1.やさしい
A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?
- ACongruent
- BBlunted
- CFlat
- DLabile
2.やさしい
リチウムは主に何の治療に用いられますか?
- A双極性障害
- Bアルコール離脱
- C即効性の薬としてのパニック発作
- D第一選択薬としての統合失調症
3.やさしい
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
- AAvoiding places that remind the person of the event
- BFeeling detached from family and friends
- CFlashbacks of the traumatic event
- DBeing easily startled by loud noises
4.ふつう
What is the main advantage of a long-acting injectable antipsychotic?
- AIt cures schizophrenia after a fixed course of injections
- BIt works faster than any oral antipsychotic in an acute crisis
- CIt improves adherence because the patient does not need to take daily tablets
- DIt has no side effects, unlike the oral forms of the same antipsychotic drugs
5.ふつう
電気けいれん療法(ECT)のあとに予想される、一時的な影響はどれですか?
- A数か月間の言葉の喪失
- B治療前のすべての長期記憶の永続的な喪失
- C下肢の麻痺
- D治療の前後の短期間の錯乱と記憶障害
6.ふつう
Which postpartum presentation is a psychiatric emergency?
- AConfusion, hallucinations and rapidly changing mood a few days after birth
- BTearfulness and mood swings on the third day after birth
- CFeeling tearful at times but enjoying the baby and sleeping well when she can
- DTiredness and worry about feeding the baby in the first week
7.むずかしい
クロザピンを服用している患者に、体温 38.5 °C とのどの痛みがあります。優先すべきことは何ですか?
- Aパラセタモールを与え、クロザピンを通常どおり続ける
- B次の定期的な血液検査まで待つ
- C次の服用の前に、好中球を含む全血球計算を確認できるよう、緊急に報告する
- Dおそらく普通の風邪だと伝え、水分摂取を勧め、クロザピンを通常どおり続ける
8.むずかしい
A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?
- AIt breaches confidentiality, because he could still be identified
- BIt is acceptable if the post is set to "friends only"
- CIt is acceptable because his name was not used
- DIt is only a problem if the patient finds the post himself
解答
- 1. D · Labile
- 2. A · 双極性障害
- 3. C · Flashbacks of the traumatic event
- 4. C · It improves adherence because the patient does not need to take daily tablets
- 5. D · 治療の前後の短期間の錯乱と記憶障害
- 6. A · Confusion, hallucinations and rapidly changing mood a few days after birth
- 7. C · 次の服用の前に、好中球を含む全血球計算を確認できるよう、緊急に報告する
- 8. A · It breaches confidentiality, because he could still be identified
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