1.やさしい
Which hourly urine output is usually taken as the minimum acceptable for an adult?
- AAbout 0.5 mL/kg per hour
- BAbout 5 mL/kg per hour
- CAbout 0.05 mL/kg per hour
- DAbout 10 mL/kg per hour
2.やさしい
血液透析用の動静脈シャントが機能していることを、看護師はどのように確認しますか?
- Aシャント部位の発赤を調べる
- Bスリルを触れ、シャント音(血管雑音)を聴く
- Cシャント側の腕の血圧を測る
- D反対側の腕の橈骨動脈の脈拍を確認する
3.やさしい
Which head injury is classically linked to a lucid interval after a blow to the side of the head?
- AExtradural haematoma
- BChronic subdural haematoma
- CConcussion
- DDiffuse axonal injury
4.ふつう
A patient uses a continuous glucose monitor. Which statement is correct?
- AIt measures glucose directly in the blood every second of the day
- BIt makes finger-prick checks unnecessary in every situation
- CIt works by giving small doses of insulin automatically
- DIt reads glucose in fluid under the skin, a little behind blood glucose
5.ふつう
What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?
- ATo treat a urinary infection after the operation
- BTo give the patient extra fluids
- CTo measure the size of the bladder
- DTo stop blood clots from blocking the catheter
6.ふつう
Where is the zero point of an external ventricular drain usually levelled?
- AAt the level of the umbilicus
- BAt the mid-axillary line of the chest
- CAt the tragus of the ear
- DAt the top of the head
7.むずかしい
A patient with acute glomerulonephritis has a BP of 190/115 mmHg, a severe headache and blurred vision. Which is the priority?
- AUrgent escalation for BP control and close neuro checks
- BRecheck the BP at the next routine round
- CEncourage a walk to relieve the headache
- DGive extra oral fluids to correct the low urine output
8.むずかしい
急性虚血性脳卒中の患者は、血栓溶解療法の適応ではありません。1日目の血圧は190/100 mmHgで、ほかに緊急の問題はありません。一般に適切な対応はどれですか?
- A患者を仰向けに寝かせ、大量の輸液ボーラスを投与する
- B静注薬で110/70 mmHgまで急速に下げる
- C積極的な降圧は避け、脳卒中チームの目標に従う
- D120 mmHg未満になるまで、5分ごとに硝酸薬のスプレーを使う
解答
- 1. A · About 0.5 mL/kg per hour
- 2. B · スリルを触れ、シャント音(血管雑音)を聴く
- 3. A · Extradural haematoma
- 4. D · It reads glucose in fluid under the skin, a little behind blood glucose
- 5. D · To stop blood clots from blocking the catheter
- 6. C · At the tragus of the ear
- 7. A · Urgent escalation for BP control and close neuro checks
- 8. C · 積極的な降圧は避け、脳卒中チームの目標に従う
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