1.やさしい
What is enzyme induction?
- AA drug blocks liver enzymes, so other drugs build up in the blood
- BA drug speeds up liver enzymes, so other drugs are broken down faster
- CA drug is converted into an enzyme in the body
- DA drug causes an allergic reaction to enzymes
2.やさしい
What does "polypharmacy" mean?
- AThe use of many medicines at the same time, often five or more
- BUsing a drug at a very high dose
- CA pharmacy that stocks many different brands of the same drug
- DTaking one drug in several different forms
3.やさしい
How is pernicious anaemia usually treated?
- AWith oral iron tablets for three months, then stopping
- BWith vitamin B12 injections, usually for life
- CWith blood transfusions every month
- DWith folic acid alone
4.ふつう
リチウム中毒のリスクを高める要因はどれですか?
- A塩分の多い食事
- B脱水
- C水を多めに飲むこと
- D食事と一緒に服用すること
5.ふつう
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit blocks cholesterol absorption and causes low cholesterol
- BGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
- CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- DGrapefruit makes the tablet dissolve in the mouth
6.ふつう
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
- ATo protect against endometrial hyperplasia and cancer
- BTo prevent breast cancer completely
- CTo reduce hot flushes much more than oestrogen alone can
- DTo lower the risk of blood clots to zero
7.むずかしい
QT 間隔を延長させる薬を複数併用すると、命に関わるどの不整脈のリスクが高まりますか?
- A1 度房室ブロック
- B心房細動
- C洞性頻脈
- Dトルサード・ド・ポワント
8.むずかしい
A patient taking dabigatran has a life-threatening bleed. Which specific reversal agent is used?
- AVitamin K
- BAndexanet alfa
- CProtamine sulfate
- DIdarucizumab
解答
- 1. B · A drug speeds up liver enzymes, so other drugs are broken down faster
- 2. A · The use of many medicines at the same time, often five or more
- 3. B · With vitamin B12 injections, usually for life
- 4. B · 脱水
- 5. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 6. A · To protect against endometrial hyperplasia and cancer
- 7. D · トルサード・ド・ポワント
- 8. D · Idarucizumab
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。