1.やさしい
How is most oxygen carried in the blood?
- ADissolved freely in the plasma water
- BBound to haemoglobin in red blood cells
- CCarried as bicarbonate ions in the plasma
- DBound to albumin and other plasma proteins
2.やさしい
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- AA persistent dry cough
- BA productive cough with green sputum
- CA fast, irregular heart rate
- DSwelling of both ankles
3.やさしい
What does the term "dyspnoea" mean?
- ABreathing that is deeper than normal
- BA breathing rate above 20 breaths per minute at rest
- CThe feeling of difficult or uncomfortable breathing
- DA complete stop in breathing lasting over 10 seconds
4.ふつう
喘息の患者が、発作時用の吸入器を週に3回より多く使っています。これは何を示唆しますか?
- A現在の計画で喘息はよくコントロールされている
- B発作時用の薬がもう効かないので、中止すべきである
- C喘息のコントロールが不良で、治療の見直しが必要である
- D予防吸入薬はもう必要ない
5.ふつう
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
- ATo stop the patient coughing completely, day and night
- BTo make sputum thinner and easier to cough up
- CTo widen the airways within minutes
- DTo kill bacteria in the airways
6.ふつう
降圧薬を飲み始めたばかりの患者が、ベッドから出るときにめまいを感じます。正しい助言はどれですか?
- A立つ前に、しばらくベッドの端に座る
- B代わりに、翌朝に2倍量を飲む
- C血流が保たれるよう、すばやく立ち上がる
- D医師や看護師に言わずに錠剤を中止する
7.むずかしい
A hypotensive patient has a temperature of 39.2 °C, warm flushed skin, a bounding pulse and a fast heart rate. Which type of shock is most likely?
- AObstructive shock from tamponade
- BCardiogenic shock
- CHypovolaemic shock from bleeding
- DEarly septic (distributive) shock
8.むずかしい
A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?
- AA peak flow diary for a month
- BA sweat chloride test
- CAn exercise ECG test on a treadmill
- DScreening for latent tuberculosis
解答
- 1. B · Bound to haemoglobin in red blood cells
- 2. A · A persistent dry cough
- 3. C · The feeling of difficult or uncomfortable breathing
- 4. C · 喘息のコントロールが不良で、治療の見直しが必要である
- 5. B · To make sputum thinner and easier to cough up
- 6. A · 立つ前に、しばらくベッドの端に座る
- 7. D · Early septic (distributive) shock
- 8. D · Screening for latent tuberculosis
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