1.やさしい
What is a wheeze?
- AA low rattling sound caused by fluid in the throat
- BA crackling sound heard over the heart
- CA harsh sound heard only when breathing in through the nose
- DA high-pitched whistling sound caused by narrowed airways
2.やさしい
注射のあと、使用済みの針はどうすべきですか?
- A一般ごみの容器に入れる
- Bリキャップせずに、すぐに鋭利物廃棄容器に入れる
- C処置が終わってから捨てるために、トレーに置いておく
- D両手で慎重にリキャップする
3.やさしい
低血糖に典型的なサインはどれですか?
- A発汗、ふるえ、混乱
- B乾いた熱い皮膚と遅い呼吸
- Cのどの渇きと多量の排尿
- D体重増加と足首のむくみ
4.ふつう
A patient's blood pressure is much higher than in all previous readings. What is the best first step?
- ARecheck it, making sure the technique and cuff size are correct
- BRecord it and give an extra dose of the blood pressure tablet
- CTell the patient they are having a stroke
- DIgnore it, as it must be a machine error
5.ふつう
共感(empathy)と同情(sympathy)の違いは何ですか?
- A共感とは、患者の気持ちを患者の視点から理解すること
- B共感とは、患者を気の毒に思い、その苦痛に巻き込まれること
- C同情とは、完全に中立を保つこと
- D両者に違いはない
6.ふつう
A patient has pneumonia in the right lung only. In which side-lying position is oxygenation usually best?
- ALying on the left side
- BLying on the right side
- CLying face down
- DLying flat on the back
7.むずかしい
A patient with COPD and a known risk of hypercapnia is acutely breathless with an SpO₂ of 82%. What is correct?
- AWithhold oxygen completely, because oxygen is dangerous in COPD
- BGive the highest oxygen flow possible and aim for 100%
- CGive controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
- DWait for an arterial blood gas result before giving any oxygen at all
8.むずかしい
The family of a patient with terminal cancer worries that morphine will make the patient addicted. What is the best response?
- ATell them that addiction does not matter at this stage
- BAgree that the morphine should be stopped to protect the patient
- CExplain that addiction is uncommon when morphine is used for pain
- DSuggest giving the morphine only once a day
解答
- 1. D · A high-pitched whistling sound caused by narrowed airways
- 2. B · リキャップせずに、すぐに鋭利物廃棄容器に入れる
- 3. A · 発汗、ふるえ、混乱
- 4. A · Recheck it, making sure the technique and cuff size are correct
- 5. A · 共感とは、患者の気持ちを患者の視点から理解すること
- 6. A · Lying on the left side
- 7. C · Give controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
- 8. C · Explain that addiction is uncommon when morphine is used for pain
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