1.やさしい
Which chest X-ray finding is classic for sarcoidosis?
- AA single round mass in one apex
- BA completely white lung on one side
- CEnlarged lymph nodes at both lung hila
- DA visible edge of collapsed lung
2.やさしい
Which coronary artery mainly supplies the front (anterior) wall of the left ventricle?
- AThe left anterior descending artery
- BThe right coronary artery and its marginal branch
- CThe circumflex artery only
- DThe pulmonary artery
3.やさしい
What is the "calf muscle pump"?
- ACalf muscles squeezing the deep veins to push blood towards the heart
- BThe artery that supplies oxygenated blood to the muscles of the calf
- CA device that inflates around the calf during surgery to warm the leg
- DA heart valve that pumps blood into the legs
4.ふつう
A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?
- ATake it with a large glass of grapefruit juice to improve absorption
- BAvoid all potassium-containing foods
- CStop it suddenly if the heart rate rises after the first few doses
- DTake the first dose at bedtime, as dizziness and fainting can occur
5.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
6.ふつう
Dダイマーが上昇していることは何を意味しますか?
- A深部静脈血栓症が安全に除外された
- Bフィブリンの分解があるが、血栓があることの証明にはならない
- C抗凝固薬の用量が少なすぎるため、増やす必要がある
- D肺塞栓症またはDVTが確定した
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?
- AA deep vein thrombosis in the leg
- BRight-sided heart failure
- CAn allergic reaction to chemotherapy
- DSuperior vena cava obstruction
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?
- AStart a full six-month course of TB drugs at once without any tests
- BReport it so occupational health can arrange follow-up screening
- CTake no action, as healthcare workers are immune to TB
- DStay off work for six months in case symptoms develop
解答
- 1. C · Enlarged lymph nodes at both lung hila
- 2. A · The left anterior descending artery
- 3. A · Calf muscles squeezing the deep veins to push blood towards the heart
- 4. D · Take the first dose at bedtime, as dizziness and fainting can occur
- 5. A · Several samples, ideally including early-morning sputum
- 6. B · フィブリンの分解があるが、血栓があることの証明にはならない
- 7. D · Superior vena cava obstruction
- 8. B · Report it so occupational health can arrange follow-up screening
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