1.やさしい
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- ARabies vaccine
- BInfluenza vaccine
- CYellow fever vaccine
- DTyphoid vaccine
2.やさしい
Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?
- AGestational diabetes
- BDiabetes insipidus
- CType 1 diabetes
- DType 2 diabetes
3.やさしい
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
- AFluid collecting in the bases of both lungs
- BMild constipation
- CNormal breathing during sleep
- DNarrowing or obstruction of the upper airway
4.ふつう
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AThe stent will dissolve if the drugs are stopped before the course ends
- BStopping causes severe low blood pressure
- CStopping causes immediate kidney failure
- DStopping early greatly increases the risk of a clot forming in the stent
5.ふつう
A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?
- AConfront the relative directly at the bedside about it
- BKeep it secret because it is a family matter
- CRaise the concern through the local safeguarding (adult protection) procedure
- DWait until the patient has been discharged
6.ふつう
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
- ATo check for brain tumours only
- BTo rule out bleeding in the brain
- CTo confirm the patient's age
- DTo measure the size of the ventricles
7.むずかしい
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
- AIrregular breathing pauses
- BA fixed, dilated pupil on both sides
- CA slow pulse with high blood pressure
- DA change in level of consciousness
8.むずかしい
心原性ショックと循環血液量減少性ショックを最もよく区別する所見の組み合わせは?
- A頻脈、低血圧、弱くて糸のような末梢脈拍
- B頸静脈圧の上昇と肺の断続性ラ音
- C尿量の減少
- D冷たく青白い皮膚
解答
- 1. B · Influenza vaccine
- 2. C · Type 1 diabetes
- 3. D · Narrowing or obstruction of the upper airway
- 4. D · Stopping early greatly increases the risk of a clot forming in the stent
- 5. C · Raise the concern through the local safeguarding (adult protection) procedure
- 6. B · To rule out bleeding in the brain
- 7. D · A change in level of consciousness
- 8. B · 頸静脈圧の上昇と肺の断続性ラ音
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