1.やさしい
What is the main risk factor for lung cancer?
- ALow blood pressure
- BDrinking coffee
- CA high-protein diet
- DCigarette smoking
2.やさしい
ニトログリセリンの副作用で最もよくみられるのはどれですか?
- A頭痛
- B足首の腫れ
- C便秘
- D乾性咳嗽
3.やさしい
右心不全に最も典型的な所見はどれですか?
- A夜間に息苦しくて目が覚めること
- B仰向けに寝たときにだけ起こる息苦しさ
- C下垂部の浮腫と頸静脈圧の上昇
- Dピンク色の泡沫状の痰と両側肺底部の細かいラ音
4.ふつう
How is orthostatic (postural) hypotension usually assessed?
- ABP only standing, after a brisk walk along the corridor
- BBP once sitting, then once lying down straight after a large meal
- CBP lying after rest, then again after 1 and 3 minutes standing
- DBP in both arms at the same moment while sitting
5.ふつう
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AAbout one hour each morning
- BOnly during meals
- CAt least 15 hours a day
- DOnly when walking outside
6.ふつう
After varicose vein surgery, which advice is usually given?
- AWear the compression stockings as advised and walk regularly
- BAvoid all walking until the bruising has gone
- CStand still for long periods to help the veins heal
- DStay in bed for two weeks with the legs hanging down
7.むずかしい
A patient with obstructive sleep apnoea who uses CPAP at home is having surgery. Which plan is safest after the operation?
- AUse their CPAP machine and monitor closely, using opioids with caution
- BGive extra opioids so the patient sleeps through the night
- CNurse the patient lying flat on their back to keep the airway open
- DLeave the CPAP machine at home, as it is not needed while in hospital
8.むずかしい
A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?
- AAn intravenous fluid bolus
- BAn intravenous thrombolytic
- COral aspirin
- DAn intravenous beta-blocker
解答
- 1. D · Cigarette smoking
- 2. A · 頭痛
- 3. C · 下垂部の浮腫と頸静脈圧の上昇
- 4. C · BP lying after rest, then again after 1 and 3 minutes standing
- 5. C · At least 15 hours a day
- 6. A · Wear the compression stockings as advised and walk regularly
- 7. A · Use their CPAP machine and monitor closely, using opioids with caution
- 8. D · An intravenous beta-blocker
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