1.やさしい
Rheumatoid arthritis typically affects:
- AOnly the big toe
- BOnly the spine
- COnly one large weight-bearing joint, such as the knee or hip
- DThe small joints of the hands and feet on both sides of the body
2.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe lower back on the left, when walking
- BBehind the left knee
- CThe right upper abdomen, often after a fatty meal
- DThe left lower abdomen, usually after drinking water
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かかとの褥瘡だけの予防
- B静脈血栓塞栓症の予防
- C創感染の予防
- D尿閉の予防
4.ふつう
1 型糖尿病の患者で、血糖 25 mmol/L、深く速い呼吸、尿ケトン陽性です。考えられる診断は?
- A正常な血糖の変動
- Bケトンを伴わない高浸透圧高血糖状態
- C低血糖
- D糖尿病ケトアシドーシス
5.ふつう
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
- AHigh glucose and high calcium
- BHigh sodium and low potassium
- CLow sodium and high potassium
- DLow haemoglobin and high platelets
6.ふつう
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AWithout monitoring oxygen saturation
- BDriven by high-flow oxygen at 15 L/min for as long as possible
- COnly with the patient lying flat
- DDriven by compressed air, with oxygen given separately if needed
7.むずかしい
大手術後の患者の血圧が下がり、心拍数が上がり、腹部が膨れて張っていますが、創部のドレッシングは乾いています。何を疑うべきですか?
- A心配のない正常な術後の腫れ
- B便秘
- C尿路感染症
- D内出血
8.むずかしい
腸切除術の 2 日後、患者の痛みが強まり、発熱と頻脈があり、創部ドレーンに便のような排液がみられます。最も考えられるのは?
- A正常な術後の回復
- B便秘
- C縫合不全
- D尿閉
解答
- 1. D · The small joints of the hands and feet on both sides of the body
- 2. C · The right upper abdomen, often after a fatty meal
- 3. B · 静脈血栓塞栓症の予防
- 4. D · 糖尿病ケトアシドーシス
- 5. C · Low sodium and high potassium
- 6. D · Driven by compressed air, with oxygen given separately if needed
- 7. D · 内出血
- 8. C · 縫合不全
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