1.やさしい
Which description fits stable angina?
- AChest pain that appears only after heavy meals
- BChest pain at rest that lasts longer than an hour and keeps returning
- CChest pain on exertion that eases with rest or nitrates
- DSharp chest pain that worsens with each breath
2.やさしい
What is the normal range for arterial blood pH?
- A7.35–7.45
- B6.80–7.00
- C7.00–7.20
- D7.50–7.65
3.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深呼吸で聞こえる胸膜摩擦音
- B喘鳴。通常は呼気で大きくなる
- C主に吸気で聞こえる喘鳴(ストライダー)
- D咳をすると消える粗い断続性ラ音
4.ふつう
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AOnly when walking outside
- BAt least 15 hours a day
- COnly during meals
- DAbout one hour each morning
5.ふつう
胸腔ドレーンの液面が、動かなくなりました。何が考えられますか?
- A反対側に新たな気胸が起きた
- Bドレナージユニットが腹部の排液を始めた
- C肺が再膨張したか、チューブが折れ曲がっているか閉塞している
- D室内の水位が高すぎて動けなくなった
6.ふつう
Rheumatic heart disease most often follows which infection?
- AStaphylococcal infection of the skin
- BA fungal infection of the lungs
- CA viral infection of the upper airway
- DA group A streptococcal throat infection
7.むずかしい
A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?
- AThe right coronary artery and its branches
- BThe circumflex artery
- CThe left subclavian artery
- DThe left anterior descending artery
8.むずかしい
A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?
- ASyndrome of inappropriate ADH secretion
- BCranial diabetes insipidus from brain metastases
- CSevere dehydration from poor oral intake
- DExcess salt in the diet over several weeks
解答
- 1. C · Chest pain on exertion that eases with rest or nitrates
- 2. A · 7.35–7.45
- 3. B · 喘鳴。通常は呼気で大きくなる
- 4. B · At least 15 hours a day
- 5. C · 肺が再膨張したか、チューブが折れ曲がっているか閉塞している
- 6. D · A group A streptococcal throat infection
- 7. D · The left anterior descending artery
- 8. A · Syndrome of inappropriate ADH secretion
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