1.やさしい
Osteoporosis mainly increases the risk of:
- AMuscle cramps at night
- BHigh blood calcium
- CFractures from minor falls
- DJoint infections
2.やさしい
Glaucoma is an eye condition in which:
- ARaised pressure in the eye damages the optic nerve
- BThe eyelids turn inwards and the lashes rub the eye
- CThe lens becomes cloudy and vision is blurred
- DThe tear glands stop working
3.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- AThe right upper abdomen, often after a fatty meal
- BThe left lower abdomen, usually after drinking water
- CThe lower back on the left, when walking
- DBehind the left knee
4.ふつう
WHO の除痛ラダーが勧めているのは?
- A痛みが強くなったときだけ鎮痛薬を与えること
- Bがんの痛みには薬以外の方法だけを使うこと
- C痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- Dすべての患者で強オピオイドから始めること
5.ふつう
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo measure their lung function so the result can go in the discharge letter
- BTo encourage deep breaths that prevent atelectasis and chest infection
- CTo lower their heart rate before mobilising
- DTo strengthen the abdominal muscles around the wound
6.ふつう
Which measure helps prevent delirium in older inpatients?
- AKeeping the lights on all night
- 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
- DRestricting fluids to avoid incontinence
7.むずかしい
Which feature best distinguishes delirium from dementia?
- ADelirium only affects people under 50, while dementia affects older people
- BDelirium starts suddenly and fluctuates, while dementia develops gradually
- CDementia always causes visual hallucinations
- DDelirium is permanent, while dementia is reversible
8.むずかしい
A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?
- AA stroke
- BAnaphylaxis
- CVasovagal syncope
- DA hypoglycaemic coma
解答
- 1. C · Fractures from minor falls
- 2. A · Raised pressure in the eye damages the optic nerve
- 3. A · The right upper abdomen, often after a fatty meal
- 4. C · 痛みが強くなるにつれて、非オピオイドから弱オピオイド、さらに強オピオイドへ移ること
- 5. B · To encourage deep breaths that prevent atelectasis and chest infection
- 6. C · Reorientation, glasses and hearing aids in use, and good sleep and hydration
- 7. B · Delirium starts suddenly and fluctuates, while dementia develops gradually
- 8. C · Vasovagal syncope
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。