1.やさしい
グラスゴー・コーマ・スケール(GCS)は何を評価しますか?
- A反射、筋緊張、感覚
- B痛み、吐き気、不安
- C瞳孔の大きさと反応、血圧、脈拍
- D開眼、言語反応、運動反応
2.やさしい
Hypothermia in an adult is usually defined as a core body temperature below:
- A38 °C
- B37 °C
- C35 °C
- D36.5 °C
3.やさしい
成人の安静時の正常な呼吸数は?
- A1 分間に約 4~8 回
- B1 分間に約 25~35 回
- C1 分間に約 12~20 回
- D1 分間に約 40~50 回
4.ふつう
A very anxious patient breathes rapidly for a long period. Which change is expected?
- AMetabolic acidosis from a low bicarbonate
- BRespiratory acidosis from a high PaCO2
- CRespiratory alkalosis from a low PaCO2
- DMetabolic alkalosis from vomiting
5.ふつう
A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?
- ANight-time hypoglycaemia
- BRaised intracranial pressure
- CHyperthyroidism
- DA urinary tract infection
6.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AIncreased urine output, less breathlessness and a falling weight
- BA rise in weight and more lung crackles
- CFalling urine output, new ankle swelling and a rise in weight
- DA rise in blood pressure and a new cough
7.むずかしい
Which type of drug is commonly used to treat neuropathic pain?
- AAntihistamines such as cetirizine
- BSome anticonvulsants or antidepressants, such as gabapentin
- CProton pump inhibitors such as omeprazole
- DAntibiotics such as amoxicillin, given as a long course
8.むずかしい
A patient with back pain develops numbness around the anus and genitals and new difficulty passing urine. Which condition should be suspected?
- ASimple muscle strain
- BKidney stones
- CConstipation
- DCauda equina syndrome
解答
- 1. D · 開眼、言語反応、運動反応
- 2. C · 35 °C
- 3. C · 1 分間に約 12~20 回
- 4. C · Respiratory alkalosis from a low PaCO2
- 5. A · Night-time hypoglycaemia
- 6. A · Increased urine output, less breathlessness and a falling weight
- 7. B · Some anticonvulsants or antidepressants, such as gabapentin
- 8. D · Cauda equina syndrome
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