1.やさしい
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- AActive immunity
- BHerd immunity
- CInnate immunity
- DPassive immunity
2.やさしい
Dobutamine is mainly used to:
- ASlow the heart rate in fast atrial fibrillation with low blood pressure
- BTreat high blood pressure at home
- CIncrease heart contractility in cardiogenic shock or acute heart failure
- DDissolve clots in the coronary arteries
3.やさしい
Desmopressin is a synthetic analogue of which hormone?
- AInsulin
- BAntidiuretic hormone (vasopressin)
- COxytocin, the hormone of labour
- DAldosterone
4.ふつう
ワルファリンの作用は:
- ACOX-1 の不可逆的阻害によって血小板凝集を阻害する
- Bアンチトロンビンを活性化する
- Cビタミン K 依存性凝固因子の合成を阻害する
- Dトロンビンを直接阻害する
5.ふつう
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- ADeep intramuscular only
- BIntravenous push
- CSubcutaneous in the abdomen
- DIntravenous infusion over 30 minutes
6.ふつう
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
- AOral glucose gel poured into the mouth
- BGlucagon by injection or nasal spray
- CRapid-acting insulin under the skin
- DIntramuscular adrenaline
7.むずかしい
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
- ARaising sodium too fast can cause osmotic demyelination in the brain
- BHypertonic saline is toxic to the liver at high rates
- CRaising sodium too fast causes severe hypokalaemia and cardiac arrest
- DFast correction causes immediate kidney failure
8.むずかしい
β 遮断薬が糖尿病の人で低血糖の警告症状を隠すことがあるのはなぜですか?
- Aインスリン分泌を完全に止めるから
- B血糖を上げるので、低血糖がまったく起こらなくなるから
- C発熱を起こして発汗を隠すから
- Dふるえや動悸などのアドレナリン作動性症状を弱めるから
解答
- 1. D · Passive immunity
- 2. C · Increase heart contractility in cardiogenic shock or acute heart failure
- 3. B · Antidiuretic hormone (vasopressin)
- 4. C · ビタミン K 依存性凝固因子の合成を阻害する
- 5. A · Deep intramuscular only
- 6. B · Glucagon by injection or nasal spray
- 7. A · Raising sodium too fast can cause osmotic demyelination in the brain
- 8. D · ふるえや動悸などのアドレナリン作動性症状を弱めるから
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