1.やさしい
Why is carbidopa combined with levodopa?
- AIt stops levodopa turning into dopamine outside the brain
- BIt blocks dopamine receptors to reduce nausea in the brain
- CIt converts levodopa into dopamine inside the gut
- DIt increases the breakdown of dopamine in the liver
2.やさしい
心臓病の人の一部に低用量アスピリンを投与するのはなぜですか?
- A心拍数を遅くするため
- B胸の痛みをすぐに和らげるため
- C血小板凝集を抑えて血栓を防ぐため
- D血液中のコレステロール値を下げ、プラークを安定させるため
3.やさしい
With patient-controlled analgesia (PCA), who should press the button to give a dose?
- AOnly the patient
- BA family member when the patient is asleep
- CAny visitor who thinks the patient is in pain
- DThe nursing assistant at set times
4.ふつう
A patient with diabetes is sweaty and shaky. Blood glucose is 3.0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive 15–20 g of fast-acting carbohydrate, such as juice
- BGive intramuscular glucagon at once
- CGive the next scheduled dose of insulin
- DGive a large meal high in fat and protein to keep glucose up for longer
5.ふつう
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
- ATell the eye surgeon, as it can cause floppy iris syndrome
- BTake a double dose on the day of surgery
- CStop the drug for one day and no further action is needed
- DThe drug has no link with eye surgery
6.ふつう
オピオイド過量の解毒薬はどれですか?
- Aフルマゼニル
- Bナロキソン
- Cアトロピン
- Dアセチルシステイン
7.むずかしい
A pregnant woman develops a deep vein thrombosis. Which anticoagulant is usually preferred?
- AAspirin alone
- BRivaroxaban, a direct oral factor Xa inhibitor
- CLow-molecular-weight heparin, such as enoxaparin
- DWarfarin
8.むずかしい
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
- ABuprenorphine has no effect at opioid receptors
- BBuprenorphine causes an allergic reaction in heroin users
- CBuprenorphine is a high-affinity partial agonist that displaces heroin
- DBuprenorphine is a pure antagonist like naloxone with no agonist effect
解答
- 1. A · It stops levodopa turning into dopamine outside the brain
- 2. C · 血小板凝集を抑えて血栓を防ぐため
- 3. A · Only the patient
- 4. A · Give 15–20 g of fast-acting carbohydrate, such as juice
- 5. A · Tell the eye surgeon, as it can cause floppy iris syndrome
- 6. B · ナロキソン
- 7. C · Low-molecular-weight heparin, such as enoxaparin
- 8. C · Buprenorphine is a high-affinity partial agonist that displaces heroin
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