解答つき薬理学ワークシート

How is pernicious anaemia usually treated?

1. AWith vitamin B12 injections, usually for life
2. BWith blood transfusions every month
3. CWith folic acid alone
4. DWith oral iron tablets for three months, then stopping

Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?

1. ADeltoid for large volumes
2. BForearm
3. CVentrogluteal
4. DDorsogluteal

作動薬（アゴニスト）とは何ですか？

1. A受容体に結合して活性化する薬
2. B受容体に結合して遮断する薬
3. C受容体を破壊する薬
4. D自分自身の排泄を速める薬

A patient takes cholestyramine. How should other oral medicines be timed?

1. AMix them into the cholestyramine drink so they are taken together
2. BTake them all at the same time as cholestyramine
3. CTake them 1 hour before or several hours after cholestyramine
4. DTiming does not matter, as cholestyramine is not absorbed

A patient wants to stop paroxetine suddenly. What should the nurse explain?

1. AIt can cause dizziness, "electric shock" feelings and irritability
2. BStopping suddenly causes dangerous low blood sugar
3. CStopping suddenly causes the drug to work better for a while
4. DIt can be stopped at any time, as antidepressants cause no withdrawal effects

Why is propranolol usually avoided in patients with asthma?

1. AIt increases mucus production by blocking histamine
2. BIt stimulates alpha-1 receptors in the airways and raises blood pressure
3. CIt causes tolerance to inhaled corticosteroids
4. DIt blocks beta-2 receptors in the airways and can cause bronchospasm

A patient taking digoxin has nausea, yellow-green vision and a dangerous arrhythmia. Which specific treatment can bind the drug?

1. AIntravenous vitamin K (phytomenadione) given slowly
2. BDigoxin immune Fab (antibody fragments)
3. CProtamine sulfate
4. DFlumazenil

A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?

1. AHypothyroidism; add levothyroxine at once
2. BAgranulocytosis; stop the drug and check the white cell count urgently
3. CThyroid storm; double the next dose of the drug
4. DA common cold; advise rest and fluids and continue the drug as usual