1.やさしい
What does the HbA1c test show?
- AThe average blood glucose over about two to three months
- BThe amount of insulin the pancreas is making
- CThe blood glucose at the exact moment that the sample is taken
- DThe glucose level over the last 24 hours only
2.やさしい
In primary hypothyroidism, what is the usual TSH result?
- AHigh
- BUndetectable
- CLow
- DNormal
3.やさしい
Which statement about Huntington's disease is correct?
- AIt is cured by levodopa
- BIt mainly affects children under the age of five years
- CIt is inherited and causes involuntary jerky movements
- DIt is caused by a bacterial infection of the brain
4.ふつう
フェニトインを長期に服用している患者に、指導すべき副作用はどれですか?
- A歯肉の過形成。そのため口腔衛生が重要
- B徐々に進む恒久的な難聴
- Cほぼすべての患者でみられる頭皮の脱毛
- D体重減少と暑がり
5.ふつう
A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?
- APhenytoin makes the feed curdle, so the two must never be used in one patient
- BThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
- CThe feed increases phenytoin levels and causes toxicity within hours
- DPhenytoin must be crushed and mixed into the feed bag
6.ふつう
グラルギンなどの持効型基礎インスリンについて正しい記述はどれですか?
- A炭水化物をカバーするため、大きな食事の後にのみ投与する
- B超速効型インスリンと同じ注射器で混ぜる
- C注射の約30分後に、鋭い作用のピークがある
- D1型糖尿病では、食事をとらないときでも続ける
7.むずかしい
A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?
- APain spreading upwards from a kidney cyst
- BA urinary infection that has spread
- CA migraine linked to high blood pressure
- DA subarachnoid haemorrhage from a brain aneurysm
8.むずかしい
A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?
- AHaloperidol
- BMelatonin
- CLactulose
- DParacetamol (acetaminophen)
解答
- 1. A · The average blood glucose over about two to three months
- 2. A · High
- 3. C · It is inherited and causes involuntary jerky movements
- 4. A · 歯肉の過形成。そのため口腔衛生が重要
- 5. B · The feed can reduce phenytoin absorption, so the feed is often paused around the dose
- 6. D · 1型糖尿病では、食事をとらないときでも続ける
- 7. D · A subarachnoid haemorrhage from a brain aneurysm
- 8. A · Haloperidol
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