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Posted on May 13, 2020May 13, 2020 by Oshima

ACP internist weekly 2020/3/17よりMKSAPクイズを紹介

ACP internist weekly 2020/3/17よりMKSAPクイズをご紹介致します。
【MKSAP Quiz: 1-week history of chest pressure】

35歳の女性。4週前からの労作時呼吸困難と、1週前からの胸部圧迫感の精査目的に受診した。喀痰、咳嗽、喘鳴といった随伴症状はない。喫煙歴なし。
身体所見では、バイタルサインは正常。酸素飽和度は91%(室内空気)。心肺系診察では著明な肺動脈成分を伴うⅡ音の幅広い分裂、ならびに頸静脈怒張を認めた。呼吸音は清。
血液検査では、血算ならびに包括的な生化学検査を含め正常。
心電図は正常。
胸部レントゲン写真では、肺野は正常であるが、肺門部陰影の著明な拡大を認める。

診断のために最も適切な検査は次のうちどれか?

A. 胸部の高分解能CT
B. 呼吸機能検査
C. 心臓超音波検査
D. 肺換気血流シンチグラフィ

正解と解説は,下記のリンクからご覧ください。
https://www.acpinternist.org/weekly/archives/2020/…/17/3.htm

PRC委員 鋪野紀好

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C/O Vision Bridg, LLC.

Shin-kagurazaka building 2F
43 Tansu-machi, Shinjuku-ku, Tokyo 1620833 Japan

E-mail
office@acpjapan.org

 

Disclaimers

The findings and views expressed in the submitted article are his or her own and not an official position of the institution or the college.

Unless otherwise stated, this website and all content within this site are the property of the authors and are licensed under a Creative Commons BY Attribution 4.0 International license.

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