1.やさしい
Eclampsia is pre-eclampsia complicated by:
- AAnkle oedema
- BLow platelets
- CSeizures
- DProteinuria
2.やさしい
Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?
- AProtein
- BLow specific gravity
- CTrace leucocytes only
- DNormal colour
3.やさしい
Which blood test on the mother detects antibodies against Rh-positive red cells?
- AHaemoglobin electrophoresis
- BDirect Coombs test on the mother's red cells
- CProthrombin time
- DIndirect Coombs test (antibody screen)
4.ふつう
産後出血に対するメチルエルゴメトリン(メチルエルゴノビン)を投与してはならないのは、次のどの女性ですか?
- A貧血のある女性
- B1 型糖尿病のある女性
- C高血圧のある女性
- D喘息のある女性
5.ふつう
Misoprostol is given for postpartum haemorrhage. Which side effect is common?
- ABradycardia and hypoglycaemia
- BBronchospasm in all patients
- CShivering and fever
- DSevere hypertension
6.ふつう
A woman at 37 weeks is GBS-positive. When should she receive antibiotics?
- AIntravenously during labour
- BNot at all, because GBS is normal flora
- COnly to the baby after birth
- DOrally at 37 weeks only
7.むずかしい
After treatment for a molar pregnancy, what is the most important teaching point?
- ANo further follow-up is needed once the uterus is empty
- BTry to conceive again as soon as possible to reduce recurrence
- CAttend serial hCG checks and use reliable contraception during follow-up
- DAvoid all physical activity for 6 months
8.むずかしい
The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?
- AAt 25 weeks with mild backache after standing
- BAt 30 weeks with heartburn after large meals
- CAt 12 weeks with mild nausea in the mornings
- DAt 36 weeks with constant pain and a hard uterus
解答
- 1. C · Seizures
- 2. A · Protein
- 3. D · Indirect Coombs test (antibody screen)
- 4. C · 高血圧のある女性
- 5. C · Shivering and fever
- 6. A · Intravenously during labour
- 7. C · Attend serial hCG checks and use reliable contraception during follow-up
- 8. D · At 36 weeks with constant pain and a hard uterus
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