1.やさしい
On a drug chart, "PRN" means a medicine is given:
- AOnce only
- BEvery morning
- CAt night
- DWhen required
2.やさしい
Leukaemia is a cancer of:
- AThe skin
- BThe blood-forming cells of the bone marrow
- CThe lining of the stomach and small bowel
- DThe thyroid gland
3.やさしい
On an ECG, what does the P wave represent?
- AAtrial depolarisation
- BVentricular repolarisation
- CVentricular depolarisation
- DClosure of the heart valves
4.ふつう
How does CPAP help a patient with obstructive sleep apnoea?
- AIt strengthens the breathing muscles during the day
- BIt delivers bronchodilator drugs deep into the lungs overnight
- CIt keeps the upper airway open during sleep with continuous air pressure
- DIt removes excess carbon dioxide from the lungs by gentle suction
5.ふつう
What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?
- AIt does not need routine INR monitoring
- BIt has no risk of bleeding
- CIt never interacts with other drugs
- DIt is safe in all patients with severe kidney failure
6.ふつう
A patient has a fentanyl patch for chronic pain. Which advice is correct?
- AKeep using the old patch with the new one
- BCut the patch in half if the pain improves, to lower the dose
- CAvoid heat sources such as hot water bottles over the patch
- DApply the patch to broken skin for faster effect
7.むずかしい
腹部手術後の患者が 8 時間排尿しておらず、下腹部に不快感があり、膀胱を触れます。最も考えられる問題は?
- A脱水のみ
- B急性尿閉
- C尿が作られない急性腎障害
- D尿閉を伴わない尿路感染症
8.むずかしい
ヘパリン持続投与中の患者で、開始 5 日後に血小板数が急に下がりました。何を疑うべきですか?
- Aヘパリン起因性血小板減少症
- B摂取不足によるビタミン K 欠乏
- Cヘパリンへの正常な反応
- D鉄欠乏性貧血
解答
- 1. D · When required
- 2. B · The blood-forming cells of the bone marrow
- 3. A · Atrial depolarisation
- 4. C · It keeps the upper airway open during sleep with continuous air pressure
- 5. A · It does not need routine INR monitoring
- 6. C · Avoid heat sources such as hot water bottles over the patch
- 7. B · 急性尿閉
- 8. A · ヘパリン起因性血小板減少症
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