[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"kakomon-q-2023-ippan-52":3},{"slug":4,"exam_year":5,"exam_round":6,"section":7,"section_code":8,"number":9,"body":10,"choices":11,"correct_indices":28,"explanation":29,"has_explanation":27,"tags":30},"2023-ippan-52",2023,1,"一般","ippan",52,"消化管内視鏡検査の禁忌とされる疾患はどれか。",[12,15,18,21,24],{"index":6,"body":13,"is_correct":14},"胃ポリープ",false,{"index":16,"body":17,"is_correct":14},2,"大腸癌",{"index":19,"body":20,"is_correct":14},3,"脾腫",{"index":22,"body":23,"is_correct":14},4,"胆石症",{"index":25,"body":26,"is_correct":27},5,"腹膜炎",true,[25],"正答は5（腹膜炎）。消化管穿孔や腹膜炎がある場合、内視鏡の送気で状態が悪化する恐れがあり禁忌とされる。1胃ポリープ・2大腸癌は内視鏡で観察・生検の対象、3脾腫・4胆石症は消化管内視鏡の直接の禁忌ではない。よって禁忌は腹膜炎。**覚え方**: 消化管穿孔・腹膜炎では内視鏡（送気）は禁忌。悪化させる恐れがある。",null]