1.やさしい
Which description is typical of neuropathic pain?
- AA pain that only occurs after meals
- BBurning, shooting or tingling pain
- CA sharp pain only when the skin is cut
- DA dull ache that is only present during exercise
2.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AAnaemia and osteoporosis
- BAsthma, eczema and hay fever
- CStroke, heart attack and kidney disease
- DHypothyroidism, gout and hair loss
3.やさしい
What is a transient ischaemic attack (TIA)?
- AA permanent stroke caused by bleeding into the brain
- BA type of migraine with no risk of stroke
- CShort-lived stroke-like symptoms that resolve completely
- DA heart attack affecting the brain
4.ふつう
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe needle must be sent for culture
- BThe patient will need antibiotics
- CPost-exposure prophylaxis works best when started as soon as possible
- DThe nurse must be tested for HIV the same day to confirm infection
5.ふつう
Why are people with diabetes advised to have regular eye screening?
- ATo check whether they need reading glasses for close work
- BTo detect diabetic retinopathy early, before sight is lost
- CTo measure their blood glucose through the eye
- DTo prevent conjunctivitis
6.ふつう
What is the main benefit of pulmonary rehabilitation for patients with COPD?
- ANo further need for inhalers
- BReversal of the lung damage caused by smoking
- CA cure for the disease within months
- DBetter exercise capacity and quality of life
7.むずかしい
A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?
- AMild hypokalaemia
- BMuscle strain from lying in the same position in bed for many hours
- CThe normal expected effect of the local anaesthetic
- DAn epidural haematoma or abscess compressing the spinal cord
8.むずかしい
A patient has a painful, punched-out ulcer on the toes, with a cold, pale foot and weak foot pulses. Which type of ulcer is most likely?
- AA burn
- BAn arterial ulcer
- CA venous ulcer
- DA pressure ulcer from bed rest
解答
- 1. B · Burning, shooting or tingling pain
- 2. C · Stroke, heart attack and kidney disease
- 3. C · Short-lived stroke-like symptoms that resolve completely
- 4. C · Post-exposure prophylaxis works best when started as soon as possible
- 5. B · To detect diabetic retinopathy early, before sight is lost
- 6. D · Better exercise capacity and quality of life
- 7. D · An epidural haematoma or abscess compressing the spinal cord
- 8. B · An arterial ulcer
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