1.やさしい
What does dysarthria mean?
- ALoss of the ability to understand spoken or written language
- BDifficulty swallowing food and drink safely
- CUnclear speech caused by weak or poorly coordinated speech muscles
- DInability to read or write after a brain injury
2.やさしい
Which description fits a cluster headache?
- AA slowly worsening headache over months with vomiting in the morning
- BA throbbing headache on both sides after drinking coffee
- CSevere one-sided pain around the eye with a watery eye
- DA mild band-like ache across both sides of the head
3.やさしい
What is the purpose of a steroid emergency card or medical alert ID?
- ATo show that the patient is allergic to all types of steroid medicine
- BTo warn staff that extra steroid is needed in illness or injury
- CTo let the patient buy steroids without a prescription
- DTo record the patient's blood glucose results
4.ふつう
A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?
- AStay in bright sunlight to dry the eyes
- BUse lubricating drops and sleep with the head raised
- CSmoking more will not affect the eyes
- DRub the eyes firmly each morning to reduce the swelling
5.ふつう
A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
- ANormal nausea from the drug
- BLow blood glucose
- CA simple urinary tract infection
- DAcute pancreatitis
6.ふつう
After a change in the levothyroxine dose, when is the TSH usually rechecked?
- AAfter 3 days
- BAfter about 6–8 weeks
- CAfter 24 hours
- DAfter about 2 years of treatment
7.むずかしい
A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1.8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?
- ANephrotic syndrome
- BAcute pyelonephritis
- CA urethral stricture
- DNephritic syndrome
8.むずかしい
長期間、高用量のプレドニゾロンを服用している患者が、腸の手術の3日後です。腹痛は軽いと訴えるだけですが、心拍数が115/分に上がり、体温は37.4 °Cです。看護師が特に懸念すべきなのはなぜですか?
- A軽い痛みは、腸が予想どおり治っていることを示すから
- Bステロイドは発熱、痛み、腹膜刺激症状を隠し、合併症を見えなくしうるから
- Cステロイドはすべての患者で頻脈を起こすので、対応は不要だから
- Dステロイドは感染から守るので、敗血症の可能性は非常に低いから
解答
- 1. C · Unclear speech caused by weak or poorly coordinated speech muscles
- 2. C · Severe one-sided pain around the eye with a watery eye
- 3. B · To warn staff that extra steroid is needed in illness or injury
- 4. B · Use lubricating drops and sleep with the head raised
- 5. D · Acute pancreatitis
- 6. B · After about 6–8 weeks
- 7. A · Nephrotic syndrome
- 8. B · ステロイドは発熱、痛み、腹膜刺激症状を隠し、合併症を見えなくしうるから
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