1.やさしい
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
- ABeing easily startled by loud noises
- BFeeling detached from family and friends
- CAvoiding places that remind the person of the event
- DFlashbacks of the traumatic event
2.やさしい
According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?
- AAt least 2 days
- BAt least 2 years
- CAt least 6 months
- DAt least 2 weeks
3.やさしい
躁病エピソードに典型的な所見はどれですか?
- A高いエネルギーを伴う睡眠欲求の減少
- B1 日 14 時間眠る
- C話し方や動作の緩慢さ
- D無価値感
4.ふつう
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
- APica; poisoning such as lead toxicity, or bowel obstruction
- BAnorexia; dangerously low body weight and bradycardia
- CBulimia; severe hypokalaemia from vomiting
- DARFID; the risk of choking on food
5.ふつう
What is the key difference between factitious disorder and malingering?
- AIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
- BThere is no real difference between them, and both terms mean exactly the same thing
- CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
- DIn factitious disorder, the symptoms are not produced on purpose at all
6.ふつう
A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?
- APositive reinforcement
- BDiagnostic overshadowing
- CSplitting by the patient
- DTransference
7.むずかしい
The nurse receives handover for four patients. Which patient should she see first?
- AA woman with bipolar disorder who wants to talk about her discharge plans for next week
- BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
- CA newly admitted man with depression who says he has given away his dog and written letters to his children
- DA man with schizophrenia who is asking for his PRN laxative
8.むずかしい
リチウムで安定している患者が、腰痛のために毎日イブプロフェンを飲み始めたと看護師に話しました。看護師はどうすべきですか?
- Aむくみのために利尿薬も飲むよう伝える
- Bリチウムの用量を 2 倍にするよう助言する
- Cイブプロフェンは処方箋なしで買えて安全なので、問題ないと伝える
- Dイブプロフェンはリチウムを中毒濃度に上げることがあるため、処方者に知らせる
解答
- 1. D · Flashbacks of the traumatic event
- 2. D · At least 2 weeks
- 3. A · 高いエネルギーを伴う睡眠欲求の減少
- 4. A · Pica; poisoning such as lead toxicity, or bowel obstruction
- 5. A · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
- 6. B · Diagnostic overshadowing
- 7. C · A newly admitted man with depression who says he has given away his dog and written letters to his children
- 8. D · イブプロフェンはリチウムを中毒濃度に上げることがあるため、処方者に知らせる
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。