1.やさしい
Seasonal influenza is mainly spread by:
- ARespiratory droplets and contaminated hands or surfaces
- BContaminated food only
- CBlood transfusions and contaminated needles
- DMosquito and other insect bites in warm weather
2.やさしい
Postural (orthostatic) hypotension is a drop in blood pressure that happens:
- AOnly during heavy exercise or climbing stairs
- BOn standing up from lying or sitting
- CAfter eating a large meal
- DOnly during deep sleep
3.やさしい
A wheeze heard on chest auscultation is caused by:
- AThe pleural layers rubbing together
- BFluid in the alveoli
- CFluid collecting in the pleural space
- DAir flowing through narrowed airways
4.ふつう
Long-term amiodarone treatment can affect which of the following?
- AThe sense of smell and taste only, with no other effects
- BBlood glucose and cholesterol only
- CHair colour and nail growth only, with no effect on organs
- DThyroid function, the lungs and the skin's sensitivity to sunlight
5.ふつう
Which measure helps reduce the risk of surgical site infection?
- ALeaving the patient cool during surgery to slow bacterial growth
- BShaving the area with a razor the night before surgery
- CChanging the wound dressing every hour
- DRemoving hair, if needed, with clippers rather than a razor
6.ふつう
1 型糖尿病の患者で、血糖 25 mmol/L、深く速い呼吸、尿ケトン陽性です。考えられる診断は?
- A正常な血糖の変動
- B低血糖
- C糖尿病ケトアシドーシス
- Dケトンを伴わない高浸透圧高血糖状態
7.むずかしい
After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?
- AAcute kidney injury
- BSyndrome of inappropriate ADH secretion
- CDiabetes mellitus
- DDiabetes insipidus
8.むずかしい
A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
- AStart a potassium supplement
- BIgnore the result because the patient looks well and the ECG is normal
- CRepeat the blood test promptly, as haemolysis can falsely raise potassium
- DGive IV insulin and glucose straight away
解答
- 1. A · Respiratory droplets and contaminated hands or surfaces
- 2. B · On standing up from lying or sitting
- 3. D · Air flowing through narrowed airways
- 4. D · Thyroid function, the lungs and the skin's sensitivity to sunlight
- 5. D · Removing hair, if needed, with clippers rather than a razor
- 6. C · 糖尿病ケトアシドーシス
- 7. D · Diabetes insipidus
- 8. C · Repeat the blood test promptly, as haemolysis can falsely raise potassium
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