1.やさしい
Which side effects are common after inhaled salbutamol (albuterol)?
- AWeight gain and ankle swelling
- BDrowsiness and a slow heart rate
- CConstipation and dry eyes
- DFine tremor and a fast heart rate
2.やさしい
Which side effect is particularly linked with spironolactone in men?
- AA persistent dry, tickly cough
- BBreast enlargement (gynaecomastia)
- CHair loss on the scalp and eyebrows
- DOrange-red colouring of the urine
3.やさしい
Where in the kidney does furosemide mainly act?
- AThe renal artery
- BThe loop of Henle
- CThe glomerulus
- DThe collecting duct only
4.ふつう
Which foot care advice is correct for a patient with peripheral arterial disease?
- ACheck the feet daily and wear well-fitting shoes
- BWalk barefoot at home to strengthen the feet
- CCut corns with a razor blade to prevent pressure
- DUse a hot water bottle on the feet at night
5.ふつう
左室駆出率の低下した心不全(HFrEF)で、生存を改善する薬剤クラスの組み合わせはどれですか?
- Aループ利尿薬、ジゴキシン、硝酸薬、カルシウム拮抗薬
- BNSAID、アスピリン、スタチン、チアジド系利尿薬
- Cループ利尿薬を最大耐用量で単独使用
- DACE阻害薬またはARNI、β遮断薬、MRA、SGLT2阻害薬
6.ふつう
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
- ATo widen the airways within minutes
- BTo kill bacteria in the airways
- CTo make sputum thinner and easier to cough up
- DTo stop the patient coughing completely, day and night
7.むずかしい
A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?
- ALow blood glucose from a reduced appetite
- BA side effect of the IV antibiotic on the nerves
- CA migraine aura triggered by the fever
- DAn embolus from a valve vegetation causing a stroke
8.むずかしい
A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?
- AExcess salt in the diet over several weeks
- BCranial diabetes insipidus from brain metastases
- CSevere dehydration from poor oral intake
- DSyndrome of inappropriate ADH secretion
解答
- 1. D · Fine tremor and a fast heart rate
- 2. B · Breast enlargement (gynaecomastia)
- 3. B · The loop of Henle
- 4. A · Check the feet daily and wear well-fitting shoes
- 5. D · ACE阻害薬またはARNI、β遮断薬、MRA、SGLT2阻害薬
- 6. C · To make sputum thinner and easier to cough up
- 7. D · An embolus from a valve vegetation causing a stroke
- 8. D · Syndrome of inappropriate ADH secretion
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