1.やさしい
How much alcohol is considered safe during pregnancy?
- ANo amount is known to be safe
- BSmall amounts after the first trimester
- COne glass of wine per day
- DUp to two drinks per week
2.やさしい
検者が見つける子宮下部の軟化であるヘガール徴候は、どれに分類されますか?
- A妊娠中の危険徴候
- B妊娠の蓋然徴候
- C妊娠の確実徴候
- D妊娠の推定徴候
3.やさしい
正期産における胎児心拍数の正常な基線はどれですか?
- A1分間に 80~110 回
- B1分間に 60~100 回
- C1分間に 160~200 回
- D1分間に 110~160 回
4.ふつう
Which substance in amniotic fluid is used to judge fetal lung maturity?
- AGlucose, assessed by its concentration
- BBilirubin, assessed by its colour
- CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- DAlpha-fetoprotein, assessed by its level
5.ふつう
In fetal circulation, what is the function of the foramen ovale?
- AIt shunts blood from the right atrium to the left atrium
- BIt carries blood from the aorta back to the placenta
- CIt carries blood from the pulmonary artery to the aorta
- DIt lets blood from the umbilical vein bypass the liver
6.ふつう
A woman at 18 weeks asks about safe exercise. Which advice is correct?
- AModerate exercise like walking or swimming is encouraged
- BContact sports and scuba diving are safe if she did them before
- CExercise lying flat on her back is best after 20 weeks
- DExercise should be stopped completely during pregnancy
7.むずかしい
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo reduce the baby's risk of cerebral palsy
- BTo speed up fetal lung maturation
- CTo treat a urinary tract infection
- DTo prevent eclamptic seizures
8.むずかしい
A woman at 28 weeks has itching, and her liver tests and bile acids are raised. Which advice is most important?
- AItching proves the baby is healthy
- BTake a hot bath to relieve the itching
- CStop attending antenatal visits once itching settles
- DReport reduced fetal movements straight away
解答
- 1. A · No amount is known to be safe
- 2. B · 妊娠の蓋然徴候
- 3. D · 1分間に 110~160 回
- 4. C · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 5. A · It shunts blood from the right atrium to the left atrium
- 6. A · Moderate exercise like walking or swimming is encouraged
- 7. A · To reduce the baby's risk of cerebral palsy
- 8. D · Report reduced fetal movements straight away
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