1.やさしい
Which description is typical of neuropathic pain?
- AA dull ache that is only present during exercise
- BA pain that only occurs after meals
- CBurning, shooting or tingling pain
- DA sharp pain only when the skin is cut
2.やさしい
The term "oliguria" means:
- APainful urination
- BA low urine output
- CPassing urine at night
- DBlood in the urine
3.やさしい
How is body mass index (BMI) calculated?
- AHeight in metres divided by weight in kilograms, then squared
- BWaist size divided by hip size
- CWeight in kilograms divided by height in metres squared
- DWeight in kilograms multiplied by height in metres
4.ふつう
術後の患者で、心拍数 125/分、血圧 88/50 mmHg、ガーゼが血で染みています。何が起きていますか?
- A正常な痛みの反応
- B不安だけ
- C出血による循環血液量減少性ショック
- D尿路感染による敗血症性ショック
5.ふつう
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A0.5 × 109/L
- B150 × 109/L
- C5 × 109/L
- D15 × 109/L
6.ふつう
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
- AA broken collarbone from being moved onto the table
- BAn allergic reaction to the dressing
- CA heart attack caused by the stress of surgery
- DGas used during the operation irritating the diaphragm
7.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
- BSulfonylureas act for a long time, so hypoglycaemia can recur
- CThe drug causes rebound hyperglycaemia later the same day
- DThe drug makes glucose tablets and drinks ineffective
8.むずかしい
A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?
- AWithout any insulin they can develop diabetic ketoacidosis
- BInsulin is needed for the anaesthetic to work
- CStopping insulin causes immediate hypoglycaemia during the operation
- DInsulin prevents wound infection on its own
解答
- 1. C · Burning, shooting or tingling pain
- 2. B · A low urine output
- 3. C · Weight in kilograms divided by height in metres squared
- 4. C · 出血による循環血液量減少性ショック
- 5. A · 0.5 × 109/L
- 6. D · Gas used during the operation irritating the diaphragm
- 7. B · Sulfonylureas act for a long time, so hypoglycaemia can recur
- 8. A · Without any insulin they can develop diabetic ketoacidosis
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