1.やさしい
Which adverse effect of ethambutol requires vision checks?
- ACataracts that form within a few days of starting
- BBleeding in the back of the eye
- COptic neuritis, with blurred vision and colour blindness
- DPermanent dilation of the pupils
2.やさしい
Where should an adrenaline (epinephrine) auto-injector be given?
- AInto a vein in the arm
- BUnder the tongue
- CInto the outer thigh muscle
- DInto the abdomen under the skin
3.やさしい
肝臓での初回通過代謝を避けられる投与経路はどれですか?
- A静脈内投与
- B直腸の高い位置に入れる坐剤
- C経口液剤
- D経口錠剤
4.ふつう
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- AA stimulant laxative such as senna, often with a stool softener
- BNo laxative until the patient has not opened the bowels for a week
- CAn antidiarrhoeal drug at night to slow the gut
- DBulk-forming fibre alone, with fluid intake restricted
5.ふつう
経口ステロイドの長期使用でよく知られた副作用はどれですか?
- A低血圧
- B体重減少
- C骨粗鬆症
- D低血糖
6.ふつう
How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?
- APull the pinna up and back
- BPush the pinna forward and up
- CPull the pinna down and back
- DLeave the ear untouched and drop into the canal
7.むずかしい
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
- AStop the infusion at that site and follow the extravasation protocol
- BLeave the infusion running and recheck in 4 hours
- CIncrease the rate to improve blood flow to the area
- DApply heat and massage the area, then continue the infusion
8.むずかしい
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
- ALithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
- BLithium increases ADH release from the pituitary
- CLithium causes type 1 diabetes by destroying the pancreatic beta cells
- DThe patient is drinking too much and lithium is unrelated
解答
- 1. C · Optic neuritis, with blurred vision and colour blindness
- 2. C · Into the outer thigh muscle
- 3. A · 静脈内投与
- 4. A · A stimulant laxative such as senna, often with a stool softener
- 5. C · 骨粗鬆症
- 6. C · Pull the pinna down and back
- 7. A · Stop the infusion at that site and follow the extravasation protocol
- 8. A · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
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