1.やさしい
What is the usual first-line treatment for stress urinary incontinence in women?
- APelvic floor muscle training
- BSurgery straight away
- CRestricting fluids to half a litre a day
- DA permanent urinary catheter
2.やさしい
Which description best fits type 2 diabetes?
- AAutoimmune destruction of all beta cells in childhood
- BInsulin resistance with a relative lack of insulin
- CToo much insulin released after meals
- DA total lack of insulin from birth
3.やさしい
What is a positive Kernig's sign?
- APain and resistance when the knee is straightened with the hip flexed
- BBruising behind the ear after a head injury
- CTwitching of the facial muscles when the cheek is tapped in front of the ear
- DBending of the hips and knees when the neck is flexed
4.ふつう
A patient with Addison's disease takes fludrocortisone as well as hydrocortisone. Why?
- ATo treat a low thyroid hormone level
- BTo lower the blood pressure
- CTo replace the missing adrenaline
- DTo replace the missing aldosterone
5.ふつう
How do DPP-4 inhibitors such as sitagliptin work?
- AThey replace insulin that the pancreas cannot make
- BThey stop the gut from absorbing fat
- CThey block glucose reabsorption in the kidney
- DThey prolong the action of gut incretin hormones
6.ふつう
A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?
- ADrink plenty of fluid so the urine stays pale
- BDrink only a little to avoid diluting the urine
- CCut all calcium out of the diet
- DTake extra vitamin C supplements
7.むずかしい
血液透析の患者で、重要な薬の投与時間の問題はどれですか?
- Aすべての薬は、治療の直前に投与しなければならない
- B透析は、どの薬も除去しない
- C透析で除去される薬は、治療後に投与する必要があることがある
- D透析日には、どの薬も服用できない
8.むずかしい
A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?
- AMassage the lump firmly after every injection
- BKeep injecting into the lump, because it hurts less there
- CDouble the insulin dose because the lump blocks the insulin
- DUse healthy sites and check glucose often, as less insulin may be needed
解答
- 1. A · Pelvic floor muscle training
- 2. B · Insulin resistance with a relative lack of insulin
- 3. A · Pain and resistance when the knee is straightened with the hip flexed
- 4. D · To replace the missing aldosterone
- 5. D · They prolong the action of gut incretin hormones
- 6. A · Drink plenty of fluid so the urine stays pale
- 7. C · 透析で除去される薬は、治療後に投与する必要があることがある
- 8. D · Use healthy sites and check glucose often, as less insulin may be needed
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