1.やさしい
What is a "superinfection" during antibiotic treatment?
- AA very severe form of the original infection
- BAn infection that is cured by a single antibiotic dose
- CA new infection because normal body flora are disturbed
- DAn infection that spreads from one patient to another on the ward
2.やさしい
使い続けてもほとんど弱まらないモルヒネの副作用はどれですか?
- A吐き気
- Bかゆみ
- C便秘
- D眠気
3.やさしい
What does "bacteriostatic" mean?
- AThe drug kills viruses as well as bacteria
- BThe drug kills bacteria directly by breaking down their cell wall
- CThe drug stops bacteria multiplying without killing them directly
- DThe drug prevents the patient's immune response
4.ふつう
アミトリプチリンなどの三環系抗うつ薬の過量服用が特に危険なのはなぜですか?
- A突然の高血糖を起こすから
- B数時間以内に重い肝不全を起こすから
- C不整脈とけいれんを起こすから
- D腎結石を起こすから
5.ふつう
A patient with diabetes is sweaty and shaky. Blood glucose is 3.0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive the next scheduled dose of insulin
- BGive intramuscular glucagon at once
- CGive a large meal high in fat and protein to keep glucose up for longer
- DGive 15–20 g of fast-acting carbohydrate, such as juice
6.ふつう
A woman taking the combined pill should seek care urgently for which symptom?
- AMild breast tenderness in the first month
- BSlight nausea in the first few weeks
- CLight spotting between periods early on
- DA painful, swollen calf or sudden chest pain
7.むずかしい
A toddler swallowed many of his mother's iron tablets. He has vomiting and bloody diarrhoea. Which drug may be used to bind iron?
- ADeferoxamine (desferrioxamine)
- BNaloxone
- CAcetylcysteine
- DActivated charcoal given by mouth
8.むずかしい
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
- AHypoglycaemia and weight gain
- BSevere bradycardia and heart block
- CRebound tachycardia and hypertension
- DHyperkalaemia and muscle weakness
解答
- 1. C · A new infection because normal body flora are disturbed
- 2. C · 便秘
- 3. C · The drug stops bacteria multiplying without killing them directly
- 4. C · 不整脈とけいれんを起こすから
- 5. D · Give 15–20 g of fast-acting carbohydrate, such as juice
- 6. D · A painful, swollen calf or sudden chest pain
- 7. A · Deferoxamine (desferrioxamine)
- 8. B · Severe bradycardia and heart block
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