1.ง่าย
What should be done with a used needle after an injection?
- APut it in the clinical waste bag
- BPut it straight into a sharps container without recapping
- CPlace it on the bed until the end of the round
- DRecap it carefully using both hands, then put it in the bin
2.ง่าย
In the chain of infection, hand hygiene mainly breaks which link?
- AThe mode of transmission
- BThe infectious agent's ability to grow
- CThe susceptibility of the host
- DThe reservoir of infection
3.ง่าย
Why should insulin injection sites be rotated?
- ATo make the insulin work more slowly and evenly every time
- BTo stop the insulin from freezing under the skin
- CTo prevent lumpy fatty areas that make absorption unpredictable
- DBecause insulin causes the skin to bleed if one site is used often
4.ปานกลาง
Which is a recognised risk factor for postoperative nausea and vomiting?
- ABeing male
- BA short operation under local anaesthetic
- CUse of opioids after surgery
- DBeing a smoker
5.ปานกลาง
Which factor is most likely to slow wound healing?
- AGood blood glucose control
- BA diet rich in protein
- CAdequate fluid intake
- DSmoking
6.ปานกลาง
ผู้ป่วยสับสนขึ้นใหม่ อัตราการหายใจ 24/นาที และความดันซิสโตลิก 95 mmHg ควรสงสัยอะไรก่อน?
- Aมึนเมาแอลกอฮอล์
- Bการฟื้นตัวหลังผ่าตัดตามปกติ
- Cภาวะติดเชื้อในกระแสเลือด (sepsis)
- Dความวิตกกังวล
7.ยาก
Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?
- AAdrenaline always causes a heart attack hours later
- BAntihistamines cause dangerous drowsiness for 24 hours
- CThe patient must stay until all allergy tests are complete
- DSymptoms can return later in a biphasic reaction
8.ยาก
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
- APost-renal acute kidney injury from obstruction, treated with a catheter
- BIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
- CChronic kidney disease, treated with long-term dialysis three times a week
- DPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
เฉลย
- 1. B · Put it straight into a sharps container without recapping
- 2. A · The mode of transmission
- 3. C · To prevent lumpy fatty areas that make absorption unpredictable
- 4. C · Use of opioids after surgery
- 5. D · Smoking
- 6. C · ภาวะติดเชื้อในกระแสเลือด (sepsis)
- 7. D · Symptoms can return later in a biphasic reaction
- 8. D · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
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