1.やさしい
Which drug class is used to ripen an unfavourable cervix before induction?
- ABeta blockers
- BCorticosteroids
- CTocolytics
- DProstaglandins
2.やさしい
A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?
- AA positive pregnancy test
- BAmenorrhoea
- CFetal heart tones heard by Doppler
- DBallottement of the fetus
3.やさしい
How many vessels does a normal umbilical cord contain?
- ATwo arteries and two veins
- BOne artery and one vein
- COne artery and two veins
- DTwo arteries and one vein
4.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
5.ふつう
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AHer antibodies cross the placenta and protect the newborn
- BIt protects her from pre-eclampsia
- CIt prevents the baby from developing rubella
- DIt is a live vaccine that gives the baby lifelong immunity to whooping cough
6.ふつう
Which reflex causes the newborn's toes to fan out when the sole is stroked from heel to toe?
- AMoro reflex
- BPlantar grasp reflex
- CBabinski reflex
- DStepping reflex
7.むずかしい
妊娠糖尿病の女性が、妊娠中にインスリンを使っていました。出産直後に予想されるインスリン必要量の変化はどれですか?
- A急速に減少するため、血糖をモニタリングし、インスリンは中止されることが多い
- B生涯インスリンが必要になる
- C出産のストレスで 2 倍になるため、インスリン量を増やす
- D6 週間変わらない
8.むずかしい
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
- ARecord it and arrange follow-up; many descend later
- BTell the parents it will never descend
- CMassage the groin daily to push it down
- DArrange emergency surgery on the testis today
解答
- 1. D · Prostaglandins
- 2. B · Amenorrhoea
- 3. D · Two arteries and one vein
- 4. A · Moderate exercise like walking or swimming is encouraged
- 5. A · Her antibodies cross the placenta and protect the newborn
- 6. C · Babinski reflex
- 7. A · 急速に減少するため、血糖をモニタリングし、インスリンは中止されることが多い
- 8. A · Record it and arrange follow-up; many descend later
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