1.やさしい
How does allopurinol prevent gout?
- AIt increases the kidney excretion of calcium
- BIt inhibits xanthine oxidase, so less uric acid is made
- CIt blocks prostaglandins in the inflamed joint
- DIt dissolves crystals already in the joint within hours
2.やさしい
Montelukast, used in asthma, belongs to which drug class?
- AAntimuscarinic bronchodilators
- BShort-acting beta-2 agonists
- CLeukotriene receptor antagonists
- DInhaled corticosteroids
3.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?
- Aセロトニン
- BGABA
- Cドパミン
- Dアセチルコリン
4.ふつう
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
- AStraight after a large evening meal
- BAbout 30–60 minutes before the first meal of the day
- COnly when heartburn is severe
- DWith a glass of milk at bedtime, when acid output is highest
5.ふつう
Which rule applies when giving phenytoin intravenously?
- AGive it as a rapid push to stop seizures faster
- BMix it with glucose 5% to prevent low blood sugar
- CMix or flush it only with normal saline and give it slowly
- DGive it in the same line as other drugs without flushing
6.ふつう
オピオイド中毒に典型的なサインはどれですか?
- A高い体温
- Bピンホール状の縮瞳
- C速く深い呼吸
- D大きく散大した瞳孔
7.むずかしい
ある薬の分布容積が非常に大きい(例:成人で 500 L)。これは何を意味しますか?
- A薬が腎臓から速く排泄される
- B薬がほぼすべて血漿区画にとどまっている
- C薬が組織に多く取り込まれている
- D薬を静脈内投与できない
8.むずかしい
A patient who used cocaine has chest pain, agitation, a high temperature, sweating, tachycardia and dilated pupils. Which drug class is commonly first-line for the agitation and sympathetic overactivity?
- AAntihistamines
- BOpioid antagonists
- CBenzodiazepines
- DAnticholinergic drugs
解答
- 1. B · It inhibits xanthine oxidase, so less uric acid is made
- 2. C · Leukotriene receptor antagonists
- 3. A · セロトニン
- 4. B · About 30–60 minutes before the first meal of the day
- 5. C · Mix or flush it only with normal saline and give it slowly
- 6. B · ピンホール状の縮瞳
- 7. C · 薬が組織に多く取り込まれている
- 8. C · Benzodiazepines
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