1.やさしい
What is a "barrel chest"?
- AA chest that moves inward on breathing in
- BA sunken breastbone that has been present since birth
- CA wider front-to-back chest diameter from air trapping
- DA curved spine that bends to one side and twists the ribs
2.やさしい
How is most oxygen carried in the blood?
- ADissolved freely in the plasma water
- BBound to albumin and other plasma proteins
- CCarried as bicarbonate ions in the plasma
- DBound to haemoglobin in red blood cells
3.やさしい
Which organism causes tuberculosis?
- ACorynebacterium diphtheriae
- BStaphylococcus aureus
- CMycobacterium tuberculosis
- DPseudomonas aeruginosa
4.ふつう
How does ezetimibe lower cholesterol?
- AIt reduces absorption of cholesterol from the gut
- BIt blocks cholesterol production by enzymes in the liver
- CIt dissolves plaques already in the arteries
- DIt increases cholesterol loss in the urine
5.ふつう
A patient on furosemide has a serum potassium of 3.0 mmol/L (3.0 mEq/L). Which symptoms may this cause?
- AMuscle weakness, cramps and an irregular pulse
- BSevere headache and a stiff neck
- CFacial flushing, fever and a skin rash
- DTingling around the lips and painful spasm of the hands
6.ふつう
Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?
- AImmobility after major surgery
- BAn inherited clotting disorder
- CTaking an oestrogen-containing pill
- DDamage to a vein during hip surgery
7.むずかしい
橈骨動脈経由の心臓カテーテル検査の後、最も重要なアセスメントはどれですか?
- A15分ごとの瞳孔の大きさと対光反応
- B4時間ごとの尿比重
- C手の循環、感覚、動きと、穿刺部位
- D検査後1時間ごとの腸蠕動音と腹囲
8.むずかしい
心房細動でワルファリンを服用している患者に、クラリスロマイシンが処方されました。最も適切な対応はどれですか?
- A抗菌薬はワルファリンに影響しないので、何も変えない
- B抗菌薬の投与期間中ずっとワルファリンを中止する
- C投与期間中、ワルファリンの量を2倍にする
- DINRが上昇しうるため、早めに検査すべきか尋ねる
解答
- 1. C · A wider front-to-back chest diameter from air trapping
- 2. D · Bound to haemoglobin in red blood cells
- 3. C · Mycobacterium tuberculosis
- 4. A · It reduces absorption of cholesterol from the gut
- 5. A · Muscle weakness, cramps and an irregular pulse
- 6. A · Immobility after major surgery
- 7. C · 手の循環、感覚、動きと、穿刺部位
- 8. D · INRが上昇しうるため、早めに検査すべきか尋ねる
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