1.やさしい
Rheumatoid arthritis typically affects:
- AThe small joints of the hands and feet on both sides of the body
- BOnly the spine
- COnly the big toe
- DOnly one large weight-bearing joint, such as the knee or hip
2.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痰の出る咳を伴う発熱
- C数年かけてゆっくり進む記憶の低下
- D両腕の皮膚のかゆみ
3.やさしい
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- ARabies vaccine
- BYellow fever vaccine
- CInfluenza vaccine
- DTyphoid vaccine
4.ふつう
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- AUse it only after the pain has lasted over an hour, with the patient lying flat
- BSwallow the spray rather than leaving it under the tongue
- CSit down before using it, as it can cause dizziness and low blood pressure
- DTake it with a large glass of milk to protect the stomach lining
5.ふつう
An arterial blood gas shows a low pH, a high PaCO2 and a normal bicarbonate. What does this show?
- AMetabolic acidosis
- BRespiratory alkalosis
- CMetabolic alkalosis
- DRespiratory acidosis
6.ふつう
What happens in third-degree (complete) heart block?
- AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- BThe ventricles beat very fast and regularly
- CEvery impulse reaches the ventricles, but each one is slightly delayed
- DNo impulses from the atria reach the ventricles, so they beat independently
7.むずかしい
重症喘息の患者が静かになり、「サイレントチェスト」、疲労困憊、呼吸数の低下がみられます。これは何を示していますか?
- Aネブライザー後の正常な回復
- B気管支けいれんが治まり気道が緩んで、発作が改善すること
- C不安のみ
- D呼吸停止が迫った、命に関わる喘息
8.むずかしい
After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?
- ADiabetes insipidus
- BDiabetes mellitus
- CAcute kidney injury
- DSyndrome of inappropriate ADH secretion
解答
- 1. A · The small joints of the hands and feet on both sides of the body
- 2. A · 突然の片側の顔のゆがみや片腕の脱力
- 3. C · Influenza vaccine
- 4. C · Sit down before using it, as it can cause dizziness and low blood pressure
- 5. D · Respiratory acidosis
- 6. D · No impulses from the atria reach the ventricles, so they beat independently
- 7. D · 呼吸停止が迫った、命に関わる喘息
- 8. A · Diabetes insipidus
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