1.やさしい
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- AInnate immunity
- BActive immunity
- CHerd immunity
- DPassive immunity
2.やさしい
What is a "superinfection" during antibiotic treatment?
- AAn infection that spreads from one patient to another on the ward
- BAn infection that is cured by a single antibiotic dose
- CA new infection because normal body flora are disturbed
- DA very severe form of the original infection
3.やさしい
In Addison's disease, fludrocortisone is given to replace which hormone?
- AThyroxine
- BAldosterone
- CCortisol
- DAdrenaline
4.ふつう
A patient with diabetes is sweaty and shaky. Blood glucose is 3.0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive the next scheduled dose of insulin
- BGive a large meal high in fat and protein to keep glucose up for longer
- CGive intramuscular glucagon at once
- DGive 15–20 g of fast-acting carbohydrate, such as juice
5.ふつう
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it only if the urine is darker than usual
- BExpect a short rise in blood pressure after the dose
- CTake it in the morning with a cup of strong coffee to stay alert
- DTake it at bedtime, because it can cause dizziness and fainting
6.ふつう
メトロニダゾールを服用する患者が通常避けるよう勧められるものは何ですか?
- A乳製品
- Bグレープフルーツジュース
- Cアルコール
- D日光
7.むずかしい
A child has a tonic–clonic seizure lasting more than 5 minutes at home and has no IV access. Which drug can be given first by a trained carer or paramedic?
- AOral paracetamol syrup
- BIntramuscular morphine
- COral phenytoin tablets crushed in water
- DBuccal or intranasal midazolam
8.むずかしい
A patient took a doxycycline tablet with a sip of water just before lying down. Now swallowing is very painful. What is the most likely cause?
- AOral candidiasis from the antibiotic
- BPill-induced oesophagitis
- CGastric ulcer caused by doxycycline
- DAn allergic reaction to the tablet coating
解答
- 1. D · Passive immunity
- 2. C · A new infection because normal body flora are disturbed
- 3. B · Aldosterone
- 4. D · Give 15–20 g of fast-acting carbohydrate, such as juice
- 5. D · Take it at bedtime, because it can cause dizziness and fainting
- 6. C · アルコール
- 7. D · Buccal or intranasal midazolam
- 8. B · Pill-induced oesophagitis
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