1.やさしい
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AAn idea of reference
- BAn illusion
- CThought insertion
- DA somatic delusion
2.やさしい
Which pattern of decline is typical of vascular dementia?
- AVery gradual and steady from the start, without sudden changes
- BRapid improvement after starting antipsychotic medicine
- CStepwise, with sudden worsening after each new vascular event
- DComplete recovery within a few weeks
3.やさしい
The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?
- AGiving advice
- BPresenting reality
- COffering self
- DPlacing the event in sequence
4.ふつう
Which physical finding is common in bulimia nervosa?
- AA high serum potassium level
- BRaised blood pressure, a fast pulse and a high temperature
- CSwelling of the salivary glands at the angle of the jaw
- DVery low body weight with lanugo hair
5.ふつう
Which side effects are most common with quetiapine?
- AA cough and swollen ankles
- BInsomnia and severe weight loss
- CHigh prolactin with breast enlargement in almost every patient
- DSedation, dizziness when standing and weight gain
6.ふつう
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
- AIncreased sedation and respiratory depression
- BThe combination will cause high blood pressure
- CThe diazepam will block the pain-relieving effect of oxycodone
- DThere is no interaction between these two drugs
7.むずかしい
For which patient is electroconvulsive therapy (ECT) most likely to be considered?
- AA patient with a personality disorder who self-harms when stressed
- BA patient with mild anxiety before exams
- CA patient with severe psychotic depression who has stopped eating and drinking
- DA patient with a first episode of mild depression who has not yet tried any other treatment
8.むずかしい
A patient who is detained under mental health legislation refuses his prescribed oral antipsychotic. What is the correct general principle?
- AThe refusal must always be accepted, even if the law allows treatment without consent
- BDetained patients have no right to refuse any treatment at all
- CThe nurse may hide the medicine in his food without any further process
- DTreatment without consent is lawful only under the conditions and procedures set by the law
解答
- 1. A · An idea of reference
- 2. C · Stepwise, with sudden worsening after each new vascular event
- 3. C · Offering self
- 4. C · Swelling of the salivary glands at the angle of the jaw
- 5. D · Sedation, dizziness when standing and weight gain
- 6. A · Increased sedation and respiratory depression
- 7. C · A patient with severe psychotic depression who has stopped eating and drinking
- 8. D · Treatment without consent is lawful only under the conditions and procedures set by the law
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