1.やさしい
What is atelectasis?
- ACollapse of part of the lung so the alveoli contain no air
- BFluid in the space around the lung
- CInfection of the lung tissue causing the alveoli to fill with pus
- DNarrowing of the airways caused by spasm of smooth muscle
2.やさしい
Which definition best describes heart failure?
- AA coronary artery is suddenly blocked by a clot
- BThe heart cannot pump enough blood to meet the body's needs
- CThe heart beats faster than 150 beats per minute for over an hour
- DThe heart has completely stopped beating and there is no pulse
3.やさしい
During cardiac arrest, how is adrenaline (epinephrine) usually given?
- AIntravenously or by the intraosseous route
- BBy mouth, crushed and given with water
- CBy inhalation through a nebuliser mask
- DBy subcutaneous injection into the abdomen
4.ふつう
重症のCOPD患者が、少量ずつ頻回に食べるよう勧められるのはなぜですか?
- A少量の食事は吸入器が必要な回数を減らすから
- B胃が満たされると横隔膜が制限され、食べること自体が疲れるから
- C頻回の食事は胸部感染症を直接予防するから
- D大量の食事で気道が恒久的に狭くなるから
5.ふつう
Why is active tuberculosis treated with several drugs for at least six months?
- ATo kill slow-growing bacteria and prevent drug resistance
- BBecause the bacteria are resistant to all drugs at first
- CBecause each drug works on a different organ only
- DTo reduce the number of side effects compared with one drug
6.ふつう
A young patient with hypertrophic cardiomyopathy asks why they are told to avoid dehydration. What is the best explanation?
- ADehydration makes the heart muscle grow thicker within a few hours
- BLow blood volume can worsen obstruction of blood leaving the heart
- CFluids dissolve the extra muscle in the heart wall
- DDehydration is the cause of the inherited condition
7.むずかしい
ダビガトランを服用している患者が重篤な消化管出血を起こしました。使用してよい特異的な中和薬はどれですか?
- A硫酸プロタミン
- Bトラネキサム酸のみ
- Cイダルシズマブ
- Dフィトナジオン(ビタミンK)
8.むずかしい
A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?
- AArrange urgent electrical cardioversion to restore a normal rate
- BTreat the fever, pain and possible dehydration, then reassess
- CGive a beta-blocker to bring the heart rate below 100/min
- DGive IV adenosine
解答
- 1. A · Collapse of part of the lung so the alveoli contain no air
- 2. B · The heart cannot pump enough blood to meet the body's needs
- 3. A · Intravenously or by the intraosseous route
- 4. B · 胃が満たされると横隔膜が制限され、食べること自体が疲れるから
- 5. A · To kill slow-growing bacteria and prevent drug resistance
- 6. B · Low blood volume can worsen obstruction of blood leaving the heart
- 7. C · イダルシズマブ
- 8. B · Treat the fever, pain and possible dehydration, then reassess
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