1.やさしい
Which side effect is common when starting a GLP-1 receptor agonist such as semaglutide?
- AA dry cough
- BNausea
- CWeight gain
- DHair growth
2.やさしい
A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?
- ABoth legs are weak with normal arms
- BThe same side of the body is weak
- CThe opposite leg is weaker than the arm
- DThe opposite arm and face are weaker than the leg
3.やさしい
Which group of symptoms is classic for meningitis?
- AChest pain, cough and wheeze
- BFlank pain, fever and painful urination
- CJoint pain, rash on the cheeks and hair loss
- DFever, headache and neck stiffness
4.ふつう
Why are tacrolimus blood levels checked regularly?
- AThe drug only works if levels are as high as possible
- BToo high harms the kidney; too low risks rejection
- CThe levels show how much urine the kidney is making
- DThe levels show whether the patient has diabetes
5.ふつう
Why must Parkinson's medicines be given on time in hospital?
- AGiving them on time prevents the disease from getting worse
- BLate doses can soon cause stiffness, falls and poor swallowing
- CLate doses cause the patient to develop high blood glucose
- DLate doses build up in the blood and cause an overdose
6.ふつう
Before checking a capillary glucose, why should the patient wash their hands with soap and water?
- ASoap makes the blood flow faster from the finger
- BWashing prevents all infection from the lancet
- CSugar on the skin can give a falsely high reading
- DWashing lowers the glucose in the blood
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バルプロ酸は妊娠中ずっと安全だと安心させる
- 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今日からバルプロ酸を完全に中止するよう伝える
- 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 Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?
- AParacetamol (acetaminophen)
- BLactulose
- CHaloperidol
- DMelatonin
解答
- 1. B · Nausea
- 2. C · The opposite leg is weaker than the arm
- 3. D · Fever, headache and neck stiffness
- 4. B · Too high harms the kidney; too low risks rejection
- 5. B · Late doses can soon cause stiffness, falls and poor swallowing
- 6. C · Sugar on the skin can give a falsely high reading
- 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. C · Haloperidol
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