1.やさしい
脳卒中が疑われるすべての患者で早期に行うべき簡単な検査で、異常値が脳卒中に似た症状を起こしうるのはどれですか?
- A毛細血管血糖
- B尿試験紙
- C視力表
- Dピーク呼気流量
2.やさしい
Which group of features is typical of Parkinson's disease?
- AIntention tremor, muscle wasting and twitching under the skin
- BResting tremor, rigidity and slow movement
- CWeakness rising from the feet, with tingling and lost reflexes
- DDrooping eyelids and double vision that get worse later in the day
3.やさしい
What is sciatica?
- APain that spreads down the back of the leg from an irritated nerve root
- BStiffness of the hips in the morning
- CCramp in the calf muscle after exercise, caused by low potassium levels
- DPain in the front of the knee caused by arthritis
4.ふつう
A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?
- AThe patient is passing urine normally
- BThe kidneys are making too little urine
- CThe bladder is not emptying properly
- DThe patient has drunk too little fluid
5.ふつう
Which blood gas pattern is typical of acute kidney injury?
- ALow pH and high carbon dioxide only
- BHigh pH and high bicarbonate
- CHigh pH and low carbon dioxide
- DLow pH and low bicarbonate
6.ふつう
Which headache feature most suggests raised intracranial pressure from a brain tumour?
- ABetter in the morning and worse with stress
- BOnly present after reading for a long time
- CA tight band across the forehead that eases with rest
- DWorse on waking and on coughing, with vomiting
7.むずかしい
A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?
- APrimary hypothyroidism from thyroid failure
- BHyperthyroidism from Graves' disease
- COver-replacement with levothyroxine
- DSecondary hypothyroidism
8.むずかしい
血液透析中に、患者の血圧が80/50 mmHgに下がり、めまいと吐き気を感じています。最も適切な最初の看護行為はどれですか?
- A治療が早く終わるよう、除水速度を上げる
- B患者を仰向けに寝かせ、除水を減らし、応援を呼ぶ
- C患者を座位にして、短い散歩を促す
- D直ちに患者の通常量の降圧薬を投与する
解答
- 1. A · 毛細血管血糖
- 2. B · Resting tremor, rigidity and slow movement
- 3. A · Pain that spreads down the back of the leg from an irritated nerve root
- 4. C · The bladder is not emptying properly
- 5. D · Low pH and low bicarbonate
- 6. D · Worse on waking and on coughing, with vomiting
- 7. D · Secondary hypothyroidism
- 8. B · 患者を仰向けに寝かせ、除水を減らし、応援を呼ぶ
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。