1.やさしい
ワルファリンなど、ほとんどの酸性薬物と結合する血漿タンパク質はどれですか?
- Aフィブリノゲン
- Bアルブミン
- Cインスリン
- Dヘモグロビン
2.やさしい
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
- ABecause cytotoxic drugs are radioactive and give off radiation
- BTo keep the drugs warm during the infusion
- CTo protect the drug from light
- DTo avoid exposure to drugs that may cause cancer or birth defects
3.やさしい
What is a "broad-spectrum" antibiotic?
- AOne that is given only intravenously in hospital
- BOne that also treats viral and fungal infections
- COne that is taken for a long time at low dose to prevent any infection
- DOne that acts against many Gram-positive and Gram-negative bacteria
4.ふつう
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
- AOnly at the start of the next pregnancy
- BAt least two weeks after the birth
- CIt is not needed if the baby is Rh-positive
- DWithin 72 hours after the birth
5.ふつう
Which adverse effects are typical of donepezil?
- AHair loss and skin pigmentation
- BDry mouth, constipation and a fast heart rate
- CNausea, diarrhoea and a slow heart rate
- DWeight gain and high blood glucose
6.ふつう
Which patient should usually not receive a live vaccine?
- AA patient with mild seasonal allergies
- BA healthy adult nurse who works on a children's ward
- CA patient receiving chemotherapy for leukaemia
- DA healthy 1-year-old child
7.むずかしい
ワルファリン服用中の患者がリファンピシンを飲み始めました。起こりうる影響は?
- Aワルファリンがビタミン K に変わる
- Bワルファリンの代謝が遅れ INR が上がる
- Cリファンピシンは吸収されないので影響はない
- Dワルファリンの代謝が速まり INR が下がる
8.むずかしい
Why is the TPMT enzyme often tested before azathioprine is started?
- ALow TPMT activity causes toxic levels and marrow suppression
- BTPMT is needed to absorb azathioprine from the gut
- CTPMT testing shows whether the patient has tuberculosis
- DHigh TPMT activity causes an allergic reaction to azathioprine
解答
- 1. B · アルブミン
- 2. D · To avoid exposure to drugs that may cause cancer or birth defects
- 3. D · One that acts against many Gram-positive and Gram-negative bacteria
- 4. D · Within 72 hours after the birth
- 5. C · Nausea, diarrhoea and a slow heart rate
- 6. C · A patient receiving chemotherapy for leukaemia
- 7. D · ワルファリンの代謝が速まり INR が下がる
- 8. A · Low TPMT activity causes toxic levels and marrow suppression
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