1.やさしい
What is a keloid scar?
- AA flat, pale scar that fades and softens over time
- BA wound that will not close at all
- CA scar that forms only on the inside of the body
- DA raised scar that grows beyond the edges of the wound
2.やさしい
Which symptom is typical of haemorrhoids?
- AVomiting of dark, coffee-ground material
- BBlack, tarry stools with a strong smell
- CYellow skin, dark urine and pale stools that float in the toilet
- DBright red blood on the paper after opening the bowels
3.やさしい
上部消化管出血の出血源を見つけて治療するために、通常用いる検査はどれですか?
- A上部消化管内視鏡検査
- B腸の大腸内視鏡検査
- C腹部単純X線
- Dバリウム嚥下造影検査
4.ふつう
多角的(マルチモーダル)鎮痛について正しい記述はどれですか?
- Aより強い全体の効果のため、数種類のオピオイドを組み合わせる
- B長期の慢性痛にのみ使われる方法である
- C作用の異なる薬を組み合わせて、オピオイドの必要量を減らす
- D一度に投与してよい鎮痛薬は、1種類だけである
5.ふつう
Which instruction is important during bowel preparation for colonoscopy?
- ATake the preparation only if the bowels have not opened
- BDrink plenty of clear fluids while taking the preparation
- CAvoid all fluids for 24 hours before the test
- DEat a high-fibre meal the evening before the test
6.ふつう
A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?
- ACo-codamol stops paracetamol from working
- BIt already contains paracetamol, so overdose could occur
- CParacetamol and codeine cause a severe allergic reaction when combined
- DCo-codamol must be stopped a week before any paracetamol
7.むずかしい
A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?
- AThrow it in the clinical waste bag
- BPick it up with gloved hands and put it in the nearest sharps bin quickly
- CLeave it in the bed until the end of the shift
- DUse long-handled forceps to put it in the lead container; report it
8.むずかしい
A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?
- A"I'll report increased thirst or passing urine more often."
- B"I should not drink any alcohol."
- C"Oily, floating stools may mean my dose needs changing."
- D"I'll take my enzyme capsules at bedtime."
解答
- 1. D · A raised scar that grows beyond the edges of the wound
- 2. D · Bright red blood on the paper after opening the bowels
- 3. A · 上部消化管内視鏡検査
- 4. C · 作用の異なる薬を組み合わせて、オピオイドの必要量を減らす
- 5. B · Drink plenty of clear fluids while taking the preparation
- 6. B · It already contains paracetamol, so overdose could occur
- 7. D · Use long-handled forceps to put it in the lead container; report it
- 8. D · "I'll take my enzyme capsules at bedtime."
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