1.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眠気
- C便秘
- Dかゆみ
2.やさしい
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
- AIt constricts vessels, so the block lasts longer and less enters the blood
- BIt speeds up the removal of the anaesthetic from the tissue into the blood
- CIt prevents allergic reactions to the anaesthetic
- DIt makes the anaesthetic act on the brain as well
3.やさしい
What does "polypharmacy" mean?
- AUsing a drug at a very high dose
- BTaking one drug in several different forms
- CA pharmacy that stocks many different brands of the same drug
- DThe use of many medicines at the same time, often five or more
4.ふつう
Why is aspirin avoided in children and teenagers with viral illnesses such as flu or chickenpox?
- AIt is linked to Reye's syndrome, which harms the liver and brain
- BIt stops the vaccine from working
- CIt causes severe, permanent hearing loss in young children
- DIt causes grey baby syndrome
5.ふつう
ACE 阻害薬に特徴的なよくある副作用は?
- A血管拡張による足首のむくみ
- B徐脈
- C低血糖
- D空咳
6.ふつう
スタチンの重大だがまれな副作用で、患者がすぐに報告すべきものはどれですか?
- A原因のわからない筋肉の痛みや脱力
- B足首のむくみ
- C空咳
- D金属のような味
7.むずかしい
ある薬の分布容積が非常に大きい(例:成人で 500 L)。これは何を意味しますか?
- A薬を静脈内投与できない
- B薬が組織に多く取り込まれている
- C薬がほぼすべて血漿区画にとどまっている
- D薬が腎臓から速く排泄される
8.むずかしい
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
- AAssume the omission is intended and do nothing
- BClarify the omission with the prescriber (medication reconciliation)
- CTell the patient to stop warfarin permanently
- DGive the patient's own warfarin brought from home without an order
解答
- 1. C · 便秘
- 2. A · It constricts vessels, so the block lasts longer and less enters the blood
- 3. D · The use of many medicines at the same time, often five or more
- 4. A · It is linked to Reye's syndrome, which harms the liver and brain
- 5. D · 空咳
- 6. A · 原因のわからない筋肉の痛みや脱力
- 7. B · 薬が組織に多く取り込まれている
- 8. B · Clarify the omission with the prescriber (medication reconciliation)
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