1.やさしい
2 型糖尿病の第一選択薬としてよく使われる経口薬はどれですか?
- Aインスリン グラルギン
- Bレボチロキシン
- Cメトホルミン
- Dプレドニゾロン
2.やさしい
In hepatic encephalopathy, lactulose is given mainly to:
- ARaise the blood glucose level
- BStop bleeding from varices
- CReduce fluid in the abdomen
- DLower the blood ammonia level
3.やさしい
How do local anaesthetics such as lidocaine block pain?
- AThey activate opioid receptors in the spinal cord
- BThey block prostaglandin synthesis at the injury site
- CThey enhance the action of GABA in the brain and spinal cord
- DThey block voltage-gated sodium channels in nerve membranes
4.ふつう
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
- AIncrease the infusion rate to finish quickly
- BRemove the cannula at once and massage the area firmly
- CFlush the line with a large volume of saline
- DStop the infusion, leave the cannula in and follow the protocol
5.ふつう
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it in the morning with a cup of strong coffee to stay alert
- BTake it at bedtime, because it can cause dizziness and fainting
- CTake it only if the urine is darker than usual
- DExpect a short rise in blood pressure after the dose
6.ふつう
Which patient should usually not receive a live vaccine?
- AA patient receiving chemotherapy for leukaemia
- BA patient with mild seasonal allergies
- CA healthy adult nurse who works on a children's ward
- DA healthy 1-year-old child
7.むずかしい
A patient with epilepsy needs pain relief. Why is tramadol used with caution?
- AIt causes a sharp rise in blood glucose
- BIt lowers the seizure threshold
- CIt always causes respiratory arrest in epilepsy
- DIt speeds up the metabolism of all antiepileptic drugs
8.むずかしい
1950 年代末から 1960 年代初めのサリドマイド事件は、どの作用で最もよく知られ、何につながりましたか?
- A子どもの難聴。動物実験の終了
- B成人の肝不全。すべての鎮静薬の禁止
- C赤ちゃんの重い四肢の異常。より厳しい医薬品の試験と規制
- D高齢者の心筋梗塞。後発医薬品の始まり
解答
- 1. C · メトホルミン
- 2. D · Lower the blood ammonia level
- 3. D · They block voltage-gated sodium channels in nerve membranes
- 4. D · Stop the infusion, leave the cannula in and follow the protocol
- 5. B · Take it at bedtime, because it can cause dizziness and fainting
- 6. A · A patient receiving chemotherapy for leukaemia
- 7. B · It lowers the seizure threshold
- 8. C · 赤ちゃんの重い四肢の異常。より厳しい医薬品の試験と規制
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