1.やさしい
糖尿病のある人で、低血糖の定義によく用いられる血糖値はどれですか?
- A4.0 mmol/L未満(約70 mg/dL)
- B10 mmol/L未満(約180 mg/dL)
- C1.0 mmol/L未満(約18 mg/dL)
- D7.0 mmol/L未満(約126 mg/dL)
2.やさしい
Why does a patient with a kidney transplant need lifelong medicines?
- ATo stop the immune system rejecting the new kidney
- BTo keep the blood pressure low enough
- CTo help the new kidney make more urine each day
- DTo prevent kidney stones in the new kidney
3.やさしい
脳卒中の患者が最後に元気だった時間を記録することが重要なのはなぜですか?
- Aその時間が、脳のどちら側が侵されたかを決めるから
- B1時間後に診察された患者は脳卒中ユニットに入院できないから
- C血栓溶解療法などの治療は、発症からの時間に依存するから
- Dその時間が、患者のGCSスコアの計算に必要だから
4.ふつう
Which CSF result is most typical of bacterial meningitis?
- AClear fluid, many lymphocytes, normal glucose and slightly raised protein
- BCloudy fluid, many neutrophils, low glucose and high protein
- CClear fluid with normal cells, glucose and protein
- DBlood-stained fluid that clears in later tubes
5.ふつう
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
- AThey should take very cold baths to reverse the damage
- BHot baths cause new areas of damage in the brain
- CThis shows that the disease has entered a new progressive stage
- DHeat can briefly worsen MS symptoms, which settle when they cool down
6.ふつう
An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?
- AChronic subdural haematoma
- BNormal ageing with mild memory loss
- CAcute extradural haematoma
- DSubarachnoid haemorrhage from an aneurysm
7.むずかしい
手術後、患者の尿量が3時間にわたって15 mL/時で、脈拍110/分、血圧96/58 mmHg、粘膜が乾燥しています。尿量低下の最も考えられる原因はどれですか?
- A麻酔後の尿崩症
- B手術によるSIADH
- C循環血液量減少による腎前性AKI
- D静注輸液による水分過剰
8.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)
- B20% human albumin
- C3% saline
- D8.4% sodium bicarbonate
解答
- 1. A · 4.0 mmol/L未満(約70 mg/dL)
- 2. A · To stop the immune system rejecting the new kidney
- 3. C · 血栓溶解療法などの治療は、発症からの時間に依存するから
- 4. B · Cloudy fluid, many neutrophils, low glucose and high protein
- 5. D · Heat can briefly worsen MS symptoms, which settle when they cool down
- 6. A · Chronic subdural haematoma
- 7. C · 循環血液量減少による腎前性AKI
- 8. A · 5% glucose (dextrose, D5W)
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