1.やさしい
Seasonal influenza is mainly spread by:
- ARespiratory droplets and contaminated hands or surfaces
- BContaminated food only
- CMosquito and other insect bites in warm weather
- DBlood transfusions and contaminated needles
2.やさしい
The term "dyspnoea" means:
- ANoisy breathing during sleep
- BBreathlessness
- CChest pain on breathing
- DA cough with sputum
3.やさしい
仙骨部の皮膚が損傷なく、指で押しても消えない発赤がある場合、褥瘡のどのカテゴリーに分類されますか?
- Aカテゴリー 1
- Bカテゴリー 3
- Cカテゴリー 2
- Dカテゴリー 4
4.ふつう
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- ANon-steroidal anti-inflammatory drugs such as ibuprofen
- BHot packs applied to a painful joint
- CLocal anaesthetic creams
- DParacetamol (acetaminophen), given in a carefully reduced and monitored dose
5.ふつう
心不全の患者が 2 日間で 2 kg 体重が増えました。最も考えられるのは?
- A筋肉量の増加
- B治療の成功
- C脱水
- D体液の貯留
6.ふつう
A patient on the ward has shingles with open blisters. Which people are most at risk from contact?
- AOnly people over 80 who have already had shingles themselves
- BNo one, because shingles cannot spread
- CPregnant women and immunocompromised people who have not had chickenpox
- DPeople who have already had chickenpox in childhood and are now healthy
7.むずかしい
第 4 胸髄(T4)の脊髄損傷の患者に、突然ズキズキする頭痛、非常に高い血圧、損傷部位より上の発汗が起こりました。最初の行動は?
- A鎮静薬を与えて 4 時間後に血圧を再確認する
- B患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
- C脳の灌流を改善するため、患者を平らに寝かせて脚を上げる
- D大量の輸液を急速に投与して血圧を再確認する
8.むずかしい
A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?
- AGastro-oesophageal reflux disease
- BAscending cholangitis
- CSimple biliary colic
- DAcute appendicitis
解答
- 1. A · Respiratory droplets and contaminated hands or surfaces
- 2. B · Breathlessness
- 3. A · カテゴリー 1
- 4. A · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 5. D · 体液の貯留
- 6. C · Pregnant women and immunocompromised people who have not had chickenpox
- 7. B · 患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
- 8. B · Ascending cholangitis
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