1.やさしい
Which group of symptoms is classic for meningitis?
- AChest pain, cough and wheeze
- BFlank pain, fever and painful urination
- CJoint pain, rash on the cheeks and hair loss
- DFever, headache and neck stiffness
2.やさしい
発作後期(ポストイクタル期)とは何ですか?
- A発作が始まる直前の前兆の感覚
- B5分を超えて続く発作
- C発作後の眠気と錯乱の時期
- D強直間代発作の始まりの硬直期
3.やさしい
Which side effect is common when starting a GLP-1 receptor agonist such as semaglutide?
- AWeight gain
- BNausea
- CHair growth
- DA dry cough
4.ふつう
After transsphenoidal pituitary surgery, which advice should the patient follow?
- ALie completely flat for at least a week after surgery
- BAvoid blowing the nose, straining and bending forward
- CBlow the nose often to clear any clots
- DDrink through a straw to keep the nose clean
5.ふつう
A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?
- AThe pill makes carbamazepine toxic, so she must stop the pill
- BShe should take both at the same time so they are absorbed together
- CCarbamazepine can make the pill less effective, so other contraception is needed
- DThere is no interaction between these two medicines
6.ふつう
Which picture fits Brown-Séquard syndrome?
- ALoss of all feeling but normal movement on both sides
- BWeakness on the same side and loss of pain on the opposite side
- CParalysis of both legs, with normal sensation everywhere in the body
- DWeakness of both arms with normal strength in the legs
7.むずかしい
The nurse has four endocrine patients. Which one needs to be seen first?
- AA patient with hypothyroidism who has been constipated for three days
- BA patient after thyroidectomy with mild pain on swallowing
- CA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- DA patient with Graves' disease asking about radioactive iodine
8.むずかしい
A patient with diabetes insipidus after head trauma needs hourly urine output measurement. Which task can be delegated to a trained healthcare assistant (nursing assistant)?
- AAssessing the patient's level of consciousness
- BMeasuring hourly urine and reporting results above a set amount
- CInterpreting the serum sodium results
- DDeciding whether to give the next desmopressin dose
解答
- 1. D · Fever, headache and neck stiffness
- 2. C · 発作後の眠気と錯乱の時期
- 3. B · Nausea
- 4. B · Avoid blowing the nose, straining and bending forward
- 5. C · Carbamazepine can make the pill less effective, so other contraception is needed
- 6. B · Weakness on the same side and loss of pain on the opposite side
- 7. C · A patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- 8. B · Measuring hourly urine and reporting results above a set amount
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