1.やさしい
発作後期(ポストイクタル期)とは何ですか?
- A発作後の眠気と錯乱の時期
- B強直間代発作の始まりの硬直期
- C5分を超えて続く発作
- D発作が始まる直前の前兆の感覚
2.やさしい
アジソン病(原発性副腎不全)に典型的な特徴はどれですか?
- A体重増加、高血圧、紫色の皮膚線条
- B高ナトリウム血症と低カリウム血症
- C暑がり、振戦、眼球突出
- D疲労、体重減少、低血圧、皮膚の黒ずみ
3.やさしい
Which cranial nerve makes the pupil constrict in response to light?
- AOptic nerve (II) alone
- BTrochlear nerve (IV)
- COculomotor nerve (III)
- DAbducens nerve (VI)
4.ふつう
What is the dexamethasone suppression test used for?
- ATo check thyroid function
- BTo measure kidney function
- CTo diagnose diabetes insipidus
- DTo help diagnose Cushing's syndrome
5.ふつう
Which finding most suggests fluid overload in a patient with chronic kidney disease?
- AA weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- BA dry mouth and a low blood pressure when standing
- CDark yellow urine and thirst
- DA weight loss of 1 kg (2.2 lb) after a hot day
6.ふつう
A patient has just started levetiracetam. Which side effect should the nurse teach them to report?
- AOrange discoloration of the urine
- BSwelling and overgrowth of the gums around the teeth
- CA persistent dry cough at night
- DChanges in mood, such as irritability, low mood or anger
7.むずかしい
A drowsy patient's glucose meter shows "HI". What should the nurse do?
- AGive glucose gel in case the reading is wrong
- BTreat it as very high, check ketones and escalate
- CRecord "normal" in the notes because no number appears
- DAssume the meter is broken and recheck tomorrow
8.むずかしい
腹膜透析の患者が、注入した量より排液される量が少ないことに気づきました。4日間排便がなく、排液は透明です。最も考えられる原因はどれですか?
- A正常な吸収で、対応は不要
- B冷たすぎる透析液を注入した
- C細菌性腹膜炎
- D流出を妨げる便秘
解答
- 1. A · 発作後の眠気と錯乱の時期
- 2. D · 疲労、体重減少、低血圧、皮膚の黒ずみ
- 3. C · Oculomotor nerve (III)
- 4. D · To help diagnose Cushing's syndrome
- 5. A · A weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- 6. D · Changes in mood, such as irritability, low mood or anger
- 7. B · Treat it as very high, check ketones and escalate
- 8. D · 流出を妨げる便秘
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