1.やさしい
A "sublingual" medicine is given:
- AThrough the nose
- BInto the vein
- CBetween the cheek and gum
- DUnder the tongue
2.やさしい
What is the usual normal platelet count in adults?
- A150–400 × 109/L (150,000–400,000/mm3)
- B1,000–2,000 × 109/L (1–2 million/mm3)
- C4–11 × 109/L (4,000–11,000/mm3)
- D1–2 × 109/L (1,000–2,000/mm3)
3.やさしい
What is the immediate first aid after a needlestick injury?
- AScrub the wound hard with a brush
- BWash the wound with soap and running water without scrubbing
- CIgnore it if the needle looked clean
- DSuck the wound to remove the blood, then cover it with a plaster
4.ふつう
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
- AKidney damage and hearing loss
- BHair loss and weight gain
- CHyperglycaemia and tremor
- DConstipation and urinary retention
5.ふつう
低ナトリウム血症の患者で特に観察すべきことは?
- A混乱、頭痛、けいれん
- B毛の増加
- C難聴
- D鮮やかな赤い発疹
6.ふつう
When is a rapid-acting insulin such as insulin aspart usually given?
- AOnly at bedtime
- BJust before or with a meal
- COnce a week
- DTwo hours after finishing a meal
7.むずかしい
An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?
- ABenzodiazepine sleeping tablets
- BEmollient creams applied to the legs
- CVitamin D supplements
- DLubricating eye drops
8.むずかしい
Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?
- AKidney disease makes the opioid receptors disappear
- BKidney failure makes the stomach absorb more morphine
- CIts active metabolites build up because the kidneys excrete them
- DThe kidneys normally activate morphine, so more of it becomes active
解答
- 1. D · Under the tongue
- 2. A · 150–400 × 109/L (150,000–400,000/mm3)
- 3. B · Wash the wound with soap and running water without scrubbing
- 4. A · Kidney damage and hearing loss
- 5. A · 混乱、頭痛、けいれん
- 6. B · Just before or with a meal
- 7. A · Benzodiazepine sleeping tablets
- 8. C · Its active metabolites build up because the kidneys excrete them
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