1.やさしい
Rheumatoid arthritis typically affects:
- AOnly the big toe
- BOnly one large weight-bearing joint, such as the knee or hip
- CThe small joints of the hands and feet on both sides of the body
- DOnly the spine
2.やさしい
Shingles (herpes zoster) is caused by:
- AA bacterial skin infection
- BA fungal infection of the nerves
- CReactivation of the chickenpox virus
- DAn allergy to medicines
3.やさしい
急性心不全で息苦しい患者にふつう役立つ体位は?
- A頭を低くした体位
- B足を挙上してあお向けで平らに寝る
- C足を下ろして上体を起こした座位
- Dうつぶせ
4.ふつう
Which measure helps prevent delirium in older inpatients?
- ARestricting fluids to avoid incontinence
- BMoving the patient to a different bed each night to give them a change of scene
- CReorientation, glasses and hearing aids in use, and good sleep and hydration
- DKeeping the lights on all night
5.ふつう
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- AChew the tablet with breakfast and a cup of milky tea
- BTake it with plain water on an empty stomach and stay upright for 30 minutes
- CTake it with a glass of milk at bedtime and then lie down straight away
- DTake it with an antacid to protect the stomach
6.ふつう
Which measure helps reduce the risk of surgical site infection?
- AChanging the wound dressing every hour
- BLeaving the patient cool during surgery to slow bacterial growth
- CRemoving hair, if needed, with clippers rather than a razor
- DShaving the area with a razor the night before surgery
7.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 asking the patient to rate their pain on a numerical scale from 0 to 10
- CBy assuming the patient has no pain unless they are crying out or calling for help
- DBy checking the blood pressure only
8.むずかしい
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AIV syringes cannot hold liquid medicines
- BTo prevent accidental intravenous administration
- CEnteral syringes keep the medicine sterile
- DEnteral syringes measure doses less accurately
解答
- 1. C · The small joints of the hands and feet on both sides of the body
- 2. C · Reactivation of the chickenpox virus
- 3. C · 足を下ろして上体を起こした座位
- 4. C · Reorientation, glasses and hearing aids in use, and good sleep and hydration
- 5. B · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 6. C · Removing hair, if needed, with clippers rather than a razor
- 7. A · With an observational pain tool that scores facial expression, behaviour and body language
- 8. B · To prevent accidental intravenous administration
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