1.やさしい
The term "haematuria" means:
- ABlood in the urine
- BBlood in the sputum
- CBlood in the vomit
- DBlood in the stool
2.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe lower back on the left, when walking
- BThe right upper abdomen, often after a fatty meal
- CThe left lower abdomen, usually after drinking water
- DBehind the left knee
3.やさしい
C-reactive protein (CRP) is a blood marker of:
- AInflammation
- BThyroid function
- CKidney function
- DBlood clotting time
4.ふつう
Which pattern is typical of relapsing–remitting multiple sclerosis?
- ASudden severe headache with neck stiffness
- BAttacks of symptoms, such as visual loss or numbness, that improve between relapses
- CConstant weakness that starts in the feet and spreads upwards after a viral illness
- DA single stroke that leaves permanent weakness
5.ふつう
When is a rapid-acting insulin such as insulin aspart usually given?
- AOnly at bedtime
- BOnce a week
- CTwo hours after finishing a meal
- DJust before or with a meal
6.ふつう
甲状腺の手術後、患者に口の周りのしびれと筋肉のけいれん(こむら返り)があります。どの電解質の問題を疑うべきですか?
- A高カリウム血症
- B高マグネシウム血症
- C低カルシウム血症
- D高ナトリウム血症
7.むずかしい
Which finding suggests hypocalcaemia?
- AA flapping tremor of the outstretched hands
- BA slow, irregular pulse with nausea and yellow-tinged vision
- CSevere thirst with a large urine output and constipation
- DSpasm of the hand when a blood pressure cuff is inflated on the arm
8.むずかしい
During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?
- AOnly after three shocks have been delivered by the defibrillator
- BNever, because asystole is not treated with drugs
- CAs soon as IV or IO access is obtained, then every 3–5 minutes
- DOnly once the patient has a pulse again
解答
- 1. A · Blood in the urine
- 2. B · The right upper abdomen, often after a fatty meal
- 3. A · Inflammation
- 4. B · Attacks of symptoms, such as visual loss or numbness, that improve between relapses
- 5. D · Just before or with a meal
- 6. C · 低カルシウム血症
- 7. D · Spasm of the hand when a blood pressure cuff is inflated on the arm
- 8. C · As soon as IV or IO access is obtained, then every 3–5 minutes
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