I'm doing alright.
a:That's not good.
b: Okay. Now, I'll check your vital signs.
c: Your blood pressure is high.
b
まあまあ
Same as usual.
a: Sure. Then, I'll take your temperature and blood pressure.
b: I think you need to see a doctor.
c: That's not good.
a
変わりない
I have a bit of a sore throat, and I'm also coughing.
a: Have you taken your temperature?
b: Is this your usual blood pressure?
c: Good to hear that.
a
少し喉が痛い
咳もある
I have a runny nose and a sore throat.
a: Okay. Let me check your blood sugar.
b: Have you ever had surgery?
c: Since when have you had those symptoms?
c
鼻水と喉の痛み
I had a fever of 37.8℃ this morning.
a: Got it. Did you check your temperature today?
b: Got it. Please wait here.
c: I apologize for that.
b
今朝の熱が37.８℃
I've had a headache and a fever since last night. It was 37.8°C yesterday, and it went up to 38°C this morning.
a: Since when have you had those symptoms?
b: So, you haven't had a fever?
c: I understand. Have you taken any medicine?
c
昨夜から頭痛と発熱
昨日は37.８℃
今朝は３８℃に上がっていた
I get a rash from alcohol.
a: Got it. I won't use the alcohol swab.
b: I'm sorry about that.
c: Have you ever undergone surgery?
a
アルコールでかぶれる
I have a reaction to rubbing alcohol.
a: Good to hear that.
b: Got it. When did you start expressing those symptoms?
c: Understood. I'll use a non-alcoholic disinfectant.
c
アルコールでかぶれる
I usually feel sick when I get my blood test.
a: Let's skip the blood draw for today.
b: Okay. I'll use a non-alcoholic swab.
c: Understood. Let's do the blood draw while you're lying down.
c
採血で気分が悪くなる
I tend to feel faint during blood test.
a: It seems like you haven't had a fever.
b: Okay. You can lie down for the procedure.
c: Understood. Have you taken any medicine?
b
採血で気分が悪くなるfeel faint: 気が遠くなる
I often get dizzy when having my blood test.
a: Understood. We can do it while you're lying down.
b: We'll postpone the blood drew for today.
c: Got it. I won't use the alcohol swab.
a
採血で目眩になるdizzy:めまい
I'm feeling a bit unwell.
a: Oh, you can lie down here.
b: Please use that exit.
c: You haven't had a fever?
a
気分が悪くなった
I've had asthma since I was a child, and I take inhaler every day.
a: The patient has a prior history of steroid-induced anaphylaxis.
b: This patient has a history of asthma and is currently undergoing medication treatment.
c: This patient is undergoing treatment for diabetes.
b
喘息持ち
吸入薬使用中吸入薬：inhaler, inhaled medication
I'm allergic to eggs. And And I've had an allergic reaction to over-the-counter cold medicine before, but I don't remember the name. 【Drへの報告】
a: She has allergies to eggs and wheat.Caution is needed when prescribing medication.
b: She has an egg allergy. She also said she’s had an allergic reaction to over-the-counter cold medicine before.
c: She has an egg allergy, but she says she hasn't had any drug allergies.
b
卵アレルギー
市販の風邪薬でのアレルギー経験あり鶏卵を原料とした「リゾチーム塩酸塩」が炎症を抑える酵素として薬で使用されていることがある。
病院で処方されることはなくなったが、薬局で買える市販薬（風邪薬、咳止め、トローチ、点眼薬、歯痛の薬など）にはまだ含まれていることがある。
I think this medicine makes me feel nauseous.
a: Understood. I'll let your doctor know.
b: It's unlikely to cause side effects.
c: Okay. Let's start the IV now.
a
薬で吐き気が出るnauseous: 吐き気
feel nauseous: 吐き気が出る
I've had a cough since three days ago, and it's getting worse. I'm also having trouble breathing. 【Drへの報告】
a:He complained of dyspnea three days ago, but his condition has since improved.
b: He is complaining of nausea and dizziness.
c: He has had a persistent cough for the past three days and is now experiencing dyspnea.
c
3日前から咳があり増悪している
呼吸困難あり
I have high blood pressure and take medication for it.
a: It's unlikely to cause side effects.
b: Do you have anything that shows the medication you're currently taking?
c: Got it. I'll start your IV now.
c
高血圧
薬を飲んでいる
What’s bad about having hypertension?'m living a normal life right now.
a: It increases the risk of stroke, heart disease, and other serious condition.
b: Make sure to take your inhaler every day.
c. It will be over quickly.
a
高血圧のリスクhypertension: 高血圧症（専門用語）
stroke: 脳卒中
heart disease: 心疾患
↔︎低血圧症：hypotension
I've had a stomachache since the day before yesterday, and I have no appetite. I can drink water, though. 【Drへの報告】
a: He has had intermittent gastrodynia for the past month and has been experiencing a loss of appetite.
b: He hasn't been able to take in much fluid since the day before yesterday, so there is a possibility of dehydration.
c: He developed abdominal pain two days ago, and his anorexia has continued. He is still able to take in fluids.
c
一昨日（2日前）からの腹痛と食欲不振
水分摂取できているgastrodynia: 胃痛
stomachache: 腹痛（一般）
abdominal pain: 腹痛（医）
for the past month: ひと月前から
loss of appetite: 食欲不振（一般）
anorexia: 食欲不振（医）
fluid: 水分
dehydration: 脱水
I just started an IV, but the area where the needle was inserted hurts and has become red and swollen.
a: You're right. I will stop the IV and remove the needle.
b: You're right. But there is no blood backflow, so it's fine as it is.
c: You're right. I'll slow down the infusion rate.
a
点滴刺入部の疼痛、発赤、腫脹
点滴を中止し抜針
A diabetic patient undergoing insulin therapy reports the following. I'm sweating cold, feeling anxious, and my hands are trembling. What condition is the patient most likely experiencing?
a: hypothermia
b: convulsion
c: hypoglycemia
c
冷汗、不安感、手指の振え
→低血糖be sweating cold: 冷や汗をかく
cold sweat: 冷汗
anxious: 不安感
be trembling: 振える
tremor: 振戦、ふるえ
Mr. Martin is a 65-year-old man with a pacemaker implanted due to bradyarrhythmia.
Which of the following is contraindicated for this patient? a: CT b: MRI c: Ultrasound examination
b
ペースメーカー装着中→MRIは禁忌
Ms. Carter is a 25-year-old woman, currently 8 weeks pregnant, with an uncomplicated pregnancy. She made the following complaint. I feel nauseated and can’t eat much. Just the smell of toast makes me sick.
Which of the following is the most appropriate advice for her?
a: Try to maintain a balanced diet.
b: Eat small amounts at a time and increase the number of meals.
c: Actively consume high-calorie foods. 第102回 午前112問
b
1回量を少なくして食べる回数を増やす。
Ms. Lee is 27 years old and currently 7 weeks pregnant, with an uncomplicated pregnancy. She made the following complaint Recently, I’ve been urinating frequently and going to the bathroom more often. When I’m out or driving, I end up holding it in.
Which of the following is the most appropriate advice for her?
a: Actively consume calcium and vitamin B1.
b: Check the location of restrooms in advance when going out.
c: Actively consume dietary fiber and try to establish a morning bathroom routine. 第95回 午前132問
b
頻尿は、尿意はがまんせず、外陰部の清潔に努め、外出時にはトイレの場所を確認しておくように指導する。
患者さんから言われたことへの応答・Drへの報告