1.やさしい
What is the correct first aid for an adult with a nosebleed?
- ALie flat on the back with the head turned to one side for an hour
- BTilt the head back and pinch the bony bridge of the nose firmly
- CSit forward and pinch the soft part of the nose for 10–15 minutes
- DBlow the nose hard to clear the clots
2.やさしい
What is the pulse pressure?
- AThe pressure measured in the right atrium at rest
- BThe average arterial pressure over one whole cardiac cycle
- CThe difference between the systolic and diastolic pressures
- DThe number of pulse beats counted in one minute
3.やさしい
末梢動脈疾患に典型的な症状はどれですか?
- A片側の温かく赤く腫れたふくらはぎ
- B足首のまわりのかゆみのある茶色の皮膚
- C歩くとふくらはぎがつり、休むと治まる
- D1日のうちに悪化し、夜の間に軽くなる足首の腫れ
4.ふつう
Why are IV fluids given cautiously to a patient with heart failure?
- AIV fluids stop diuretics from being absorbed
- BIV fluids lower the blood pressure dangerously
- CExtra volume can quickly cause pulmonary oedema
- DIV fluids directly damage the heart valves
5.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発作時用の薬がもう効かないので、中止すべきである
- B予防吸入薬はもう必要ない
- C現在の計画で喘息はよくコントロールされている
- D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
6.ふつう
Suspected pulmonary TB is being investigated. How are sputum samples usually collected?
- ASeveral samples, ideally including early-morning sputum
- BOne sample of saliva collected at any time of the day
- CA single sample after the first week of treatment
- DA swab from the nose only
7.むずかしい
After intubation, breath sounds are heard on the right side of the chest but not the left. What is the most likely cause?
- AThe tube cuff has burst during insertion
- BThe tube has entered the right main bronchus
- CThe tube has entered the oesophagus
- DThe left lung has completely filled with fluid
8.むずかしい
During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?
- AStop CPR, because an organised rhythm on the monitor means recovery
- BDeliver an unsynchronised shock at once and then check the pulse
- CContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
- DGive adenosine to slow the rhythm down
解答
- 1. C · Sit forward and pinch the soft part of the nose for 10–15 minutes
- 2. C · The difference between the systolic and diastolic pressures
- 3. C · 歩くとふくらはぎがつり、休むと治まる
- 4. C · Extra volume can quickly cause pulmonary oedema
- 5. D · 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
- 6. A · Several samples, ideally including early-morning sputum
- 7. B · The tube has entered the right main bronchus
- 8. C · Continue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。