1.やさしい
Which sequence shows Tuckman's stages of group development?
- AForming, performing, storming, norming, adjourning
- BNorming, forming, storming, adjourning, performing
- CStorming, forming, performing, norming, adjourning
- DForming, storming, norming, performing, adjourning
2.やさしい
神経性過食症(神経性大食症)に典型的な特徴はどれですか?
- Aすべての例で非常に低い体重
- B反復する過食と、そのあとの嘔吐などの代償行動
- C体型への関心がない
- D過食も代償行動もない、重度の食物摂取の制限
3.やさしい
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
- ALithium
- BHaloperidol
- CDantrolene
- DFluoxetine
4.ふつう
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
- AErotomanic
- BGrandiose
- CNihilistic
- DSomatic
5.ふつう
A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?
- ARespond respectfully but firmly, and keep the same expectations as for other patients
- BAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
- CArrange for only the senior doctor to see him from now on
- DTell him that he is not as important as he thinks he is
6.ふつう
三環系抗うつ薬が過量服用で特に危険なのはなぜですか?
- A血圧をわずかに下げるだけで、治療がほとんど必要ないため
- B過量服用では何の作用もないため
- C軽い眠気しか起こさないため
- D致死的な不整脈とけいれんを起こしうるため
7.むずかしい
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- BThiamine quickly lowers the blood alcohol level
- CThiamine prevents all alcohol withdrawal seizures
- DThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
8.むずかしい
A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?
- ADissociative amnesia with dissociative fugue
- BA manic episode with poor judgement and impulsive travel
- CAlzheimer's disease
- DDelirium
解答
- 1. D · Forming, storming, norming, performing, adjourning
- 2. B · 反復する過食と、そのあとの嘔吐などの代償行動
- 3. C · Dantrolene
- 4. A · Erotomanic
- 5. A · Respond respectfully but firmly, and keep the same expectations as for other patients
- 6. D · 致死的な不整脈とけいれんを起こしうるため
- 7. A · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- 8. A · Dissociative amnesia with dissociative fugue
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