1.やさしい
What are the two core areas affected in autism spectrum disorder?
- AMemory and orientation to time and place
- BSocial communication and interaction, and restricted, repetitive behaviours or interests
- CReading and writing only, with completely normal social skills and play
- DMood and appetite, which change with the seasons
2.やさしい
Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?
- AParanoid, schizoid and schizotypal
- BHistrionic, dependent and schizoid
- CAntisocial, borderline, histrionic and narcissistic
- DAvoidant, dependent and obsessive-compulsive
3.やさしい
オピオイドの過量摂取がナロキソンで改善し、患者は目を覚ましています。それでも綿密に観察しなければならないのはなぜですか?
- A目を覚ましたら、観察する必要はないため
- Bナロキソン自体が、分解されるにつれて数時間後に呼吸の抑制を起こすため
- Cナロキソンがオピオイドより先に切れて、呼吸が再び遅くなることがあるため
- Dナロキソンがオピオイドの作用時間を 2 倍にするため
4.ふつう
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
- ARead and write in the language used by the staff
- BRemember the decision for more than a year afterwards
- CUnderstand, retain and weigh the information, or communicate their decision
- DAgree with the decision that the doctor and the rest of the healthcare team recommend for them
5.ふつう
Which effects of methadone should the nurse monitor for?
- AHair loss, weight loss and a painful red rash on the face
- BAgranulocytosis and a sore throat
- CHypertensive crisis after eating aged cheese
- DRespiratory depression, sedation and a prolonged QT interval
6.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?
- ASerotonin syndrome
- BNeuroleptic malignant syndrome
- CAntidepressant discontinuation syndrome
- DA relapse of her depression into a severe psychotic depression
7.むずかしい
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
- AHis usual methadone should continue, and additional analgesia is usually needed for acute pain
- BHe should get no opioids at all, because of his history
- CHis methadone should be stopped while he is in hospital
- DHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
8.むずかしい
Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?
- AAdjustment disorder with depressed mood
- BPersistent depressive disorder
- CMajor depressive disorder
- DBipolar II disorder
解答
- 1. B · Social communication and interaction, and restricted, repetitive behaviours or interests
- 2. D · Avoidant, dependent and obsessive-compulsive
- 3. C · ナロキソンがオピオイドより先に切れて、呼吸が再び遅くなることがあるため
- 4. C · Understand, retain and weigh the information, or communicate their decision
- 5. D · Respiratory depression, sedation and a prolonged QT interval
- 6. C · Antidepressant discontinuation syndrome
- 7. A · His usual methadone should continue, and additional analgesia is usually needed for acute pain
- 8. A · Adjustment disorder with depressed mood
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