1.やさしい
What is the usual normal white cell count in adults?
- AAbout 50–80 × 109/L (50,000–80,000/mm3)
- BAbout 0.1–0.5 × 109/L (100–500/mm3)
- CAbout 150–400 × 109/L (150,000–400,000/mm3)
- DAbout 4–11 × 109/L (4,000–11,000/mm3)
2.やさしい
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
- AAbout 1.5–2.5 mmol/L
- BAbout 3.5–5.0 mmol/L
- CAbout 6.5–8.0 mmol/L
- DAbout 135–145 mmol/L
3.やさしい
手術後に段階的弾性ストッキングと早期離床を行う主な目的は?
- A静脈血栓塞栓症の予防
- B創感染の予防
- C尿閉の予防
- Dかかとの褥瘡だけの予防
4.ふつう
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs a side effect or intolerance, not a true allergy
- BAs an allergy to all painkillers
- CIt should not be recorded at all
- DAs a severe anaphylactic allergy to all opioids
5.ふつう
Which ECG change is typical of hypokalaemia?
- AST elevation in leads II, III and aVF
- BA very short PR interval with a delta wave
- CTall, peaked T waves
- DFlattened T waves and prominent U waves
6.ふつう
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- ABradycardia
- BHair loss
- CGenital fungal infections
- DSevere weight gain and fluid retention
7.むずかしい
A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?
- ALet the child interpret to save time
- BUse gestures and proceed
- CAsk the patient to sign the form without explanation
- DArrange a professional interpreter
8.むずかしい
A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?
- ATurning the head to one side
- BHyperextending the neck
- CJaw thrust
- DHead tilt with chin lift
解答
- 1. D · About 4–11 × 109/L (4,000–11,000/mm3)
- 2. B · About 3.5–5.0 mmol/L
- 3. A · 静脈血栓塞栓症の予防
- 4. A · As a side effect or intolerance, not a true allergy
- 5. D · Flattened T waves and prominent U waves
- 6. C · Genital fungal infections
- 7. D · Arrange a professional interpreter
- 8. C · Jaw thrust
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