1.やさしい
Methylphenidate, used in ADHD, belongs to which class?
- ACentral nervous system stimulants
- BOpioid analgesics
- CBenzodiazepines
- DAntipsychotics (dopamine blockers)
2.やさしい
Before giving any medication, how should the nurse identify the patient?
- AUse two identifiers, such as full name and date of birth
- BCheck the room and bed number against the medication chart
- CRead the name on the sign next to the door
- DAsk "Are you Mr Jones?" and wait for a nod
3.やさしい
プラセボとは何ですか?
- A試験で副作用を減らすために、通常の半分の用量で投与される薬
- Bプラセボ群でだけ効く薬
- C有効成分を含まないが、期待によって効果を生むことがある治療
- Dまだ承認されていない新薬
4.ふつう
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
- ATo stop the eye from producing tears for about an hour
- BTo reduce drainage into the nose and absorption into blood
- CTo spread the drop evenly over the eyelid
- DTo make the pupil dilate faster
5.ふつう
Before starting a TNF-alpha inhibitor such as adalimumab, which test is required?
- AA bone density scan
- BAn echocardiogram in every patient
- CA glucose tolerance test
- DScreening for latent tuberculosis
6.ふつう
After a vaccination, why is a person asked to wait for a short time before leaving?
- ATo measure the person's temperature for fever
- BTo watch for anaphylaxis, which usually starts within minutes
- CTo make sure the injection site does not bruise
- DTo check that the vaccine has already created protective antibodies
7.むずかしい
Why is the TPMT enzyme often tested before azathioprine is started?
- ATPMT testing shows whether the patient has tuberculosis
- BHigh TPMT activity causes an allergic reaction to azathioprine
- CTPMT is needed to absorb azathioprine from the gut
- DLow TPMT activity causes toxic levels and marrow suppression
8.むずかしい
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
- AOral thrush; start an antifungal and continue the antibiotic
- BSunburn caused by the drug; advise sunscreen only
- CA mild rash that will settle; continue the drug and give moisturiser
- DStevens–Johnson syndrome; stop the drug and get urgent medical care
解答
- 1. A · Central nervous system stimulants
- 2. A · Use two identifiers, such as full name and date of birth
- 3. C · 有効成分を含まないが、期待によって効果を生むことがある治療
- 4. B · To reduce drainage into the nose and absorption into blood
- 5. D · Screening for latent tuberculosis
- 6. B · To watch for anaphylaxis, which usually starts within minutes
- 7. D · Low TPMT activity causes toxic levels and marrow suppression
- 8. D · Stevens–Johnson syndrome; stop the drug and get urgent medical care
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