1.やさしい
Which side effect of ethambutol should patients report straight away?
- AOrange-red colouring of the urine and tears
- BBlurred vision or changes in colour vision
- CA painful, red and swollen big toe joint
- DNumbness and tingling of the feet and hands
2.やさしい
Which test is used to screen for an abdominal aortic aneurysm?
- AA plain chest X-ray
- BA resting 12-lead ECG
- CA peak expiratory flow test
- DAn abdominal ultrasound scan
3.やさしい
Which serious complication is strongly linked with untreated hypertension?
- AStroke
- BCataract
- CPneumonia
- DAsthma
4.ふつう
A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?
- AA single repeat reading in the same clinic visit
- BStarting two antihypertensive drugs at once at full dose
- CAmbulatory or structured home blood pressure monitoring
- DA chest X-ray
5.ふつう
How should a patient with asthma record their peak flow at home?
- ATake one gentle blow once a week, at any time of day
- BTake the best of three blows, ideally morning and evening
- CBlow only during an asthma attack, never when well
- DTake the average of ten blows after exercise
6.ふつう
Dダイマーが上昇していることは何を意味しますか?
- A肺塞栓症またはDVTが確定した
- B深部静脈血栓症が安全に除外された
- Cフィブリンの分解があるが、血栓があることの証明にはならない
- D抗凝固薬の用量が少なすぎるため、増やす必要がある
7.むずかしい
大腿動脈経由のPCIの4時間後、鼠径部のドレッシングが血液でぐっしょり濡れ、硬い腫れが大きくなっています。直ちに行うべきことは何ですか?
- A患者を起こして、排尿のためにトイレまで歩かせる
- B穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
- C部位に血栓ができないよう、ヘパリンの注入速度を上げる
- Dドレッシングを外し、創部を空気にさらしておく
8.むずかしい
A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?
- AThe left anterior descending artery supplies the SA node only
- BThe right coronary artery usually supplies the AV node
- CInferior infarcts always destroy the bundle of His permanently
- DHeart block is caused by the thrombolytic drug
解答
- 1. B · Blurred vision or changes in colour vision
- 2. D · An abdominal ultrasound scan
- 3. A · Stroke
- 4. C · Ambulatory or structured home blood pressure monitoring
- 5. B · Take the best of three blows, ideally morning and evening
- 6. C · フィブリンの分解があるが、血栓があることの証明にはならない
- 7. B · 穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
- 8. B · The right coronary artery usually supplies the AV node
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