1.やさしい
抗うつ薬のセルトラリンは、シナプスのどの神経伝達物質の濃度を高めますか?
- AGABA
- Bドパミン
- Cセロトニン
- Dアセチルコリン
2.やさしい
Vitamin D supplements support bone health mainly by:
- AIncreasing calcium loss in the urine
- BIncreasing calcium absorption from the gut
- CStimulating osteoclasts to break down bone
- DReplacing collagen in bone
3.やさしい
Which vitamin reverses the effect of warfarin?
- AVitamin K
- BVitamin B12
- CVitamin E
- DVitamin C
4.ふつう
A patient starting sulfasalazine should be told about which harmless effect?
- AGreen colouring of the sweat
- BWhite spots on the nails
- COrange-yellow colouring of the urine
- DBlue colouring of the tongue and gums
5.ふつう
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
- ASlight tiredness in the afternoon
- BA brief change in taste
- CAny new skin rash
- DMild headache on the first day
6.ふつう
Which assessment is most important during IV mannitol therapy?
- ABlood glucose before meals and signs of hypoglycaemia
- BLiver enzymes and signs of jaundice
- CUrine output, electrolytes and signs of fluid overload
- DPlatelet count and signs of bleeding
7.むずかしい
A patient on adalimumab for rheumatoid arthritis has a fever and cough on the day of her next injection. What should the nurse advise?
- ADouble the next dose to make up for the infection
- BGive the injection, as it will help the fever
- CStop the drug permanently without telling the prescriber
- DWithhold the injection and get the infection assessed first
8.むずかしい
Which heart failure drug improves symptoms and reduces hospital admissions but has not been shown to reduce mortality?
- AAn ACE inhibitor
- BDigoxin
- CA mineralocorticoid receptor antagonist such as spironolactone
- DA beta blocker such as bisoprolol
解答
- 1. C · セロトニン
- 2. B · Increasing calcium absorption from the gut
- 3. A · Vitamin K
- 4. C · Orange-yellow colouring of the urine
- 5. C · Any new skin rash
- 6. C · Urine output, electrolytes and signs of fluid overload
- 7. D · Withhold the injection and get the infection assessed first
- 8. B · Digoxin
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