAn enlarged prostate
- DKidney stones
4.ふつう
A patient uses a continuous glucose monitor. Which statement is correct?
- AIt makes finger-prick checks unnecessary in every situation
- BIt reads glucose in fluid under the skin, a little behind blood glucose
- CIt works by giving small doses of insulin automatically
- DIt measures glucose directly in the blood every second of the day
5.ふつう
Why is once-daily prednisolone usually taken in the morning with food?
- ATo match the natural cortisol rhythm and protect the stomach
- BBecause it causes drowsiness and is safer to take during the day
- CBecause food doubles the strength of the dose
- DBecause it cannot be absorbed at night
6.ふつう
A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?
- AThrough the nose with a guidewire
- BThrough the mouth (orogastric)
- CThrough a fine-bore nasal tube
- DThrough the nose (nasogastric)
7.むずかしい
On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?
- ANormal tiredness after major surgery
- BRe-bleeding from the secured aneurysm
- CDelayed cerebral ischaemia from vasospasm
- DHypoglycaemia from reduced eating
8.むずかしい
Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?
- ADo a bladder scan to check for retention
- BTell the patient to drink two litres of water quickly
- CPut the catheter back without assessing
- DWait until the next morning before checking
解答
- 1. D · 数時間から数日で急に腎機能が低下すること
- 2. D · Accessory nerve (XI)
- 3. A · Acute tubular necrosis
- 4. B · It reads glucose in fluid under the skin, a little behind blood glucose
- 5. A · To match the natural cortisol rhythm and protect the stomach
- 6. B · Through the mouth (orogastric)
- 7. C · Delayed cerebral ischaemia from vasospasm
- 8. A · Do a bladder scan to check for retention
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