1.やさしい
Why is jewellery removed or taped before surgery?
- ABecause metal jewellery increases blood loss during the operation
- BTo reduce the risk of diathermy burns and pressure injury
- CTo make the patient's weight easier to measure
- DBecause metal raises the risk of postoperative nausea
2.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AHypothyroidism, gout and hair loss
- BStroke, heart attack and kidney disease
- CAsthma, eczema and hay fever
- DAnaemia and osteoporosis
3.やさしい
心筋梗塞に最も典型的な症状は?
- A肋骨の 1 本を押したときの鋭い痛み
- B右下腹部だけの痛み
- C腕やあごに広がることのある胸の中央の痛みや圧迫感
- D深呼吸で悪化し、前かがみになると和らぐ鋭い痛み
4.ふつう
Why is lactulose given to a patient with hepatic encephalopathy?
- ATo reduce the absorption of ammonia from the gut
- BTo increase the liver's production of albumin
- CTo stop bleeding from varices
- DTo lower the blood glucose
5.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不安
- B正常な術後の回復
- Cアルコール中毒
- D敗血症
6.ふつう
未分画ヘパリンの拮抗に使う薬は?
- Aビタミン K(フィトメナジオン)
- Bプロタミン硫酸塩
- Cフルマゼニル
- Dナロキソン
7.むずかしい
重い高カリウム血症に古典的にみられる心電図変化は?
- A高く尖った T 波
- BPR 間隔の短縮
- CST 低下だけ
- D目立つ U 波
8.むずかしい
A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?
- ASulfonylureas only work at night
- BThe drug causes rebound hyperglycaemia later the same day
- CThe drug makes glucose tablets and drinks ineffective
- DSulfonylureas act for a long time, so hypoglycaemia can recur
解答
- 1. B · To reduce the risk of diathermy burns and pressure injury
- 2. B · Stroke, heart attack and kidney disease
- 3. C · 腕やあごに広がることのある胸の中央の痛みや圧迫感
- 4. A · To reduce the absorption of ammonia from the gut
- 5. D · 敗血症
- 6. B · プロタミン硫酸塩
- 7. A · 高く尖った T 波
- 8. D · Sulfonylureas act for a long time, so hypoglycaemia can recur
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