1.やさしい
Lithium is used mainly to treat which condition?
- AGeneralised anxiety disorder
- BSchizophrenia with no mood symptoms
- CBipolar disorder
- DAttention deficit hyperactivity disorder
2.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アセチルコリン
- Bドパミン
- Cセロトニン
- DGABA
3.やさしい
How does tramadol relieve pain?
- AWeak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- BAntagonising NMDA receptors in the spinal cord and blocking sodium channels
- CBlocking COX enzymes in the periphery
- DBlocking sodium channels in peripheral nerves
4.ふつう
ヘパリンはどのようにして抗凝固作用を生みますか?
- Aアンチトロンビンを増強し、トロンビンと第 Xa 因子を不活化させる
- Bすでにある血栓のフィブリンを分解する
- C血小板の COX-1 を不可逆的に阻害する
- D肝臓でのビタミン K 依存性凝固因子の合成を遮断する
5.ふつう
How does sucralfate help a peptic ulcer heal?
- AIt kills Helicobacter pylori directly
- BIt neutralises acid by releasing bicarbonate
- CIt blocks histamine H2 receptors in the stomach
- DIt forms a protective coating over the ulcer base
6.ふつう
After several years of levodopa treatment, which problem is common?
- ADyskinesias and "on–off" fluctuations in response
- BSevere hypoglycaemia after each dose
- CPermanent hearing loss
- DComplete and permanent loss of all Parkinson's symptoms
7.むずかしい
ある薬の分布容積は 40 L で、バイオアベイラビリティは完全です。目標血漿濃度 2 mg/L を得る負荷量はどれですか?
- A160 mg
- B42 mg
- C80 mg
- D20 mg
8.むずかしい
A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?
- AWithhold it, recheck the calculation and clarify with the prescriber
- BGive half the dose as a compromise
- CGive one tenth of the dose without telling anyone
- DGive the dose, because the prescriber is responsible for the order
解答
- 1. C · Bipolar disorder
- 2. C · セロトニン
- 3. A · Weak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- 4. A · アンチトロンビンを増強し、トロンビンと第 Xa 因子を不活化させる
- 5. D · It forms a protective coating over the ulcer base
- 6. A · Dyskinesias and "on–off" fluctuations in response
- 7. C · 80 mg
- 8. A · Withhold it, recheck the calculation and clarify with the prescriber
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