1.やさしい
How does tramadol relieve pain?
- AAntagonising NMDA receptors in the spinal cord and blocking sodium channels
- BWeak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- CBlocking sodium channels in peripheral nerves
- DBlocking COX enzymes in the periphery
2.やさしい
Chlordiazepoxide is commonly used to manage:
- AMigraine prevention
- BOpioid overdose
- CAlcohol withdrawal
- DBipolar mania
3.やさしい
Varenicline helps people stop smoking because it:
- AMakes cigarettes taste bitter
- BBlocks dopamine receptors in the brain completely
- CIs a form of nicotine absorbed slowly through the skin
- DIs a nicotinic partial agonist that reduces craving and reward
4.ふつう
カルシウム拮抗薬アムロジピンに典型的な副作用はどれですか?
- A空咳
- B気管支けいれん
- C高カリウム血症
- D足首のむくみ
5.ふつう
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
- ADarker skin after exposure to sunlight
- BA harmless rash on the palms of the hands
- CAn increase in appetite in the evening
- DSwelling of the lips, tongue or face
6.ふつう
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
- AInject into the abdomen away from the navel and do not rub the site afterwards
- BInject into a vein on the back of the hand
- CMassage the site well for one minute after the injection
- DExpel the air bubble from the syringe first, then inject into the deltoid muscle
7.むずかしい
How does levonorgestrel emergency contraception mainly work?
- AIt causes an immediate period
- BIt ends an established pregnancy
- CIt delays or prevents ovulation
- DIt kills sperm in the vagina
8.むずかしい
A patient on warfarin also takes ginkgo and high-dose garlic supplements and is having minor surgery next week. What should the nurse do?
- AAdvise taking extra supplements to improve healing
- BIgnore the supplements, as natural products are safe with warfarin
- CAdvise stopping warfarin without telling anyone
- DTell the surgical team, as the supplements can increase bleeding
解答
- 1. B · Weak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- 2. C · Alcohol withdrawal
- 3. D · Is a nicotinic partial agonist that reduces craving and reward
- 4. D · 足首のむくみ
- 5. D · Swelling of the lips, tongue or face
- 6. A · Inject into the abdomen away from the navel and do not rub the site afterwards
- 7. C · It delays or prevents ovulation
- 8. D · Tell the surgical team, as the supplements can increase bleeding
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