1.やさしい
A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?
- AEcholalia
- BFlight of ideas
- CThought broadcasting
- DThought blocking
2.やさしい
Haloperidol belongs to which group of antipsychotics?
- ABenzodiazepines with an added antipsychotic effect
- BSecond-generation (atypical) antipsychotics
- CFirst-generation (typical) antipsychotics
- DSelective serotonin reuptake inhibitors used for psychosis
3.やさしい
モノアミン酸化酵素阻害薬(MAOI)を服用している患者が避けるべき食品はどれですか?
- A新鮮な野菜
- Bカルシウムを含むため、新鮮な牛乳とプレーンヨーグルト
- C米とパスタ
- D熟成チーズや加工肉など、チラミンを多く含む食品
4.ふつう
Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?
- AHer calmness shows that the assault did not happen
- BA controlled response is a common reaction in the acute phase after assault
- CShe is not distressed and does not need any support
- DShe is probably exaggerating the seriousness of what happened, because she does not seem upset
5.ふつう
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
- AA relapse of her depression into a severe psychotic depression
- BAntidepressant discontinuation syndrome
- CNeuroleptic malignant syndrome
- DSerotonin syndrome
6.ふつう
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
- AIt causes weight gain, so offer fewer snacks during the day
- BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
- CGive it just before bedtime so that it works overnight
- DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
7.むずかしい
An 82-year-old started amitriptyline last week. Which finding is most concerning?
- AA slightly dry mouth
- BMild constipation that responds to extra fluids and fibre in the diet
- CNew confusion and difficulty passing urine
- DFeeling a little drowsy in the evening
8.むずかしい
患者が 10 日前に抗うつ薬を開始しました。以前より活力が出てきたと言いますが、まだ絶望感があります。これに綿密なモニタリングが必要なのはなぜですか?
- Aセロトニン症候群のサインであるため
- B抗うつ薬が完全に効いたことを意味するため
- C気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
- D用量が少なすぎることを意味するので、ただちに抗うつ薬を中止して別の薬を始めるべきであるため
解答
- 1. C · Thought broadcasting
- 2. C · First-generation (typical) antipsychotics
- 3. D · 熟成チーズや加工肉など、チラミンを多く含む食品
- 4. B · A controlled response is a common reaction in the acute phase after assault
- 5. B · Antidepressant discontinuation syndrome
- 6. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- 7. C · New confusion and difficulty passing urine
- 8. C · 気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
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