1.やさしい
上司に批判された女性が、帰宅して子どもたちに怒鳴りました。これはどの防衛機制ですか?
- A打ち消し
- B反動形成
- C置き換え
- D否認
2.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AAnger, denial, acceptance, bargaining, depression
- BAcceptance, bargaining, anger, depression, denial
- CShock, guilt, hope, sadness, recovery
- DDenial, anger, bargaining, depression, acceptance
3.やさしい
Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?
- AFeeling detached from family and friends
- BBeing easily startled by loud noises
- CFlashbacks of the traumatic event
- DAvoiding places that remind the person of the event
4.ふつう
What does the Mini-Cog screening test for cognitive impairment involve?
- ARecall of three words and a clock-drawing task
- BA questionnaire about mood over the past 2 weeks
- CA 30-minute brain scan
- DMeasuring the level of alcohol in the blood
5.ふつう
How does memantine work in Alzheimer's disease?
- AIt blocks dopamine D2 receptors
- BIt increases serotonin by blocking its reuptake
- CIt inhibits the breakdown of acetylcholine
- DIt blocks NMDA glutamate receptors
6.ふつう
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
- AAgranulocytosis
- BSerotonin syndrome
- CHypothyroidism
- DHyperthyroidism
7.むずかしい
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
- A"After a few months I can stop having blood tests."
- B"If I get a sore throat or fever, I'll tell someone straight away."
- C"The tests are done because clozapine can lower my white cells."
- D"I'll need regular blood tests for as long as I take clozapine."
8.むずかしい
A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?
- ADissociative identity disorder
- BSchizophrenia
- CBorderline personality disorder
- DBipolar I disorder
解答
- 1. C · 置き換え
- 2. D · Denial, anger, bargaining, depression, acceptance
- 3. C · Flashbacks of the traumatic event
- 4. A · Recall of three words and a clock-drawing task
- 5. D · It blocks NMDA glutamate receptors
- 6. C · Hypothyroidism
- 7. A · "After a few months I can stop having blood tests."
- 8. A · Dissociative identity disorder
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