1.やさしい
尿崩症に典型的な所見はどれですか?
- A大量の薄い尿と、強い口渇
- B高血糖と、尿中の大量のグルコース
- C少量の非常に濃い尿
- D低ナトリウム血症を伴う体液貯留
2.やさしい
Which symptoms are typical of uraemia in advanced kidney disease?
- AHeat intolerance, tremor and weight loss
- BItching, nausea, tiredness and poor appetite
- CSevere flank pain with visible blood in the urine
- DExcess thirst with a very high glucose
3.やさしい
Which isolation precautions are used for a patient with suspected meningococcal meningitis?
- ANo extra precautions, because it is not infectious
- BContact precautions only, with gloves for skin contact
- CDroplet precautions until about 24 hours of effective antibiotics
- DAirborne precautions in a negative pressure room for 2 weeks
4.ふつう
脳卒中の静注血栓溶解療法の後、最初の24時間で最も重要な観察はどれですか?
- A1時間ごとの腸蠕動音と腹囲
- B毎日の体重と水分出納のみ
- C頻回の神経学的チェックと血圧
- D1時間ごとのピークフローと酸素飽和度
5.ふつう
C6の急性脊髄損傷のある患者で、神経原性ショックを示唆する状態はどれですか?
- A正常な血圧、速い脈、高熱
- B低血圧、遅い脈、温かく乾いた皮膚
- C低血圧、速い脈、冷たく湿った皮膚
- D高血圧、遅い脈、ズキズキする頭痛
6.ふつう
Which blood gas pattern is typical of acute kidney injury?
- AHigh pH and high bicarbonate
- BLow pH and high carbon dioxide only
- CLow pH and low bicarbonate
- DHigh pH and low carbon dioxide
7.むずかしい
A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?
- AIt should be swapped for oxybutynin the night before to protect the eye
- BThe dose should be doubled before surgery to prevent urinary retention
- CThe eye surgeon must be told, as it can cause floppy iris during surgery
- DTamsulosin has no effects outside the urinary tract, so nothing changes
8.むずかしい
An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?
- AAtonic (drop) seizure with a fall
- BMyoclonic seizure
- CFocal impaired awareness seizure
- DAbsence seizure
解答
- 1. A · 大量の薄い尿と、強い口渇
- 2. B · Itching, nausea, tiredness and poor appetite
- 3. C · Droplet precautions until about 24 hours of effective antibiotics
- 4. C · 頻回の神経学的チェックと血圧
- 5. B · 低血圧、遅い脈、温かく乾いた皮膚
- 6. C · Low pH and low bicarbonate
- 7. C · The eye surgeon must be told, as it can cause floppy iris during surgery
- 8. C · Focal impaired awareness seizure
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