1.やさしい
What is stress urinary incontinence?
- ALeaking after a sudden, strong urge to pass urine
- BBeing unable to reach the toilet in time due to poor mobility
- CConstant dribbling from an overfull bladder
- DLeaking urine when coughing, sneezing or lifting
2.やさしい
一過性脳虚血発作(TIA)について正しい記述はどれですか?
- A症状は完全に消えるが、脳卒中のリスクは高く、緊急の診察が必要である
- B脳組織への小さな出血によって起こる
- C症状は数日続き、持続する脱力を残す
- Dすべての症状が消えるので、フォローアップは不要である
3.やさしい
発作後期(ポストイクタル期)とは何ですか?
- A強直間代発作の始まりの硬直期
- B5分を超えて続く発作
- C発作後の眠気と錯乱の時期
- D発作が始まる直前の前兆の感覚
4.ふつう
An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?
- AOnly after the angina has been cured
- BAt a low dose, increased slowly
- CAs a single large weekly injection
- DAt a full dose from the first day
5.ふつう
A patient has confirmed meningococcal meningitis. What is usually offered to their close household contacts?
- ANo action unless they develop symptoms
- BPreventive antibiotics
- CA lumbar puncture to check for infection
- DA full course of IV antibiotics in hospital
6.ふつう
Why is once-daily prednisolone usually taken in the morning with food?
- ATo match the natural cortisol rhythm and protect the stomach
- BBecause it cannot be absorbed at night
- CBecause food doubles the strength of the dose
- DBecause it causes drowsiness and is safer to take during the day
7.むずかしい
A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?
- AA rise in blood glucose from the urine
- BRupture of the bladder from the catheter
- CA urinary infection caused by the high flow of urine
- DFluid and electrolyte loss from post-obstructive diuresis
8.むずかしい
A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?
- AThe eye surgeon must be told, as it can cause floppy iris during surgery
- BThe dose should be doubled before surgery to prevent urinary retention
- CIt should be swapped for oxybutynin the night before to protect the eye
- DTamsulosin has no effects outside the urinary tract, so nothing changes
解答
- 1. D · Leaking urine when coughing, sneezing or lifting
- 2. A · 症状は完全に消えるが、脳卒中のリスクは高く、緊急の診察が必要である
- 3. C · 発作後の眠気と錯乱の時期
- 4. B · At a low dose, increased slowly
- 5. B · Preventive antibiotics
- 6. A · To match the natural cortisol rhythm and protect the stomach
- 7. D · Fluid and electrolyte loss from post-obstructive diuresis
- 8. A · The eye surgeon must be told, as it can cause floppy iris during surgery
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