1.やさしい
A pneumothorax is:
- AAn infection of the lung tissue, usually caused by bacteria
- BA blood clot in the lung arteries
- CFluid in the alveoli, usually from heart failure
- DAir in the pleural space, causing the lung to collapse
2.やさしい
What does "cyanosis" describe?
- AA bluish colour of the skin or lips from poorly oxygenated blood
- BA red, flushed face from fever
- CA yellow colour of the skin and eyes caused by raised bilirubin
- DPale skin caused by fear or pain
3.やさしい
心筋梗塞に最も典型的な症状は?
- A右下腹部だけの痛み
- B深呼吸で悪化し、前かがみになると和らぐ鋭い痛み
- C肋骨の 1 本を押したときの鋭い痛み
- D腕やあごに広がることのある胸の中央の痛みや圧迫感
4.ふつう
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AHyperglycaemia and tremor
- BHair loss and weight gain
- CKidney damage and hearing loss
- DConstipation and urinary retention
5.ふつう
A patient with renal colic is asked to pass urine through a strainer. Why?
- ATo measure the urine's pH and specific gravity
- BTo catch any stone so that it can be analysed
- CTo make passing urine less painful
- DTo remove bacteria from the urine
6.ふつう
交通事故後の患者に強い息切れ、片側の呼吸音の消失、低血圧があり、気管が反対側に偏位しています。考えられる診断は?
- A肺炎
- B緊張性気胸
- C喘息
- D肺水腫
7.むずかしい
高齢の患者が夜のうちに急に混乱し、注意力が変動しています。まず調べるべき原因は?
- Aアルツハイマー病の突然の発症
- B周囲への関心の欠如
- C正常な加齢
- D感染や薬など、背景にある問題によるせん妄
8.むずかしい
The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?
- AThe water seal has been set up correctly for the first time
- BThe drain is working perfectly and needs no checks
- CThe patient's breathing has become normal and the drain can be pulled out by the nurse
- DThe tube may be kinked or blocked, or the lung may have fully re-expanded
解答
- 1. D · Air in the pleural space, causing the lung to collapse
- 2. A · A bluish colour of the skin or lips from poorly oxygenated blood
- 3. D · 腕やあごに広がることのある胸の中央の痛みや圧迫感
- 4. C · Kidney damage and hearing loss
- 5. B · To catch any stone so that it can be analysed
- 6. B · 緊張性気胸
- 7. D · 感染や薬など、背景にある問題によるせん妄
- 8. D · The tube may be kinked or blocked, or the lung may have fully re-expanded
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