1.やさしい
機械的小腸閉塞の初期に典型的な腸音はどれですか?
- A最初から完全に消失した音
- B高調で、金属音のような音
- C胸膜摩擦音
- D小さく正常なゴロゴロという音
2.やさしい
What is a keloid scar?
- AA raised scar that grows beyond the edges of the wound
- BA scar that forms only on the inside of the body
- CA flat, pale scar that fades and softens over time
- DA wound that will not close at all
3.やさしい
What is referred pain?
- APain that a patient makes up
- BPain that only lasts for a few seconds
- CPain felt at a site away from the organ causing it
- DPain that is passed on from one doctor to another
4.ふつう
患者が咳をするときに、枕で腹部の創を支えるよう指導されるのはなぜですか?
- A定期的な鎮痛の必要がなくなるから
- B皮膚の縁の治癒が早まるから
- C咳が弱くなり、創にリスクがかからないから
- D痛みと負担が減り、しっかり咳ができるから
5.ふつう
PCAポンプのロックアウト時間の目的は何ですか?
- Aシリンジを交換できないようにポンプをロックすること
- B夜間に患者が投与を受けられないようにすること
- C大量の投与の間に、患者を1日待たせること
- D前回の投与が効く前に、新たな投与を止めること
6.ふつう
What is achalasia?
- AFailure of the lower oesophageal sphincter to relax on swallowing
- BInflammation of the oesophagus caused by a fungal infection
- CWeakness of the lower oesophageal sphincter that allows reflux
- DA tear at the junction of the oesophagus and the stomach
7.むずかしい
During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?
- AIV lipid emulsion
- BIV naloxone
- CIV dantrolene
- DIV glucose 50%
8.むずかしい
During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?
- AInform the anaesthetist, as malignant hyperthermia may run in the family
- BReassure the patient that fevers after anaesthesia are always harmless
- CGive paracetamol before surgery to prevent fever
- DRecord it as a family allergy to paracetamol
解答
- 1. B · 高調で、金属音のような音
- 2. A · A raised scar that grows beyond the edges of the wound
- 3. C · Pain felt at a site away from the organ causing it
- 4. D · 痛みと負担が減り、しっかり咳ができるから
- 5. D · 前回の投与が効く前に、新たな投与を止めること
- 6. A · Failure of the lower oesophageal sphincter to relax on swallowing
- 7. A · IV lipid emulsion
- 8. A · Inform the anaesthetist, as malignant hyperthermia may run in the family
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