1.やさしい
Post-streptococcal glomerulonephritis typically follows which event?
- AAn episode of bloody diarrhoea from food poisoning
- BA long course of antibiotics for pneumonia
- CA throat or skin infection a few weeks earlier
- DA kidney stone passed the week before
2.やさしい
Which is the most important modifiable risk factor for stroke?
- AOlder age
- BMale sex
- CFamily history of stroke
- DHigh blood pressure
3.やさしい
Which ECG change is typical of hyperkalaemia?
- AProminent U waves
- BFlattened T waves
- CA shortened PR interval
- DTall, peaked T waves
4.ふつう
Which nursing action helps most to prevent and manage delirium in an older inpatient?
- ARestrain the patient so that they do not wander off the ward
- BMove the patient to a different room each day for variety
- CKeep the lights on all night so the patient can see clearly
- DUse glasses and hearing aids and reorient the patient often
5.ふつう
Which picture fits anterior cord syndrome?
- ALoss of movement and pain sense, with position sense kept
- BNormal movement but complete loss of position sense
- CWeakness on one side and loss of pain sensation on the other side
- DArms much weaker than legs after a neck injury
6.ふつう
Which picture fits Brown-Séquard syndrome?
- AWeakness of both arms with normal strength in the legs
- BWeakness on the same side and loss of pain on the opposite side
- CLoss of all feeling but normal movement on both sides
- DParalysis of both legs, with normal sensation everywhere in the body
7.むずかしい
バルプロ酸を服用しているてんかんの女性が、妊娠を計画していると言いました。最も適切な対応はどれですか?
- A今日からバルプロ酸を完全に中止するよう伝える
- B急に中止しないよう助言し、専門医の緊急の診察を受けてもらう
- Cバルプロ酸は妊娠中ずっと安全だと安心させる
- D赤ちゃんを発作から守るために、用量を2倍にするよう提案する
8.むずかしい
A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?
- AGentamicin
- BBenzylpenicillin
- CAmoxicillin
- DCeftriaxone
解答
- 1. C · A throat or skin infection a few weeks earlier
- 2. D · High blood pressure
- 3. D · Tall, peaked T waves
- 4. D · Use glasses and hearing aids and reorient the patient often
- 5. A · Loss of movement and pain sense, with position sense kept
- 6. B · Weakness on the same side and loss of pain on the opposite side
- 7. B · 急に中止しないよう助言し、専門医の緊急の診察を受けてもらう
- 8. A · Gentamicin
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