1.やさしい
Which of these intravenous fluids is isotonic?
- A3% sodium chloride
- B8.4% sodium bicarbonate
- C0.9% sodium chloride
- D10% glucose
2.やさしい
What does a peak flow meter measure?
- AThe oxygen level in the blood during a deep breath
- BThe fastest rate at which a person can blow air out
- CThe total amount of air the lungs can hold
- DThe number of breaths per minute
3.やさしい
What is the usual normal white cell count in adults?
- AAbout 4–11 × 109/L (4,000–11,000/mm3)
- BAbout 50–80 × 109/L (50,000–80,000/mm3)
- CAbout 0.1–0.5 × 109/L (100–500/mm3)
- DAbout 150–400 × 109/L (150,000–400,000/mm3)
4.ふつう
Long-term amiodarone treatment can affect which of the following?
- AHair colour and nail growth only, with no effect on organs
- BBlood glucose and cholesterol only
- CThe sense of smell and taste only, with no other effects
- DThyroid function, the lungs and the skin's sensitivity to sunlight
5.ふつう
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BSevere weight gain and fluid retention
- CBradycardia
- DGenital fungal infections
6.ふつう
How does ulcerative colitis differ from Crohn's disease?
- AUlcerative colitis always affects the full thickness of the bowel wall
- BUlcerative colitis can affect any part of the gut from mouth to anus
- CUlcerative colitis affects only the colon, continuously from the rectum
- DUlcerative colitis typically causes patchy "skip" lesions
7.むずかしい
During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?
- AOnly after three shocks have been delivered by the defibrillator
- BNever, because asystole is not treated with drugs
- COnly once the patient has a pulse again
- DAs soon as IV or IO access is obtained, then every 3–5 minutes
8.むずかしい
Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?
- AA thyroid storm
- BNormal postoperative swelling
- CA haematoma compressing the airway
- DHypocalcaemia from parathyroid damage
解答
- 1. C · 0.9% sodium chloride
- 2. B · The fastest rate at which a person can blow air out
- 3. A · About 4–11 × 109/L (4,000–11,000/mm3)
- 4. D · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 5. D · Genital fungal infections
- 6. C · Ulcerative colitis affects only the colon, continuously from the rectum
- 7. D · As soon as IV or IO access is obtained, then every 3–5 minutes
- 8. C · A haematoma compressing the airway
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