1.やさしい
Which body temperature is a fever in an adult?
- A36.8 °C
- B36.4 °C
- C38.5 °C
- D37.1 °C
2.やさしい
成人の心停止で、現在の一次救命処置はどの順序を用いますか?
- AA-C-B:気道、圧迫、呼吸
- BA-B-C:気道、呼吸、循環
- CC-A-B:胸骨圧迫、気道、呼吸
- DB-C-A:呼吸、循環、気道
3.やさしい
Which serum creatinine result suggests reduced kidney function in an adult?
- A0.7 mg/dL (about 60 µmol/L)
- B0.8 mg/dL (about 70 µmol/L)
- C1.0 mg/dL (about 90 µmol/L)
- D3.5 mg/dL (about 310 µmol/L)
4.ふつう
A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?
- ADrinking thin fluids quickly through a straw between bites
- BTalking while eating to stay alert
- CSitting upright with the chin tucked down while swallowing
- DLying flat with the head tilted back
5.ふつう
A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?
- AKeep the head of the bed raised to at least 30 degrees
- BTurn the feed off only while the patient is asleep at night
- CLay the patient flat for an hour after each bag is hung
- DIncrease the feed rate so the stomach empties sooner
6.ふつう
A drowsy patient has an arterial blood gas with pH 7.30, PaCO₂ 58 mmHg (7.7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?
- APoor ventilation causing carbon dioxide to build up
- BLoss of bicarbonate from the bowel through severe diarrhea
- CHyperventilation caused by anxiety
- DToo much bicarbonate from antacids
7.むずかしい
After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?
- ADiabetes insipidus
- BAcute kidney injury with oliguria
- CSIADH
- DDiabetic ketoacidosis
8.むずかしい
A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?
- AChronic venous insufficiency that needs elevation
- BAcute arterial occlusion, which is an emergency
- CA muscle cramp that will pass with stretching
- DA deep vein thrombosis that can be treated next week
解答
- 1. C · 38.5 °C
- 2. C · C-A-B:胸骨圧迫、気道、呼吸
- 3. D · 3.5 mg/dL (about 310 µmol/L)
- 4. C · Sitting upright with the chin tucked down while swallowing
- 5. A · Keep the head of the bed raised to at least 30 degrees
- 6. A · Poor ventilation causing carbon dioxide to build up
- 7. A · Diabetes insipidus
- 8. B · Acute arterial occlusion, which is an emergency
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