1.やさしい
Which vasopressor is usually first-line for septic shock that persists after fluids?
- AAdenosine
- BIsoprenaline (isoproterenol)
- CGlyceryl trinitrate
- DNoradrenaline (norepinephrine)
2.やさしい
What is a "broad-spectrum" antibiotic?
- AOne that also treats viral and fungal infections
- BOne that is taken for a long time at low dose to prevent any infection
- COne that acts against many Gram-positive and Gram-negative bacteria
- DOne that is given only intravenously in hospital
3.やさしい
Which signs are typical of hypoglycaemia?
- AThirst, frequent urination and warm, dry, flushed skin
- BSweating, shakiness, a fast heart rate and confusion
- CFruity breath with deep, rapid breathing
- DA slow pulse, constipation and weight gain
4.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
5.ふつう
クロピドグレルはどのように血小板凝集を抑えますか?
- Aアンチトロンビンを活性化する
- B血小板の COX-1 を阻害する
- C血小板の ADP 受容体 P2Y12 を遮断する
- D糖タンパク質 IIb/IIIa 受容体を直接遮断する
6.ふつう
アピキサバンとリバーロキサバンは、何を直接阻害する抗凝固薬ですか?
- A第 Xa 因子
- Bトロンビン
- C血小板の P2Y12 受容体
- Dビタミン K エポキシド還元酵素
7.むずかしい
A patient on rifampicin, isoniazid, pyrazinamide and ethambutol develops a painful swollen big toe. Which drug is most likely responsible?
- AEthambutol
- BRifampicin
- CIsoniazid
- DPyrazinamide
8.むずかしい
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
- ASevere hypokalaemia, hyponatraemia and dehydration
- BHypoglycaemia and weight gain
- CSevere hypertension, tachycardia and fluid retention
- DHyperkalaemia and fluid overload
解答
- 1. D · Noradrenaline (norepinephrine)
- 2. C · One that acts against many Gram-positive and Gram-negative bacteria
- 3. B · Sweating, shakiness, a fast heart rate and confusion
- 4. C · A patient with coronary artery disease
- 5. C · 血小板の ADP 受容体 P2Y12 を遮断する
- 6. A · 第 Xa 因子
- 7. D · Pyrazinamide
- 8. A · Severe hypokalaemia, hyponatraemia and dehydration
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