1.やさしい
Which type of pain is typical of a kidney stone?
- AA burning pain behind the breastbone after meals
- BA tight band around the head
- CSevere, colicky pain from the loin towards the groin
- DA dull ache in both knees
2.やさしい
The term "oliguria" means:
- APainful urination
- BBlood in the urine
- CPassing urine at night
- DA low urine output
3.やさしい
What are the two most common causes of peptic ulcers?
- AHelicobacter pylori infection and NSAID use
- BSpicy food and emotional stress on their own
- CViral infection of the stomach and dehydration
- DLow fibre intake and lack of exercise
4.ふつう
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- ADriven by high-flow oxygen at 15 L/min for as long as possible
- BWithout monitoring oxygen saturation
- COnly with the patient lying flat
- DDriven by compressed air, with oxygen given separately if needed
5.ふつう
Which advice is correct for a patient taking levothyroxine?
- ATake it only on days when feeling tired
- BStop taking it once the symptoms improve
- CTake it with a large meal to avoid nausea and stomach upset
- DTake it on an empty stomach, usually before breakfast
6.ふつう
Why are patients advised to rinse their mouth after using an inhaled corticosteroid?
- ATo make the drug work faster
- BTo prevent tooth decay from the sugar in it
- CTo reduce the risk of oral thrush
- DTo stop the drug from being absorbed in the lungs
7.むずかしい
During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?
- AA febrile non-haemolytic reaction
- BAnaphylaxis
- CTransfusion-related acute lung injury with hypotension
- DTransfusion-associated circulatory overload
8.むずかしい
How should pain be assessed in a patient with advanced dementia who cannot describe it?
- AWith an observational pain tool that scores facial expression, behaviour and body language
- BBy checking the blood pressure only
- CBy asking the patient to rate their pain on a numerical scale from 0 to 10
- DBy assuming the patient has no pain unless they are crying out or calling for help
解答
- 1. C · Severe, colicky pain from the loin towards the groin
- 2. D · A low urine output
- 3. A · Helicobacter pylori infection and NSAID use
- 4. D · Driven by compressed air, with oxygen given separately if needed
- 5. D · Take it on an empty stomach, usually before breakfast
- 6. C · To reduce the risk of oral thrush
- 7. D · Transfusion-associated circulatory overload
- 8. A · With an observational pain tool that scores facial expression, behaviour and body language
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