1.やさしい
What is a transient ischaemic attack (TIA)?
- AA heart attack affecting the brain
- BA permanent stroke caused by bleeding into the brain
- CShort-lived stroke-like symptoms that resolve completely
- DA type of migraine with no risk of stroke
2.やさしい
What should be done with a used needle after an injection?
- APut it straight into a sharps container without recapping
- BPlace it on the bed until the end of the round
- CRecap it carefully using both hands, then put it in the bin
- DPut it in the clinical waste bag
3.やさしい
What does MRSA stand for?
- AMeticillin (methicillin)-resistant Staphylococcus aureus
- BMultiple-resistant Streptococcus agent
- CMicrobial resistance surveillance alert
- DMixed respiratory syncytial antigen
4.ふつう
Which advice should be given to a patient with a new permanent pacemaker?
- AStop all heart medicines straight away
- BAvoid using all household electrical appliances such as kettles
- CNever raise the arm on that side again
- DTell staff about the pacemaker before any MRI scan or procedure
5.ふつう
Which side effect is common when a patient starts taking metformin?
- ARapid weight gain
- BHypoglycaemia in most patients who take it
- CNausea, abdominal discomfort or diarrhoea
- DSevere headache
6.ふつう
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AMagnesium
- BPhosphate
- CChloride
- DSodium
7.むずかしい
オピオイドの PCA ポンプを使用中の患者の呼吸数が 7 回/分で、呼びかけてもなかなか起きません。まず何をすべきですか?
- A痛みがあるかもしれないので PCA のボーラス量を増やす
- BPCA を止め、患者を起こし、酸素を投与し、ナロキソンが投与されるようにする
- C楽になるように PCA のボタンをもっと押すよう勧める
- D観察結果を記録し、次の 4 時間ごとの観察で再確認する
8.むずかしい
An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?
- ALubricating eye drops
- BEmollient creams applied to the legs
- CBenzodiazepine sleeping tablets
- DVitamin D supplements
解答
- 1. C · Short-lived stroke-like symptoms that resolve completely
- 2. A · Put it straight into a sharps container without recapping
- 3. A · Meticillin (methicillin)-resistant Staphylococcus aureus
- 4. D · Tell staff about the pacemaker before any MRI scan or procedure
- 5. C · Nausea, abdominal discomfort or diarrhoea
- 6. A · Magnesium
- 7. B · PCA を止め、患者を起こし、酸素を投与し、ナロキソンが投与されるようにする
- 8. C · Benzodiazepine sleeping tablets
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