1.やさしい
Rheumatoid arthritis typically affects:
- AOnly one large weight-bearing joint, such as the knee or hip
- BThe small joints of the hands and feet on both sides of the body
- COnly the spine
- DOnly the big toe
2.やさしい
A pneumothorax is:
- AAn infection of the lung tissue, usually caused by bacteria
- BFluid in the alveoli, usually from heart failure
- CA blood clot in the lung arteries
- DAir in the pleural space, causing the lung to collapse
3.やさしい
Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?
- ATo keep the drug at the right temperature during use
- BTo make the drug work faster
- CTo stop the patient from seeing the drug
- DTo protect themselves from exposure to hazardous drugs
4.ふつう
Which group of features is typical of nephrotic syndrome?
- ASevere loin pain and fever
- BHeavy proteinuria, low serum albumin and oedema
- CPolyuria, thirst and weight loss
- DBlood in the urine, high blood pressure and reduced urine output only
5.ふつう
ジゴキシンを服用中の患者に吐き気があり、脈拍は 48 回/分で、何もかも黄色く見えると訴えています。何を疑うべきですか?
- A低血糖
- B対応不要の正常な副作用
- Cジゴキシン中毒
- D甲状腺機能亢進症
6.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AIncreased urine output, less breathlessness and a falling weight
- BA rise in blood pressure and a new cough
- CA rise in weight and more lung crackles
- DFalling urine output, new ankle swelling and a rise in weight
7.むずかしい
患者の血液検査でカリウムが 6.8 mmol/L、心電図で尖った T 波がみられます。最も早く心臓を守る治療は?
- A経口カリウム補充
- B翌日のフロセミド錠
- C低カリウム食だけ
- Dグルコン酸カルシウムの静注
8.むずかしい
A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?
- A"I will phone the helpline if I have a fever or shivering."
- B"I will wash my hands well before eating and after using the toilet."
- C"I will check my temperature if I feel unwell or shivery at home."
- D"If I get a temperature, I'll take paracetamol and wait until my next clinic."
解答
- 1. B · The small joints of the hands and feet on both sides of the body
- 2. D · Air in the pleural space, causing the lung to collapse
- 3. D · To protect themselves from exposure to hazardous drugs
- 4. B · Heavy proteinuria, low serum albumin and oedema
- 5. C · ジゴキシン中毒
- 6. A · Increased urine output, less breathlessness and a falling weight
- 7. D · グルコン酸カルシウムの静注
- 8. D · "If I get a temperature, I'll take paracetamol and wait until my next clinic."
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