1.やさしい
Which vasopressor is usually first-line for septic shock that persists after fluids?
- AGlyceryl trinitrate
- BNoradrenaline (norepinephrine)
- CAdenosine
- DIsoprenaline (isoproterenol)
2.やさしい
Why is magnesium sulfate given to a woman with severe pre-eclampsia?
- ATo prevent eclamptic seizures
- BTo start labour contractions
- CTo raise her blood pressure
- DTo treat a urinary infection
3.やさしい
What is drug synergism?
- AOne drug cancels out the effect of another drug
- BTwo drugs together have a greater effect than the sum of each alone
- CTwo drugs together produce exactly the sum of their separate effects
- DA drug loses its effect after repeated doses
4.ふつう
During adult cardiac arrest, how often is IV adrenaline (epinephrine) usually repeated?
- AEvery 15–20 minutes
- BEvery 3–5 minutes
- COnce only, at the start
- DEvery 30 seconds
5.ふつう
ACE 阻害薬に特徴的なよくある副作用は?
- A空咳
- B血管拡張による足首のむくみ
- C徐脈
- D低血糖
6.ふつう
Why should a patient rinse the mouth after using an inhaled corticosteroid?
- ATo prevent a fall in blood glucose
- BTo reduce the risk of oral thrush (candidiasis) and hoarseness
- CTo stop the drug being absorbed too quickly into the blood
- DTo make the drug work faster in the lungs
7.むずかしい
A patient on warfarin is taught about diet. Which statement shows a need for further teaching?
- A"I will stop eating all green vegetables from now on."
- B"I will use a soft toothbrush and an electric razor."
- C"I will keep the amount of green leafy vegetables I eat about the same each week."
- D"I will tell my dentist that I take warfarin."
8.むずかしい
腎不全のためにある薬のクリアランスが半分に下がり、分布容積は変わりません。半減期はどうなりますか?
- A変わらない
- B半分になる
- C4 倍になる
- D2 倍になる
解答
- 1. B · Noradrenaline (norepinephrine)
- 2. A · To prevent eclamptic seizures
- 3. B · Two drugs together have a greater effect than the sum of each alone
- 4. B · Every 3–5 minutes
- 5. A · 空咳
- 6. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
- 7. A · "I will stop eating all green vegetables from now on."
- 8. D · 2 倍になる
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