1.やさしい
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
- AMild constipation
- BFluid collecting in the bases of both lungs
- CNormal breathing during sleep
- DNarrowing or obstruction of the upper airway
2.やさしい
尿路感染症に典型的な所見は?
- A黒色便
- B耳鳴り
- C両足首と下腿のむくみ
- D排尿時の灼熱感と頻尿
3.やさしい
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy suppresses the bone marrow and lowers the white cell count
- BChemotherapy makes the skin thicker
- CChemotherapy stops the patient from sweating
- DChemotherapy raises the white cell count too high for it to work properly
4.ふつう
患者の腹部が板のように硬く、動くと痛みが悪化するため、じっと横になっています。これは何を示唆しますか?
- A尿路感染症
- B便秘
- C消化不良
- D腹膜炎
5.ふつう
アナフィラキシーの第一選択薬は?
- A吸入ステロイド
- Bセチリジンなどの経口抗ヒスタミン薬
- Cアドレナリンの筋肉注射
- D静注のアセトアミノフェン
6.ふつう
化学療法後に好中球減少のある患者の体温が 38.3 °C です。優先すべきことは?
- Aアセトアミノフェンだけを与えて、明日もう一度体温を確認する
- B好中球減少性敗血症として扱い、早急に抗菌薬を静注する
- C患者に散歩を勧める
- D熱が下がるかどうか 24 時間待つ
7.むずかしい
Which drug group is first-line for a prolonged convulsive seizure?
- ABenzodiazepines, such as buccal midazolam or IV lorazepam
- BAntihistamines, such as chlorphenamine
- COpioids, such as morphine or diamorphine, given intravenously
- DBeta-blockers, such as bisoprolol or atenolol
8.むずかしい
Why are patients with nephrotic syndrome at increased risk of blood clots?
- AThey lose all their red cells in the urine, which thickens the remaining blood
- BTheir blood pressure is always very low
- CAnticoagulant proteins are lost in the urine and clotting factors rise
- DThey lose most of their platelets in the urine every day
解答
- 1. D · Narrowing or obstruction of the upper airway
- 2. D · 排尿時の灼熱感と頻尿
- 3. A · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 4. D · 腹膜炎
- 5. C · アドレナリンの筋肉注射
- 6. B · 好中球減少性敗血症として扱い、早急に抗菌薬を静注する
- 7. A · Benzodiazepines, such as buccal midazolam or IV lorazepam
- 8. C · Anticoagulant proteins are lost in the urine and clotting factors rise
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