1.やさしい
Hepatitis B is mainly transmitted by:
- ACoughing and sneezing in a crowded room
- BBlood and other body fluids
- CInsect bites
- DTouching door handles
2.やさしい
In the stroke awareness acronym FAST, what do the letters stand for?
- AFall, Airway, Shock, Temperature
- BFeeling, Awareness, Sight, Touch
- CFace, Arms, Speech, Time
- DFever, Ache, Sweating, Tremor
3.やさしい
The term "oliguria" means:
- APassing urine at night
- BPainful urination
- CBlood in the urine
- DA low urine output
4.ふつう
心臓のリズムにとって最も危険な電解質異常は?
- Aクロールの上昇
- Bリン酸の低下
- Cナトリウムの低下
- Dカリウムの高すぎや低すぎ
5.ふつう
Which pattern is typical of relapsing–remitting multiple sclerosis?
- AAttacks of symptoms, such as visual loss or numbness, that improve between relapses
- BA single stroke that leaves permanent weakness
- CConstant weakness that starts in the feet and spreads upwards after a viral illness
- DSudden severe headache with neck stiffness
6.ふつう
Which group of features is typical of nephrotic syndrome?
- APolyuria, thirst and weight loss
- BBlood in the urine, high blood pressure and reduced urine output only
- CHeavy proteinuria, low serum albumin and oedema
- DSevere loin pain and fever
7.むずかしい
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AA normal response to atrial fibrillation needing no action
- BHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- CA stable rhythm that can safely be reviewed at the next routine ward round
- DAnxiety about the new diagnosis that will settle with reassurance and rest alone
8.むずかしい
A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?
- AAsk the patient to sign the form without explanation
- BArrange a professional interpreter
- CLet the child interpret to save time
- DUse gestures and proceed
解答
- 1. B · Blood and other body fluids
- 2. C · Face, Arms, Speech, Time
- 3. D · A low urine output
- 4. D · カリウムの高すぎや低すぎ
- 5. A · Attacks of symptoms, such as visual loss or numbness, that improve between relapses
- 6. C · Heavy proteinuria, low serum albumin and oedema
- 7. B · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
- 8. B · Arrange a professional interpreter
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