1.やさしい
What is agoraphobia?
- AFear of one specific object or animal, such as spiders, dogs or snakes
- BFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
- CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
- DFear of being judged or embarrassed while speaking or eating in front of others
2.やさしい
Which early feature is most typical of frontotemporal dementia?
- AVisual hallucinations of people and animals
- BSevere memory loss as the very first symptom, with no change in behaviour
- CChanges in personality and behaviour, such as loss of inhibition
- DStepwise decline after a series of small strokes
3.やさしい
Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?
- APerseveration
- BTangentiality
- CCircumstantiality
- DThought blocking
4.ふつう
患者が「グリンポトランス」という言葉を使い、それは自分の思考を支配する力のことだと説明します。これは何ですか?
- A音連合
- B言語新作
- C反響言語
- D迂遠
5.ふつう
患者のリチウム濃度を測定するための採血は、いつ行うべきですか?
- A違いはないので、1 日のうちいつでもよい
- B最後の服用の 1 時間後
- C朝の服用の直後
- D最後の服用の約 12 時間後
6.ふつう
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
- AConversion disorder
- BIllness anxiety disorder
- CSomatic symptom disorder
- DFactitious disorder
7.むずかしい
患者が、自宅にたくさんの錠剤をためてあり、今週末にすべて飲むつもりだと言います。優先すべき対応はどれですか?
- A自分を傷つけないという誓約書に署名してもらい、予定どおり週末は帰宅させる
- B週末が過ぎれば状況はよくなると伝える
- C綿密な観察下に置き、直ちに安全を確保して、チームに緊急に知らせる
- D1 か月後に定期的な診察を手配する
8.むずかしい
The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?
- A"Yes, the MMR vaccine is a proven cause of autism."
- B"Large studies have found no link between vaccines and autism."
- C"Autism is caused by cold and distant parenting styles in early childhood."
- D"We don't know, so it is best to stop all of his other vaccines."
解答
- 1. C · Fear of situations where escape might be difficult or help unavailable, such as crowds or public transport
- 2. C · Changes in personality and behaviour, such as loss of inhibition
- 3. C · Circumstantiality
- 4. B · 言語新作
- 5. D · 最後の服用の約 12 時間後
- 6. B · Illness anxiety disorder
- 7. C · 綿密な観察下に置き、直ちに安全を確保して、チームに緊急に知らせる
- 8. B · "Large studies have found no link between vaccines and autism."
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