1.やさしい
Propylthiouracil and carbimazole (or its active form methimazole, also called thiamazole) are used to treat which condition?
- AHyperthyroidism
- BType 1 diabetes
- CAdrenal insufficiency
- DHypothyroidism
2.やさしい
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
- ATo prevent infection in the mother
- BTo stop contractions completely
- CTo speed up fetal lung maturity
- DTo lower the mother's blood glucose
3.やさしい
Which description fits insulin glargine?
- AA rapid-acting insulin given with each meal
- BA long-acting basal insulin with no marked peak
- CAn intermediate-acting cloudy insulin with a clear peak
- DAn oral tablet that makes the pancreas release insulin
4.ふつう
A patient starting sulfasalazine should be told about which harmless effect?
- ABlue colouring of the tongue and gums
- BGreen colouring of the sweat
- COrange-yellow colouring of the urine
- DWhite spots on the nails
5.ふつう
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
- AHaemoglobin slightly below normal
- BTemperature of 37.2 °C (99 °F)
- CHeart rate of 88 per minute
- DBlood pressure of 160/105 mmHg
6.ふつう
アピキサバンとリバーロキサバンは、何を直接阻害する抗凝固薬ですか?
- Aトロンビン
- Bビタミン K エポキシド還元酵素
- C第 Xa 因子
- D血小板の P2Y12 受容体
7.むずかしい
Why are antipsychotics used with great caution in older people with dementia?
- AThey always cure the dementia and stop all behaviour problems
- BThey are not absorbed in people over 65
- CThey are linked to a higher risk of stroke and death
- DThey cause severe hypoglycaemia in older people
8.むずかしい
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3.1 mmol/L (mEq/L). Why is this a concern?
- ALow potassium makes insulin ineffective, so a higher dose is needed
- BInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
- CInsulin moves potassium into cells, so the level can fall dangerously low
- DPotassium has no link with insulin, so the infusion is started as planned
解答
- 1. A · Hyperthyroidism
- 2. C · To speed up fetal lung maturity
- 3. B · A long-acting basal insulin with no marked peak
- 4. C · Orange-yellow colouring of the urine
- 5. D · Blood pressure of 160/105 mmHg
- 6. C · 第 Xa 因子
- 7. C · They are linked to a higher risk of stroke and death
- 8. C · Insulin moves potassium into cells, so the level can fall dangerously low
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