1.やさしい
Which red blood cell group is often called the "universal donor" in an emergency?
- AAB positive
- BO negative
- CB negative
- DA positive
2.やさしい
Jaundice is a yellow colour of the skin and eyes caused by a raised level of:
- ABilirubin
- BUrea
- CGlucose
- DPotassium
3.やさしい
Which hormone made by the kidneys stimulates red blood cell production?
- AAldosterone
- BThyroxine
- CInsulin
- DErythropoietin
4.ふつう
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
- AGas used during the operation irritating the diaphragm
- BA heart attack caused by the stress of surgery
- CAn allergic reaction to the dressing
- DA broken collarbone from being moved onto the table
5.ふつう
敗血症が疑われる患者で血清乳酸値を測るのはなぜですか?
- Aどの抗菌薬を投与すべきかを確定できるから
- B乳酸値の上昇は組織灌流の低下とリスクの高さを示すから
- C患者の血糖を測れるから
- D尿路感染症があるかどうかがわかるから
6.ふつう
患者に新たな混乱があり、呼吸数は 24 回/分、収縮期血圧は 95 mmHg です。まず何を疑うべきですか?
- A正常な術後の回復
- B不安
- C敗血症
- Dアルコール中毒
7.むずかしい
A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?
- AParacetamol overdose causes immediate breathing problems
- BPatients who feel well after six hours never need any treatment at all
- CLiver damage develops later, and the antidote works best when given early
- DParacetamol damage only shows up in the kidneys, many weeks later
8.むずかしい
ステロイドを長期使用している患者が、嘔吐して服用を飛ばした後に急に具合が悪くなり、低血圧と混乱があります。考慮すべき緊急事態は?
- A甲状腺クリーゼ
- B高カルシウム血症
- C副腎クリーゼ
- D尿崩症
解答
- 1. B · O negative
- 2. A · Bilirubin
- 3. D · Erythropoietin
- 4. A · Gas used during the operation irritating the diaphragm
- 5. B · 乳酸値の上昇は組織灌流の低下とリスクの高さを示すから
- 6. C · 敗血症
- 7. C · Liver damage develops later, and the antidote works best when given early
- 8. C · 副腎クリーゼ
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