1.やさしい
新薬が通常、初めてヒト(多くは健康な志願者)に投与されるのは臨床試験のどの相ですか?
- A第 I 相
- B第 II 相
- C第 III 相
- D第 IV 相
2.やさしい
オンダンセトロンは主に何の治療に使いますか?
- A便秘
- B細菌感染症
- C高血圧
- D吐き気と嘔吐
3.やさしい
Stimulation of which receptor increases heart rate and the force of contraction?
- AAlpha-2 adrenergic receptor
- BBeta-1 adrenergic receptor
- CMuscarinic M2 receptor
- DBeta-2 adrenergic receptor
4.ふつう
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
- BGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- CGrapefruit blocks cholesterol absorption and causes low cholesterol
- DGrapefruit makes the tablet dissolve in the mouth
5.ふつう
A patient wants to stop paroxetine suddenly. What should the nurse explain?
- AStopping suddenly causes dangerous low blood sugar
- BIt can be stopped at any time, as antidepressants cause no withdrawal effects
- CStopping suddenly causes the drug to work better for a while
- DIt can cause dizziness, "electric shock" feelings and irritability
6.ふつう
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
- ATake a double dose on the day of surgery
- BStop the drug for one day and no further action is needed
- CThe drug has no link with eye surgery
- DTell the eye surgeon, as it can cause floppy iris syndrome
7.むずかしい
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
- ALoss of antibiotic effect because methotrexate binds trimethoprim
- BHypoglycaemia from reduced liver glucose output
- CBone marrow suppression, because both drugs inhibit folate metabolism
- DSevere hypertension from the combination
8.むずかしい
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
- AHypertonic saline is toxic to the liver at high rates
- BRaising sodium too fast causes severe hypokalaemia and cardiac arrest
- CFast correction causes immediate kidney failure
- DRaising sodium too fast can cause osmotic demyelination in the brain
解答
- 1. A · 第 I 相
- 2. D · 吐き気と嘔吐
- 3. B · Beta-1 adrenergic receptor
- 4. B · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 5. D · It can cause dizziness, "electric shock" feelings and irritability
- 6. D · Tell the eye surgeon, as it can cause floppy iris syndrome
- 7. C · Bone marrow suppression, because both drugs inhibit folate metabolism
- 8. D · Raising sodium too fast can cause osmotic demyelination in the brain
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