1.쉬움
What is a normal capillary refill time in an adult?
- AMore than 15 seconds
- B8–10 seconds
- C2 seconds or less
- D5–6 seconds
2.쉬움
A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:
- ACPR will not be attempted if the heart stops, but other care continues
- BAll treatment, including food, drink and pain relief, is stopped
- CThe patient must be moved to a hospice
- DThe patient cannot receive antibiotics, fluids or any other active treatment
3.쉬움
Which type of pain is typical of a kidney stone?
- AA tight band around the head
- BSevere, colicky pain from the loin towards the groin
- CA burning pain behind the breastbone after meals
- DA dull ache in both knees
4.보통
An arterial blood gas shows a low pH, a high PaCO2 and a normal bicarbonate. What does this show?
- ARespiratory alkalosis
- BMetabolic alkalosis
- CRespiratory acidosis
- DMetabolic acidosis
5.보통
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
- AAn allergic reaction to the dressing
- BA broken collarbone from being moved onto the table
- CGas used during the operation irritating the diaphragm
- DA heart attack caused by the stress of surgery
6.보통
A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?
- ANormal dialysis fluid
- BPeritonitis
- CA urinary tract infection
- DConstipation
7.어려움
A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?
- A"If I get a temperature, I'll take paracetamol and wait until my next clinic."
- B"I will phone the helpline if I have a fever or shivering."
- C"I will check my temperature if I feel unwell or shivery at home."
- D"I will wash my hands well before eating and after using the toilet."
8.어려움
A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?
- AEscalate urgently, as the patient may be bleeding
- BRecheck the haemoglobin next week
- CEncourage the patient to eat iron-rich foods
- DDocument the result and take no further action
정답표
- 1. C · 2 seconds or less
- 2. A · CPR will not be attempted if the heart stops, but other care continues
- 3. B · Severe, colicky pain from the loin towards the groin
- 4. C · Respiratory acidosis
- 5. C · Gas used during the operation irritating the diaphragm
- 6. B · Peritonitis
- 7. A · "If I get a temperature, I'll take paracetamol and wait until my next clinic."
- 8. A · Escalate urgently, as the patient may be bleeding
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