1.やさしい
In peritoneal dialysis, what acts as the dialysis membrane?
- AThe lining of the abdominal cavity
- BA filter in a machine outside the body
- CThe wall of the bladder
- DThe lining of the stomach
2.やさしい
最も多い脳卒中の種類はどれですか?
- A脳の静脈洞血栓症
- B動脈瘤によるくも膜下出血
- C動脈の閉塞による虚血性脳卒中
- D動脈の破裂による出血性脳卒中
3.やさしい
What is the most common cause of Cushing's syndrome?
- AA tumour of the adrenal medulla
- BLong-term use of glucocorticoid medicines
- CAn autoimmune attack on the adrenal glands
- DA lack of ACTH from the pituitary gland
4.ふつう
A stroke patient with dysphagia has been started on a modified diet. Which action best reduces the risk of aspiration?
- ASit the patient fully upright for meals and for a while afterwards
- BLay the patient flat straight after meals so they can rest and digest
- CFeed quickly so the patient does not tire during the meal
- DGive fluids through a straw so they flow more slowly
5.ふつう
A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?
- AThe patient is passing urine normally
- BThe kidneys are making too little urine
- CThe patient has drunk too little fluid
- DThe bladder is not emptying properly
6.ふつう
A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?
- AIt should be taken on an empty stomach with milk
- BIt may turn the urine dark yellow or brown
- CIt turns the tears and sweat bright orange
- DIt must be taken only once a week
7.むずかしい
高齢の2型糖尿病患者の血糖が48 mmol/L、浸透圧が365 mOsm/kgで、有意なケトンはなく、錯乱があります。最優先は何ですか?
- A治療中の低血糖を予防するための、経口ブドウ糖
- B1時間以内に血糖を正常化するための、大量のインスリン静注ボーラス
- C脳浮腫を避けるための、厳格な水分制限
- D浸透圧、ナトリウム、血糖の綿密な確認を伴う、慎重な静注輸液
8.むずかしい
A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?
- A"I will check my exit site every day."
- B"If the fluid is cloudy, I'll see if it clears next time."
- C"I will wash my hands carefully before each exchange."
- D"I will weigh myself daily and record my fluid balance."
解答
- 1. A · The lining of the abdominal cavity
- 2. C · 動脈の閉塞による虚血性脳卒中
- 3. B · Long-term use of glucocorticoid medicines
- 4. A · Sit the patient fully upright for meals and for a while afterwards
- 5. D · The bladder is not emptying properly
- 6. B · It may turn the urine dark yellow or brown
- 7. D · 浸透圧、ナトリウム、血糖の綿密な確認を伴う、慎重な静注輸液
- 8. B · "If the fluid is cloudy, I'll see if it clears next time."
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