1.やさしい
脳卒中のよくある早期サインは?
- A両腕の皮膚のかゆみ
- B数年かけてゆっくり進む記憶の低下
- C痰の出る咳を伴う発熱
- D突然の片側の顔のゆがみや片腕の脱力
2.やさしい
Postural (orthostatic) hypotension is a drop in blood pressure that happens:
- AOnly during heavy exercise or climbing stairs
- BOnly during deep sleep
- COn standing up from lying or sitting
- DAfter eating a large meal
3.やさしい
What does "dysphagia" mean?
- ADifficulty speaking
- BDifficulty swallowing
- CDifficulty breathing
- DPain when passing urine
4.ふつう
心臓のリズムにとって最も危険な電解質異常は?
- Aナトリウムの低下
- Bクロールの上昇
- Cカリウムの高すぎや低すぎ
- Dリン酸の低下
5.ふつう
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- AA fasting cholesterol level
- BBlood cultures
- CA stool sample for occult blood
- DA 24-hour urine collection
6.ふつう
Why can a very low serum albumin contribute to oedema?
- AIt increases the number of red cells
- BIt raises the blood pressure in the capillaries and pushes fluid out
- CIt lowers the oncotic pressure that holds fluid in the blood vessels
- DIt makes the kidneys retain potassium
7.むずかしい
A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?
- ABlood pressure cannot be lowered with drugs
- BA sudden drop can reduce blood flow to the brain, heart and kidneys
- CRapid lowering always causes the hypertension to come back much worse
- DRapid lowering causes hyperglycaemia
8.むずかしい
An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?
- AAcute gastritis from anti-inflammatory drugs
- BRenal colic from a kidney stone
- CA ruptured abdominal aortic aneurysm
- DMusculoskeletal back pain
解答
- 1. D · 突然の片側の顔のゆがみや片腕の脱力
- 2. C · On standing up from lying or sitting
- 3. B · Difficulty swallowing
- 4. C · カリウムの高すぎや低すぎ
- 5. B · Blood cultures
- 6. C · It lowers the oncotic pressure that holds fluid in the blood vessels
- 7. B · A sudden drop can reduce blood flow to the brain, heart and kidneys
- 8. C · A ruptured abdominal aortic aneurysm
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