1.やさしい
Which signs are typical of hypoglycaemia?
- AThirst, frequent urination and warm, dry, flushed skin
- BFruity breath with deep, rapid breathing
- CSweating, shakiness, a fast heart rate and confusion
- DA slow pulse, constipation and weight gain
2.やさしい
アテノロールのように名前が「-olol(-ロール)」で終わる薬は、どのクラスに属しますか?
- AACE 阻害薬
- Bスタチン
- Cβ遮断薬
- Dカルシウム拮抗薬
3.やさしい
In Addison's disease, fludrocortisone is given to replace which hormone?
- AThyroxine
- BAdrenaline
- CCortisol
- DAldosterone
4.ふつう
Besides lithium levels, which blood tests are monitored in long-term lithium treatment?
- ATroponin and CK-MB
- BLiver enzymes, serum amylase and lipase
- CINR and fibrinogen
- DKidney function and thyroid function
5.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足首のむくみ
- B空咳
- C高カリウム血症
- D気管支けいれん
6.ふつう
A child is starting methylphenidate for ADHD. Which advice is appropriate?
- AExpect weight gain as the main side effect
- BGive doses early in the day and monitor appetite and growth
- CGive the drug only at weekends
- DGive the last dose at bedtime to help the child sleep
7.むずかしい
A patient who takes clonidine stopped it suddenly two days ago. He is now agitated, has a headache and his blood pressure is very high. What is the most likely explanation?
- AAn allergic reaction to clonidine
- BClonidine toxicity due to slow excretion by the kidneys
- CNormal variation unrelated to the medication
- DRebound hypertension from abrupt clonidine withdrawal
8.むずかしい
Which regimen is standard for eradicating Helicobacter pylori?
- AAn H2 blocker taken only when pain occurs
- BAn antacid alone, taken after meals and at bedtime for six months
- CA single dose of an antibiotic given intravenously
- DAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
解答
- 1. C · Sweating, shakiness, a fast heart rate and confusion
- 2. C · β遮断薬
- 3. D · Aldosterone
- 4. D · Kidney function and thyroid function
- 5. A · 足首のむくみ
- 6. B · Give doses early in the day and monitor appetite and growth
- 7. D · Rebound hypertension from abrupt clonidine withdrawal
- 8. D · Acid suppression plus at least two antibiotics, often with bismuth, for 14 days
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