1.やさしい
Which symptoms are typical of diabetic peripheral neuropathy?
- AMorning stiffness of the small hand joints
- BPain in the calves that starts when walking
- CNumbness, tingling or burning in the feet
- DA painful red, hot swollen big toe at night
2.やさしい
Which heart rhythm greatly increases the risk of an embolic stroke?
- ASinus bradycardia
- BFirst-degree heart block
- CAtrial fibrillation
- DSinus arrhythmia
3.やさしい
Which symptoms in a patient with back pain suggest cauda equina syndrome?
- ANumbness between the legs and new bladder problems
- BPain that is worse after a long day at work
- CMild stiffness in the morning that soon wears off
- DBack pain that eases when walking around the house
4.ふつう
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
- AThere are no precautions, because the dose is tiny
- BStay in strict isolation in hospital for several months
- CLimit close contact with children and pregnant women for a time
- DStart breastfeeding again the next day
5.ふつう
Which group of problems is typical of primary hyperparathyroidism?
- AKidney stones, bone pain, abdominal pain and low mood
- BHair loss, weight gain and feeling cold
- CHeat intolerance, tremor, weight loss and diarrhoea
- DMuscle cramps, tingling lips and seizures
6.ふつう
患者の高血圧がコントロールしにくく、利尿薬を服用していないのにカリウムが持続的に低い状態です。どの疾患を考えるべきですか?
- A原発性アルドステロン症(コン症候群)
- B原発性副腎不全(アジソン病)
- C中枢性尿崩症
- D原発性甲状腺機能低下症
7.むずかしい
A patient's corrected calcium is 1.7 mmol/L (about 6.8 mg/dL). Which ECG change is most typical?
- AA shortened QT interval
- BTall, peaked T waves
- CA prolonged QT interval
- DST elevation in all leads
8.むずかしい
1型糖尿病の患者が、明日の手術のために絶飲食です。最も安全な計画はどれですか?
- A食事をとらないのに、通常の食事時のインスリンを投与する
- B患者が普通に飲食できるようになるまで、すべてのインスリンを中止する
- C血糖チェックを行いながら、インスリン(基礎または速度可変の静注)を一部続ける
- D夜間に尿ケトンが強陽性になったときだけ、インスリンを投与する
解答
- 1. C · Numbness, tingling or burning in the feet
- 2. C · Atrial fibrillation
- 3. A · Numbness between the legs and new bladder problems
- 4. C · Limit close contact with children and pregnant women for a time
- 5. A · Kidney stones, bone pain, abdominal pain and low mood
- 6. A · 原発性アルドステロン症(コン症候群)
- 7. C · A prolonged QT interval
- 8. C · 血糖チェックを行いながら、インスリン(基礎または速度可変の静注)を一部続ける
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。