1.やさしい
Finger clubbing is commonly linked with which condition?
- AMild asthma
- BBronchiectasis
- CHigh blood pressure
- DAcute bronchitis
2.やさしい
What is the classic clinical definition of chronic bronchitis?
- AA dry cough lasting about one week after a common cold
- BWheeze and chest tightness that occur only during exercise
- CA single episode of coughing up blood after a chest infection
- DA cough with sputum most days for 3 months in 2 years running
3.やさしい
When is pneumonia classed as hospital-acquired?
- AWhen it starts 48 hours or more after admission
- BOnly when it is caused by a virus
- CWhen the patient had symptoms before admission
- DWhen it starts within the first hour after admission
4.ふつう
How should a patient with asthma record their peak flow at home?
- ABlow only during an asthma attack, never when well
- BTake the average of ten blows after exercise
- CTake the best of three blows, ideally morning and evening
- DTake one gentle blow once a week, at any time of day
5.ふつう
Which ECG change is classically linked with hyperkalaemia?
- ADelta waves before the QRS
- BProminent U waves
- CTall, peaked T waves
- DA sawtooth baseline
6.ふつう
A patient with a mechanical heart valve asks to switch from warfarin to apixaban. What is the correct response?
- AAny anticoagulant works equally well once the valve is in place
- BMechanical valves do not need anticoagulation after the first month
- CAspirin alone can replace warfarin once the valve has healed
- DDirect oral anticoagulants are not used for mechanical valves
7.むずかしい
CO₂を貯留するCOPDの急性増悪の患者に、ネブライザーによる気管支拡張薬が処方されました。通常、ネブライザーは何で駆動しますか?
- Aガスを流さず、患者に深呼吸してもらう
- B15 L/分の酸素で、できるだけ長く
- C6~8 L/分の酸素で、飽和度のモニタリングはしない
- D圧縮空気で駆動し、鼻カニューラによる管理された酸素を併用する
8.むずかしい
A patient has sudden severe chest pain spreading to the back between the shoulder blades. Which finding most supports aortic dissection rather than myocardial infarction?
- ASweating, nausea and pallor that started with the pain
- BA large difference in blood pressure between the arms
- CA heart rate of 104/min and a respiratory rate of 22/min
- DPain that started at rest
解答
- 1. B · Bronchiectasis
- 2. D · A cough with sputum most days for 3 months in 2 years running
- 3. A · When it starts 48 hours or more after admission
- 4. C · Take the best of three blows, ideally morning and evening
- 5. C · Tall, peaked T waves
- 6. D · Direct oral anticoagulants are not used for mechanical valves
- 7. D · 圧縮空気で駆動し、鼻カニューラによる管理された酸素を併用する
- 8. B · A large difference in blood pressure between the arms
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