1.やさしい
How does montelukast work in asthma?
- AIt stimulates beta-2 receptors in the airways
- BIt thins mucus by breaking down DNA
- CIt blocks leukotriene receptors in the airways
- DIt kills bacteria in the bronchi
2.やさしい
脚の深部静脈血栓症に典型的な所見はどれですか?
- A歩くとふくらはぎが痛み、休むと数分で治まる
- B両足が冷たく蒼白で、脈拍を触れない
- C両足首まわりの茶色の皮膚着色
- D片側のふくらはぎの腫れ、熱感、圧痛
3.やさしい
Which group of symptoms is typical of pulmonary tuberculosis?
- ASudden wheeze, itching and a raised skin rash
- BCalf pain, leg swelling and redness
- CLong-lasting cough, night sweats and weight loss
- DSharp chest pain only when lying flat on the back
4.ふつう
Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?
- ATo lower the temperature by diluting the blood plasma
- BTo prevent dehydration and keep secretions thinner
- CTo make the cough completely stop
- DTo flush the bacteria out through the urine
5.ふつう
Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?
- AImmobility after major surgery
- BTaking an oestrogen-containing pill
- CDamage to a vein during hip surgery
- DAn inherited clotting disorder
6.ふつう
患者の心房細動は48時間を超えて続いており、待機的カルディオバージョンの予定です。事前に抗凝固療法が必要なのはなぜですか?
- A洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- B抗凝固薬が心房細動を洞調律に戻すから
- C抗凝固薬が電気ショックに必要なエネルギーを減らすから
- D抗凝固薬が電気ショックの痛みを和らげるから
7.むずかしい
A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?
- ACall for emergency help and prepare for urgent vascular surgery
- BEncourage him to walk to ease the back pain
- CArrange a routine outpatient ultrasound scan of the aneurysm
- DGive oral analgesia and reassess the pain in an hour
8.むずかしい
A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?
- AStay off work for six months in case symptoms develop
- BReport it so occupational health can arrange follow-up screening
- CTake no action, as healthcare workers are immune to TB
- DStart a full six-month course of TB drugs at once without any tests
解答
- 1. C · It blocks leukotriene receptors in the airways
- 2. D · 片側のふくらはぎの腫れ、熱感、圧痛
- 3. C · Long-lasting cough, night sweats and weight loss
- 4. B · To prevent dehydration and keep secretions thinner
- 5. A · Immobility after major surgery
- 6. A · 洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- 7. A · Call for emergency help and prepare for urgent vascular surgery
- 8. B · Report it so occupational health can arrange follow-up screening
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