1.やさしい
How far does the fundus normally descend each day after birth?
- AAbout 5 cm per day
- BAbout 1 cm per day
- CIt stays at the umbilicus for 2 weeks
- DAbout 1 cm per week
2.やさしい
産後 3~4 日間に見られる悪露はどれですか?
- A白色悪露:白色または黄色がかった分泌物
- B漿液性悪露:ピンク色から褐色の分泌物
- C赤色悪露:小さな凝血を伴うことのある赤い分泌物
- D第 1 週の終わりまで分泌物はない
3.やさしい
What is placenta accreta?
- AA placenta that implants over the cervix
- BA placenta with an extra small lobe
- CA placenta attached too deeply into the wall
- DA placenta that separates from the wall before birth
4.ふつう
Which substance in amniotic fluid is used to judge fetal lung maturity?
- AAlpha-fetoprotein, assessed by its level
- BBilirubin, assessed by its colour
- CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- DGlucose, assessed by its concentration
5.ふつう
A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?
- AWithhold feeds and observe for 6 hours
- BGive IV insulin immediately
- CGive the baby plain water by bottle
- DFeed the baby and recheck the glucose
6.ふつう
略語 HELLP は何の頭字語ですか?
- A出血、子癇、低血圧
- B高血圧、脂質の上昇、蛋白の低下
- C高血糖、乳酸の上昇、カリウムの低下
- D溶血、肝酵素の上昇、血小板の減少
7.むずかしい
A woman at 11 weeks has heavy bleeding, cramping and an open cervical os, and she has passed some tissue. Which type of miscarriage is this?
- AThreatened miscarriage
- BMissed miscarriage
- CIncomplete miscarriage
- DComplete miscarriage
8.むずかしい
妊娠 30 週の女性に、子宮頸部の変化を伴う規則的で痛みのある陣痛が 5 分ごとにあります。出産になった場合に赤ちゃんの肺を守ると期待される治療はどれですか?
- Aメチルエルゴメトリン
- B出生前コルチコステロイド
- Cオキシトシン
- D抗 D 免疫グロブリン
解答
- 1. B · About 1 cm per day
- 2. C · 赤色悪露:小さな凝血を伴うことのある赤い分泌物
- 3. C · A placenta attached too deeply into the wall
- 4. C · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 5. D · Feed the baby and recheck the glucose
- 6. D · 溶血、肝酵素の上昇、血小板の減少
- 7. C · Incomplete miscarriage
- 8. B · 出生前コルチコステロイド
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