1.やさしい
What is the CAGE questionnaire used for?
- ARating the severity of a patient's depression
- BScreening for problem drinking
- CAssessing cognitive function in older adults
- DMeasuring the severity of opioid withdrawal
2.やさしい
How is lithium mainly removed from the body?
- AThrough the skin, in sweat only
- BBy the kidneys, in the urine
- CThrough the lungs, in the breath
- DBy the liver, in the bile
3.やさしい
How does binge-eating disorder differ from bulimia nervosa?
- AThe person always has a very low body weight and a fear of gaining weight
- BBinges happen only once a year, so they are not a problem
- CThe person never feels a loss of control while eating
- DThere are no regular compensatory behaviours, such as vomiting or laxative use
4.ふつう
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
- APlace him in seclusion and then decide about medicine later
- BGive an intramuscular injection at once without offering any choice
- CHide the medicine in his drink without telling him
- DOffer the oral medicine first, before considering an injection
5.ふつう
生命を脅かすことがあり、見落とされがちなクロザピンの副作用はどれですか?
- A唾液の増加
- B眠気
- C腸閉塞に至る重度の便秘
- D軽度の体重増加
6.ふつう
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
- AHypertensive crisis from tyramine
- BSerotonin syndrome
- CAgranulocytosis
- DLithium toxicity
7.むずかしい
Which intervention is most appropriate for an older patient with delirium?
- AKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
- BMove the patient to a different room each day
- CProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
- DUse physical restraints at night to prevent falls
8.むずかしい
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- AHelp him set a quit date for next week
- BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- COffer non-judgemental information and explore how drinking affects his life
- DRefer him straight to a residential detox programme
解答
- 1. B · Screening for problem drinking
- 2. B · By the kidneys, in the urine
- 3. D · There are no regular compensatory behaviours, such as vomiting or laxative use
- 4. D · Offer the oral medicine first, before considering an injection
- 5. C · 腸閉塞に至る重度の便秘
- 6. B · Serotonin syndrome
- 7. C · Provide orientation cues, make sure glasses and hearing aids are used, and involve the family
- 8. C · Offer non-judgemental information and explore how drinking affects his life
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