1.やさしい
Which of these is one of the reversible causes of cardiac arrest known as the "4 Hs"?
- AHypertension
- BHyperventilation
- CHypoxia
- DHyperglycaemia
2.やさしい
右心不全に最も典型的な所見はどれですか?
- Aピンク色の泡沫状の痰と両側肺底部の細かいラ音
- B夜間に息苦しくて目が覚めること
- C仰向けに寝たときにだけ起こる息苦しさ
- D下垂部の浮腫と頸静脈圧の上昇
3.やさしい
What is the role of surfactant in the lungs?
- AIt kills bacteria that reach the alveoli from the air
- BIt moves mucus up towards the throat
- CIt carries oxygen across the membrane into the blood
- DIt lowers surface tension so the alveoli stay open
4.ふつう
A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?
- AMechanical valves wear out within one year
- BBoth types need no medicines after surgery
- CMechanical valves last longer but need lifelong anticoagulation
- DBiological valves last longer but need lifelong warfarin
5.ふつう
Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?
- AIt works only when it is taken together with a course of antibiotics
- BWithout an inhaled steroid, it is linked with severe and fatal attacks
- CIt always causes immediate severe bronchospasm when used on its own
- DIt cannot be inhaled without a nebuliser
6.ふつう
Why is pyridoxine (vitamin B6) often given with isoniazid?
- ATo prevent gout attacks
- BTo prevent peripheral neuropathy
- CTo prevent loss of colour vision
- DTo prevent orange discolouration of urine
7.むずかしい
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- ASuperior vena cava obstruction
- BA deep vein thrombosis in the leg
- CRight-sided heart failure
- DAn allergic reaction to chemotherapy
8.むずかしい
A patient with known left-sided lung cancer starts coughing up large amounts of fresh blood. While help is called, how should the patient be positioned?
- ALying on the left side, with the bleeding lung down
- BLying on the right side, with the bleeding lung up
- CFlat on the back with the head down
- DProne with the head turned to one side
解答
- 1. C · Hypoxia
- 2. D · 下垂部の浮腫と頸静脈圧の上昇
- 3. D · It lowers surface tension so the alveoli stay open
- 4. C · Mechanical valves last longer but need lifelong anticoagulation
- 5. B · Without an inhaled steroid, it is linked with severe and fatal attacks
- 6. B · To prevent peripheral neuropathy
- 7. A · Superior vena cava obstruction
- 8. A · Lying on the left side, with the bleeding lung down
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