1.やさしい
Where are AED pads usually placed on an adult?
- ABoth pads on the back, side by side between the shoulder blades
- BOn each upper arm
- CBoth pads on the abdomen, just below the ribs on either side
- DBelow the right collarbone and on the left side below the armpit
2.やさしい
喘息で細い気道が狭くなったときに典型的な呼吸音はどれですか?
- A主に吸気で聞こえる喘鳴(ストライダー)
- B喘鳴。通常は呼気で大きくなる
- C咳をすると消える粗い断続性ラ音
- D深呼吸で聞こえる胸膜摩擦音
3.やさしい
What is the pleura?
- AThe tiny air sacs at the ends of the airways where gas exchange happens
- BThe dome-shaped muscle that separates the chest from the abdomen
- CThe cartilage rings of the trachea
- DA double membrane lining the lungs and the inner chest wall
4.ふつう
Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?
- ATo prevent dehydration and keep secretions thinner
- BTo lower the temperature by diluting the blood plasma
- CTo flush the bacteria out through the urine
- DTo make the cough completely stop
5.ふつう
単純なフェイスマスクで、酸素流量を約5 L/分より低くしてはいけないのはなぜですか?
- A呼気中のCO₂がマスク内にたまり、再呼吸されるから
- B低流量では伸縮性のストラップがゆるくなりすぎるから
- C低流量では酸素を加湿できないから
- D低流量ではマスクが酸素を送りすぎるから
6.ふつう
Why are beta-blockers often started after a myocardial infarction?
- AThey raise the heart rate to improve blood flow to the muscle
- BThey dissolve the clot that is blocking the coronary artery
- CThey reduce cholesterol in the blood
- DThey lower the heart's oxygen demand and reduce arrhythmias
7.むずかしい
An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?
- AWait a week to see whether the symptoms settle before testing
- BIsolate with droplet precautions, test and expect early antivirals
- CLeave them in the open bay and give a course of antibiotics only
- DIsolate only if they develop a rash
8.むずかしい
A fit 24-year-old marathon runner has a resting heart rate of 46/min on admission for minor surgery. He has no dizziness, chest pain or breathlessness, and his BP is 118/70 mmHg. What is the appropriate response?
- ADocument and report it, as this is often normal in an athlete
- BStart chest compressions
- CGive IV atropine straight away to bring the rate above 60/min
- DCancel the surgery and arrange a permanent pacemaker urgently
解答
- 1. D · Below the right collarbone and on the left side below the armpit
- 2. B · 喘鳴。通常は呼気で大きくなる
- 3. D · A double membrane lining the lungs and the inner chest wall
- 4. A · To prevent dehydration and keep secretions thinner
- 5. A · 呼気中のCO₂がマスク内にたまり、再呼吸されるから
- 6. D · They lower the heart's oxygen demand and reduce arrhythmias
- 7. B · Isolate with droplet precautions, test and expect early antivirals
- 8. A · Document and report it, as this is often normal in an athlete
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