1.やさしい
Which group of symptoms is typical of pulmonary tuberculosis?
- ASharp chest pain only when lying flat on the back
- BSudden wheeze, itching and a raised skin rash
- CLong-lasting cough, night sweats and weight loss
- DCalf pain, leg swelling and redness
2.やさしい
Which test is classically used to diagnose cystic fibrosis?
- ATuberculin skin test
- BSweat chloride test
- CPeak flow test
- DD-dimer test
3.やさしい
細菌性肺炎に典型的な所見の組み合わせはどれですか?
- A樽状胸郭と、何年も続く息切れ
- B発熱、湿性咳嗽、一領域のラ音
- C肺は清明で発熱のない突然の胸痛
- D発作時用の吸入薬で数分のうちに完全に消える喘鳴
4.ふつう
Which advice is most helpful for a patient with Raynaud's phenomenon?
- ASoak the hands in cold water to toughen the vessels
- BTake a decongestant tablet before going outdoors
- CRub the fingers hard with snow during an attack
- DKeep the whole body warm, wear gloves and stop smoking
5.ふつう
A patient's ankle–brachial pressure index (ABPI) is 0.6. What does this suggest?
- AA deep vein thrombosis
- BNormal leg circulation
- CStiff, calcified arteries that read falsely high
- DSignificant peripheral arterial disease
6.ふつう
What is the main difference between CPAP and bilevel NIV (often called BiPAP)?
- ABilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- BBilevel NIV gives oxygen only, without any positive airway pressure
- CCPAP is given only through a tracheostomy
- DCPAP is mainly used to lower a raised PaCO₂ in COPD exacerbations
7.むずかしい
After positive end-expiratory pressure (PEEP) is increased on a ventilated patient, the blood pressure falls. What is the most likely reason?
- APEEP directly weakens the heart muscle and its contraction
- BPEEP causes immediate blood loss from the alveolar capillaries
- CHigher chest pressure reduces venous return to the heart
- DPEEP lowers the blood oxygen level
8.むずかしい
A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?
- AThe patient will speak too loudly
- BThere is no danger, as the valve works with any cuff
- CThe patient cannot breathe out and may suffocate
- DThe valve will humidify the air too much
解答
- 1. C · Long-lasting cough, night sweats and weight loss
- 2. B · Sweat chloride test
- 3. B · 発熱、湿性咳嗽、一領域のラ音
- 4. D · Keep the whole body warm, wear gloves and stop smoking
- 5. D · Significant peripheral arterial disease
- 6. A · Bilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- 7. C · Higher chest pressure reduces venous return to the heart
- 8. C · The patient cannot breathe out and may suffocate
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