1.やさしい
脳卒中のよくある早期サインは?
- A突然の片側の顔のゆがみや片腕の脱力
- 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両腕の皮膚のかゆみ
2.やさしい
Which haemoglobin result in an adult man would be classed as anaemia?
- A95 g/L (9.5 g/dL)
- B140 g/L (14.0 g/dL)
- C155 g/L (15.5 g/dL)
- D165 g/L (16.5 g/dL)
3.やさしい
Shingles (herpes zoster) is caused by:
- AA fungal infection of the nerves
- BReactivation of the chickenpox virus
- CAn allergy to medicines
- DA bacterial skin infection
4.ふつう
Which is a recognised risk factor for postoperative nausea and vomiting?
- AUse of opioids after surgery
- BA short operation under local anaesthetic
- CBeing male
- DBeing a smoker
5.ふつう
What is the main benefit of pulmonary rehabilitation for patients with COPD?
- AReversal of the lung damage caused by smoking
- BBetter exercise capacity and quality of life
- CNo further need for inhalers
- DA cure for the disease within months
6.ふつう
肝硬変の患者が混乱して眠そうになり、手に羽ばたき振戦があります。考えられる合併症は?
- Aインスリンによる低血糖
- B脳卒中
- C肝性脳症
- Dアルコール中毒のみ
7.むずかしい
A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?
- ATo protect the heart muscle directly; the patient must be kept nil by mouth
- BTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
- CTo treat hidden diabetes; HbA1c must be checked daily
- DTo remove potassium from the body; urine output must be stopped for a time
8.むずかしい
A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?
- AAortic dissection
- BGastro-oesophageal reflux
- CStable angina
- DPericarditis
解答
- 1. A · 突然の片側の顔のゆがみや片腕の脱力
- 2. A · 95 g/L (9.5 g/dL)
- 3. B · Reactivation of the chickenpox virus
- 4. A · Use of opioids after surgery
- 5. B · Better exercise capacity and quality of life
- 6. C · 肝性脳症
- 7. B · To shift potassium into cells; blood glucose must be monitored for hypoglycaemia
- 8. A · Aortic dissection
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