1.やさしい
What is drug synergism?
- AA drug loses its effect after repeated doses
- BTwo drugs together have a greater effect than the sum of each alone
- CTwo drugs together produce exactly the sum of their separate effects
- DOne drug cancels out the effect of another drug
2.やさしい
アトロピンはどの種類の受容体を遮断しますか?
- Aβ1 アドレナリン受容体
- B神経筋接合部のニコチン性受容体
- Cムスカリン性アセチルコリン受容体
- Dヒスタミン H1 受容体
3.やさしい
急性の喘息発作を和らげるのに使う薬のグループは?
- Aβ 遮断薬
- BACE 阻害薬
- C短時間作用型 β2 刺激薬
- D抗ヒスタミン薬
4.ふつう
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
- AIntramuscular adrenaline
- BRapid-acting insulin under the skin
- COral glucose gel poured into the mouth
- DGlucagon by injection or nasal spray
5.ふつう
How should a patient take oral alendronate?
- AWith plain water on an empty stomach, staying upright for 30 minutes
- BCrushed into yoghurt with calcium supplements
- CWith milk at bedtime, then lying down straight away to aid absorption
- DWith breakfast and coffee to protect the stomach
6.ふつう
Sumatriptan is contraindicated in which patient?
- AA patient with a recent ankle sprain
- BA patient with iron deficiency anaemia
- CA patient with coronary artery disease
- DA patient with mild asthma
7.むずかしい
コデインは CYP2D6 によってモルヒネに変換されます。CYP2D6 の超高速代謝型(ultra-rapid metaboliser)の患者では何が起こりますか?
- Aコデインは未変化のまま尿中に排泄される
- Bコデインは不活性な化合物にだけ変換される
- Cより多くのモルヒネが作られ、オピオイド中毒のリスクが高まる
- Dモルヒネがほとんど作られないため、コデインはほとんど鎮痛効果を示さない
8.むずかしい
Why do infants absorb more of a topical corticosteroid than adults?
- AThey have more skin area per kilogram and thinner skin
- BTheir liver changes the cream into a much stronger form
- CInfants do not absorb topical drugs at all
- DTheir skin contains no blood vessels
解答
- 1. B · Two drugs together have a greater effect than the sum of each alone
- 2. C · ムスカリン性アセチルコリン受容体
- 3. C · 短時間作用型 β2 刺激薬
- 4. D · Glucagon by injection or nasal spray
- 5. A · With plain water on an empty stomach, staying upright for 30 minutes
- 6. C · A patient with coronary artery disease
- 7. C · より多くのモルヒネが作られ、オピオイド中毒のリスクが高まる
- 8. A · They have more skin area per kilogram and thinner skin
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