1.やさしい
Where should an adrenaline (epinephrine) auto-injector be given?
- AInto the abdomen under the skin
- BInto a vein in the arm
- CUnder the tongue
- DInto the outer thigh muscle
2.やさしい
Drugs whose names end in "-sartan", such as losartan, belong to which class?
- AACE inhibitors, which block the converting enzyme
- BAngiotensin II receptor blockers
- CAlpha-1 blockers
- DLoop diuretics
3.やさしい
What is enzyme induction?
- AA drug causes an allergic reaction to enzymes
- BA drug is converted into an enzyme in the body
- CA drug speeds up liver enzymes, so other drugs are broken down faster
- DA drug blocks liver enzymes, so other drugs build up in the blood
4.ふつう
Why should NSAIDs be used with caution in some people with asthma?
- AThey cause mucus plugs by drying the airways
- BThey can trigger bronchospasm in aspirin-sensitive asthma
- CThey block the anti-inflammatory effect of inhaled corticosteroids
- DThey increase the clearance of salbutamol
5.ふつう
メトホルミンは主にどのように血糖を下げますか?
- A腎臓でのブドウ糖の吸収を遮断する
- B不足したインスリンを補う
- C肝臓でのブドウ糖産生を減らす
- D膵臓からのインスリン分泌を刺激する
6.ふつう
ヘンレ係蹄の太い上行脚に作用する利尿薬は?
- Aカリウム保持性利尿薬
- B浸透圧利尿薬
- Cフロセミドなどのループ利尿薬
- Dチアジド系利尿薬
7.むずかしい
Why is vancomycin given by mouth, not intravenously, for Clostridioides difficile infection?
- AThe oral form is cheaper but has the same effect as IV
- BOral vancomycin is not absorbed, so it reaches high levels in the colon
- CIntravenous vancomycin causes C. difficile infection
- DOral vancomycin is absorbed into the blood better than IV vancomycin
8.むずかしい
一次消失の薬で、投与間隔を変えずに投与量を 2 倍にすると:
- A定常状態に達する時間が半分になる
- B半減期が 2 倍になる
- C定常状態の濃度は変わらないが、到達までの時間が半分になる
- D定常状態の濃度は 2 倍になるが、到達までの時間は変わらない
解答
- 1. D · Into the outer thigh muscle
- 2. B · Angiotensin II receptor blockers
- 3. C · A drug speeds up liver enzymes, so other drugs are broken down faster
- 4. B · They can trigger bronchospasm in aspirin-sensitive asthma
- 5. C · 肝臓でのブドウ糖産生を減らす
- 6. C · フロセミドなどのループ利尿薬
- 7. B · Oral vancomycin is not absorbed, so it reaches high levels in the colon
- 8. D · 定常状態の濃度は 2 倍になるが、到達までの時間は変わらない
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