1.やさしい
The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?
- AHypoglossal nerve (XII)
- BTrigeminal nerve (V)
- CFacial nerve (VII)
- DAccessory nerve (XI)
2.やさしい
甲状腺機能低下症に典型的な症状の組み合わせはどれですか?
- A暑がり、体重減少、細かい振戦、動悸
- Bひどい口渇と大量の尿
- C寒がり、疲れ、体重増加、便秘
- D下痢、不安、発汗、眼球突出
3.やさしい
What is Trousseau's sign?
- ATwitching of the face when the cheek is tapped
- BBruising around the eyes after a head injury
- CPain in the calf when the foot is bent upwards
- DHand spasm when a BP cuff is inflated on the arm
4.ふつう
A patient uses a continuous glucose monitor. Which statement is correct?
- AIt reads glucose in fluid under the skin, a little behind blood glucose
- BIt measures glucose directly in the blood every second of the day
- CIt makes finger-prick checks unnecessary in every situation
- DIt works by giving small doses of insulin automatically
5.ふつう
A patient has a nephrostomy tube. Which finding needs urgent action?
- ASteady urine drainage into the bag
- BLight pink urine on the first day after insertion
- CDrainage that stops suddenly with new loin pain
- DA dry, intact dressing at the site
6.ふつう
Why must Parkinson's medicines be given on time in hospital?
- ALate doses cause the patient to develop high blood glucose
- BGiving them on time prevents the disease from getting worse
- CLate doses build up in the blood and cause an overdose
- DLate doses can soon cause stiffness, falls and poor swallowing
7.むずかしい
肺がんとSIADHのある患者のナトリウムが112 mmol/Lで、けいれんを起こしています。最も適切な治療はどれですか?
- A尿を薄めるのに役立つ大量の経口水
- Bけいれんが止まるまで、高速で5%ブドウ糖液を静注
- Cモニタリング下で、上昇の速度を制限した高張食塩水
- D最初の6時間以内に140 mmol/Lまで急速に補正
8.むずかしい
A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?
- A"I will check food labels for added salt when I go shopping."
- B"I will use a salt substitute instead of ordinary salt."
- C"I will boil my potatoes and throw away the water."
- D"I will keep bananas and dried fruit to a minimum."
解答
- 1. D · Accessory nerve (XI)
- 2. C · 寒がり、疲れ、体重増加、便秘
- 3. D · Hand spasm when a BP cuff is inflated on the arm
- 4. A · It reads glucose in fluid under the skin, a little behind blood glucose
- 5. C · Drainage that stops suddenly with new loin pain
- 6. D · Late doses can soon cause stiffness, falls and poor swallowing
- 7. C · モニタリング下で、上昇の速度を制限した高張食塩水
- 8. B · "I will use a salt substitute instead of ordinary salt."
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